Document Detail

Symptoms of neurasthenia following earthquake trauma: re-examination of a discarded syndrome.
MedLine Citation:
PMID:  17451809     Owner:  NLM     Status:  MEDLINE    
The authors examined symptoms of neurasthenia in the context of trauma through a survey conducted 10 months post-earthquake, among a sample of earthquake survivors in rural Taiwan. An algorithm closely resembling neurasthenia as defined in ICD-10 was designed a priori. Three diagnostic groups were identified, including those with "pure" neurasthenia (n=27) who did not exhibit any Axis I disorder, those with an Axis I disorder but without neurasthenia (n=46) and controls who were without neurasthenia or an Axis I disorder (n=152). Those with neurasthenia were demographically similar to non-psychiatrically disordered controls and did not differ with respect to impact of trauma. Greater severity of intrusive and avoidant/numbing posttraumatic stress disorder (PTSD) symptoms and less resilience characterized neurasthenia relative to controls. Morbidity was similar for neurasthenia and Axis I disorders, except for the presence of less resilience in the neurasthenia group. Thus, "pure" neurasthenia appears to be independent from other psychopathology in a significant number of earthquake survivors, and was not closely related to the impact of earthquake trauma. The meaningful number of subjects meeting criteria for our algorithm of neurasthenia suggests that further study of this syndrome employing exact ICD-10 diagnostic criteria is warranted.
Wei Zhang; Li-Ching Lee; Kathryn M Connor; Chia-Ming Chang; Te-Jen Lai; Jonathan R T Davidson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-04-23
Journal Detail:
Title:  Psychiatry research     Volume:  153     ISSN:  0165-1781     ISO Abbreviation:  Psychiatry Res     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-15     Completed Date:  2008-02-19     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7911385     Medline TA:  Psychiatry Res     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  171-7     Citation Subset:  IM    
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA.
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MeSH Terms
Disability Evaluation
International Classification of Diseases
Life Change Events*
Neurasthenia / diagnosis,  etiology*,  psychology
Rural Population
Stress Disorders, Post-Traumatic / diagnosis,  etiology*,  psychology

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