The overall aim of this study was to investigate self-reported cognitive difficulties, daily life activities, and health/sleep factors in former patients with exhaustion disorder (ED) who still fulfill the clinical criteria for exhaustion 7–12 years after seeking care. The Sahlgrenska Self-reported Cognitive Impairment Questionnaire (SASCI-Q) was used to measure cognitive difficulties, daily life activities, and health/sleep factors. Three groups were compared: previous patients still judged to be clinically exhausted seven years or more after seeking care (n = 51); previous patients considered clinically recovered (n = 98); and healthy controls (n = 50). Patients who still fulfilled the diagnostic criteria for ED reported widespread problems related to cognition, fatigue, and daily life functioning compared to the clinically recovered group. Furthermore, despite no longer fulfilling the clinical criteria, the recovered patients still reported more problems related to cognitive functioning and fatigue compared to healthy controls. Thus, this group appeared intermediary between the non-recovered group and healthy controls regarding self-reported cognitive functioning. To conclude, ED may have considerable negative long-term effects, and it is possible that some of these residual symptoms, particularly the cognitive problems and persistent fatigue, are permanent in some patients. Preventive measures should be the primary focus for all stakeholders, since the consequences of stress-related mental health problems seem to be extensive and long-lasting.

中文翻译：

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在因压力相关的疲劳寻求治疗后 7-12 年，自我报告的认知障碍和日常生活功能

本研究的总体目的是调查在寻求治疗 7-12 年后仍符合疲劳临床标准的前耗竭障碍 (ED) 患者自我报告的认知困难、日常生活活动和健康/睡眠因素。Sahlgrenska 自我报告的认知障碍问卷 (SASCI-Q) 用于测量认知困难、日常生活活动和健康/睡眠因素。对三组进行了比较：既往患者在寻求治疗后仍被判断为临床疲劳 7 年或更长时间（n  = 51）；既往认为临床康复的患者（n  = 98）；和健康对照 ( n = 50）。与临床恢复组相比，仍满足 ED 诊断标准的患者报告了与认知、疲劳和日常生活功能相关的广泛问题。此外，尽管不再满足临床标准，但与健康对照组相比，康复患者仍报告了更多与认知功能和疲劳相关的问题。因此，就自我报告的认知功能而言，该组似乎介于未康复组和健康对照组之间。总而言之，ED 可能具有相当大的长期负面影响，并且其中一些残留症状，特别是认知问题和持续疲劳，可能对某些患者是永久性的。预防措施应是所有利益相关者的首要关注点，