Anticipatory fatigue effects and emotional symptoms in the perception of physical and cognitive fatigue

  • Sandra Fuentes-Márquez Hospital Juan Ramón Jiménez.
  • Cristina Senín-Calderón Universidad de Cádiz
  • Juan F. Rodríguez-Testal Universidad de Sevilla
  • Miguel A. Carrasco-Ortiz Universidad Nacional de Educación a Distancia (UNED)
Keywords: Anticipatory fatigue, depressive, somatic and anxious symptoms, cognitive and physical fatigue


Objectives: To analyze the effects of anticipatory fatigue and emotional symptomatology on the physical and cognitive perception of fatigue. The conditional and partial effects of independent variables were analyzed by multivariate and univariate analyses in an ex- post-fact and correlational method. Sample was composed of 317 participants (29% come from clinical population). Anticipatory fatigue, and perception of fatigue (by the Chalder et al.´s Fatigue Scale) were measured. Emotional symptoms were assessed by Goldberg´s questionnaire, GHQ-28. Anticipatory fatigue and emotional symptoms (mainly depressive symptoms) had significant effects on the cognitive and physical fatigue. The anticipatory fatigue moderated the effects between group (clinical versus general) and cognitive fatigue. Emotional symptoms (mainly depressive symptoms) and anticipatory fatigue made an important contribution to the cognitive and physical fatigue. However, the contribution of the anticipatory fatigue was no longer significant when the emotional symptoms were considered. It suggests the mediational role of the symptoms between anticipatory fatigue and perception of fatigue.


Download data is not yet available.

Author Biographies

Sandra Fuentes-Márquez, Hospital Juan Ramón Jiménez.
Psicóloga Clínica
Cristina Senín-Calderón, Universidad de Cádiz
Profesora sustituta interina. Departamento de Psicología
Juan F. Rodríguez-Testal, Universidad de Sevilla
Profesor titular de Universidad. Departamento de personalidad, evaluación y tratamiento psicológicos.
Miguel A. Carrasco-Ortiz, Universidad Nacional de Educación a Distancia (UNED)
Profesor titular de Universidad. Departamento de personalidad, evaluación y tratamiento psicológicos.


American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders, Text Revision. DSM-IV-TR. Diagnostic and Statistical Manual of Mental Disorders – 4th Ed (Vol. 4). Washington DC: APA. doi:10.1001/jama.285.6.811

Autor (2015). Perceived Experience of Fatigue in Clinical and General Population: Descriptors and Associated Reactivities. Spanish Journal of Psychology, 18, 1-8

Autor (2016). Mediating role of emotional symptomatology between anticipatory fatigue and the perception of fatigue. Psicothema, 28(2), 187-193

Barlow, D. (2002). Anxiety and Its Disorders. The Nature and Treatment of Anxiety and Panic (2nd ed.). New York: Guilford Press.

Brown, L., & Kroenke, K. (2009). Cancer-Related Fatigue and Its Associations With Depression and Anxiety: A Systematic Review. Psychosomatics, 50, 440–447.

Cella, M., & Chalder, T. (2010). Measuring fatigue in clinical and community settings. Journal of Psychosomatic Research, 69(1), 17–22.

Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., & Wallace, E. P. (1993). Development of a fatigue scale. Journal of Psychosomatic Research, 37, 147–153. doi:10.1016/0022-3999(93)90081-P

Chaudhuri, A., & Behan, P. O. (2004). Fatigue in neurological disorders. Lancet, 363, 978–988. doi:10.1016/S0140-6736(04)15794-2

Cohen, J. (1988). Statistical power analysis for the behavior sciences. New York: Lawrence Earlbaum Associates.

Demyttenaere, K., De Fruyt, J., & Stahl, S. M. (2005). The many faces of fatigue in major depressive disorder. The International Journal of Neuropsychopharmacology / Official Scientific Journal of the Collegium Internationale Neuropsychopharmacologicum (CINP), 8, 93–105. doi:10.1017/S1461145704004729

Doyle, F., Conroy, R., McGee, H., & Delaney, M. (2010). Depressive symptoms in persons with acute coronary syndrome: Specific symptom scales and prognosis. Journal of Psychosomatic Research, 68, 121–130. doi:10.1016/j.jpsychores.2009.07.013

Elosua, P., & Zumbo, B.D. (2008). Reliability coefficients for ordinal response scales. Psicothema, 20(4), 896-901.

Failde, I., & Ramos, I. (2000). Validity and reliability of the SF-36 Health Survey Questionnaire in patients with coronary artery disease. Journal of Clinical Epidemiology, 53(4), 359–365.

Goldberg, D. (1996). Cuestionario de Salud General de Goldberg. Barcelona: Masson.

Goldstein, A. N., Greer, S. M., Saletin, J. M., Harvey, A. G., Nitschke, J. B., & Walker, M. P. (2013). Tired and apprehensive: anxiety amplifies the impact of sleep loss on aversive brain anticipation. The Journal of Neuroscience : The Official Journal of the Society for Neuroscience, 33, 10607–15. doi:10.1523/JNEUROSCI.5578-12.2013

Hayes, A. (2013). Introduction to mediation, moderation, and conditional process analysis. New York, NY: Guilford.

Heins, M., Knoop, H., Nijs, J., Feskens, R., Meeus, M., Moorkens, G., & Bleijenberg, G. (2013). Influence of symptom expectancies on stair-climbing performance in chronic fatigue syndrome: Effect of study context. International Journal of Behavioral Medicine, 20, 213–218. doi:10.1007/s12529-012-9253-2

Helbig-Lang, S., Lang, T., Petermann, F., & Hoyer, J. (2012). Anticipatory Anxiety as a Function of Panic Attacks and Panic-Related Self-Efficacy: An Ambulatory Assessment Study in Panic Disorder. Behavioural and Cognitive Psychotherapy, 40, 590–604. doi:10.1017/S1352465812000057

Hollingshead, A. A. (1975). Five Factor Index of Social Position. New Haven, CT: Unpublished manuscript, Yale University.

Kluger, B. M., Krupp, L. B., & Enoka, R. M. (2013). Fatigue and fatigability in neurologic illnesses: Proposal for a unified taxonomy. Neurology, 80, 409–416. doi:10.1212/WNL.0b013e31827f07be

Koval, P., Kuppens, P., Allen, N. B., & Sheeber, L. (2012). Getting stuck in depression: The roles of rumination and emotional inertia. Cognition & Emotion, 1–16. doi:10.1080/02699931.2012.667392

Lindeberg, S. I., Rosvall, M., & Östergren, P. O. (2012). Exhaustion predicts coronary heart disease independently of symptoms of depression and anxiety in men but not in women. Journal of Psychosomatic Research, 72, 17–21. doi:10.1016/j.jpsychores.2011.09.001

Lo, C. S. L., Ho, S. M. Y., & Hollon, S. D. (2008). The effects of rumination and negative cognitive styles on depression: A mediation analysis. Behaviour Research and Therapy, 46, 487–495. doi:10.1016/j.brat.2008.01.013

Nitschke, J. B., Sarinopoulos, I., Oathes, D. J., Johnstone, T., Whalen, P. J., Davidson, R. J., & Kalin, N. H. (2009). Anticipatory activation in the amygdala and anterior cingulate in generalized anxiety disorder and prediction of treatment response. The American Journal of Psychiatry, 166, 302–310. doi:10.1176/appi.ajp.2008.07101682

Priebe, S., Fakhoury, W. K. H., & Henningsen, P. (2008). Functional incapacity and physical and psychological symptoms: How they interconnect in chronic fatigue syndrome. Psychopathology, 41, 339–345. doi:10.1159/000152375

Rief, W., Glombiewski, J. A., Gollwitzer, M., Schubö, A., Schwarting, R., & Thorwart, A. (2015). Expectancies as core features of mental disorders. Current Opinion in Psychiatry, 28(5), 378–385.

Robinson, R. G., & Price, T. R. (1982). Post-stroke depressive disorders: a follow-up study of 103 patients. Stroke, 13(5), 635–641.

Rochat, L., Billieux, J., & Van der Linden, M. (2012). Difficulties in disengaging attentional resources from self-generated thoughts moderate the link between dysphoria and maladaptive self-referential thinking. Cognition & Emotion, 26, 748–757. doi:10.1080/02699931.2011.613917

Ruscio, A. M., Seitchik, A. E., Gentes, E. L., Jones, J. D., & Hallion, L. S. (2011). Perseverative thought: A robust predictor of response to emotional challenge in generalized anxiety disorder and major depressive disorder. Behaviour Research and Therapy, 49, 867–874. doi:10.1016/j.brat.2011.10.001

Sáez-Francàs, N., Hernández-Vara, J., Corominas Roso, M., Alegre Martín, J., & Casas Brugué, M. (2013). The association of apathy with central fatigue perception in patients with Parkinson’s disease. Behavioral Neuroscience, 127, 237–44. doi:10.1037/a0031531

Schnur, J. B., Hallquist, M. N., Bovbjerg, D. H., Silverstein, J. H., Stojceska, A., & Montgomery, G. H. (2007). Predictors of expectancies for post-surgical pain and fatigue in breast cancer surgical patients. Personality and Individual Differences, 42, 419–429. doi:10.1016/j.paid.2006.07.009

Silver, A., Haeney, M., Vijayadurai, P., Wilks, D., Pattrick, M., & Main, C. J. (2002). The role of fear of physical movement and activity in chronic fatigue syndrome. Journal of Psychosomatic Research, 52, 485–493. doi:10.1016/S0022-3999(01)00298-7

How to Cite
Fuentes-Márquez, S., Senín-Calderón, C., Rodríguez-Testal, J. F., & Carrasco-Ortiz, M. A. (2017). Anticipatory fatigue effects and emotional symptoms in the perception of physical and cognitive fatigue. Anales De Psicología / Annals of Psychology, 33(3), 605-611.
Clinical and Health Psychology