Talk:Exhaustion disorder

Exhaustion disorder is currently a Biology and medicine good article nominee. Nominated by Draken Bowser (talk) at 18:17, 24 April 2024 (UTC) An editor has placed this article on hold to allow improvements to be made to satisfy the good article criteria. Recommendations have been left on the review page, and editors have seven days to address these issues. Improvements made in this period will influence the reviewer's decision whether or not to list the article as a good article. Short description: Stress-induced disorder causing fatigue and cognitive disability

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This article was edited to contain a total or partial translation of Utmattningssyndrom from the Swedish Wikipedia. Consult the history of the original page to see a list of its authors.

This review is transcluded from Talk:Exhaustion disorder/GA1. The edit link for this section can be used to add comments to the review.

Nominator: Draken Bowser (talk · contribs) 18:17, 24 April 2024 (UTC)[reply]

Reviewer: CursedWithTheAbilityToDoTheMath (talk · contribs) 17:56, 14 August 2024 (UTC)[reply]

Rate	Attribute	Review Comment
1. Well-written:
	1a. the prose is clear, concise, and understandable to an appropriately broad audience; spelling and grammar are correct.	In the second comment of the diagnosis section it says "but like ECG may prove useful for differential diagnostics". Adding some oddly phrased sentences I found my third time reading: " Recovery will generally take from six months to a full year, sometimes longer." - could be worded better. "The diagnosis is not used by any other healthcare system internationally." Other healthcare systems and internationally somewhat imply the same thing. Could be phrased as "the diagnosis is not used outside of Sweeden" "The symptoms of exhaustion disorder are numerous..." I would remove "numerous" and just stick to listing the symptoms. "Exhaustion disorder and depression have several overlapping symptoms and often occur simultaneously..." I feel like overlapping and simultaneously kind of mean the same thing in this context and the sentence could be shortened. "Symptom overlap between exhaustion disorder and other mental disorders is not unusual, but rather a common theme among mental disorders." Not unusual and rather common mean the same thing in this context and I'd get rid of one of the two terms. "As the disease progresses the fatigue compounds, which leads to exhaustion and cognitive decline, and the worsening of other associated symptoms" I feel like this could be shortened to worsening of symptoms and cognitive decline. "For a while thereafter there is usually a marked aversion to the workplace" the usage of both thereafter and there makes this sentence sound odd. "As the overall condition slowly improves the physical symptoms tend to abate, but sleeping disorders and cognitive impairments may remain for a prolonged duration" I would remove "for a prolonged duration".
	1b. it complies with the Manual of Style guidelines for lead sections, layout, words to watch, fiction, and list incorporation.	The article passes all of the criteria except for the layout part. While the article does technically have a proper layout it doesn't follow Template:Article templates/Medical condition. I would try to fix this myself however the way in which the article is currently written makes it hard for me to do so.
2. Verifiable with no original research, as shown by a source spot-check:
	2a. it contains a list of all references (sources of information), presented in accordance with the layout style guideline.	Personally I would make the notes its own section but that's just preference.
	2b. reliable sources are cited inline. All content that could reasonably be challenged, except for plot summaries and that which summarizes cited content elsewhere in the article, must be cited no later than the end of the paragraph (or line if the content is not in prose).	There were some parts of the article that weren't verified by the source listed, I suspect maybe you made an error in citing the right page as the sources still pertain to the topic they just don't verify the specific information. I added [failed verification] templates to those sentences. It may also be an issue with using a different pdf version of one of the studies however I used the links you provided. I stopped verifying information after the prognosis section because of how big of an issue this is. Note: I was not able to access some of the references so I couldn't verify everything.
	2c. it contains no original research.
	2d. it contains no copyright violations or plagiarism.
3. Broad in its coverage:
	3a. it addresses the main aspects of the topic.
	3b. it stays focused on the topic without going into unnecessary detail (see summary style).	I feel that the background section under history is a bit off-topic, or at least could be condensed in a way that shows how it relates to the article topic.
	4. Neutral: it represents viewpoints fairly and without editorial bias, giving due weight to each.
	5. Stable: it does not change significantly from day to day because of an ongoing edit war or content dispute.
6. Illustrated, if possible, by media such as images, video, or audio:
	6a. media are tagged with their copyright statuses, and valid non-free use rationales are provided for non-free content.
	6b. media are relevant to the topic, and have suitable captions.
	7. Overall assessment.	On hold until @Draken Bowser: can address the issues with 1a, 1b, and 2b.

@CursedWithTheAbilityToDoTheMath: Thanks for taking this on and undertaking a thorough review.

• 1a: blood samples and other adjuncts are commonly used in psychiatric diagnostics to rule out somatic diagnoses with overlapping symptoms. Could this be communicated more clearly perhaps?
• 1b: the article seems to be mostly in agreement with WP:MEDSECTIONS, after making "Prognosis" a lvl 2-heading. The manual wants "Risk factors" as a sub-section of "causes", which I'm not sure I agree with. Some sections are missing, a rudimentary "Society and culture"-section could be started by migrating the info under "Sick leave". Do you think it would be better to adhere to the section order suggested by MEDMOS?
• 2b: yeah, that's a big deal. I'm gonna have to go through the notes to see what's up.
• 3b: yes, I might be able to condense that a bit.

And again, thank you very much for your efforts. Draken Bowser (talk) 21:49, 19 August 2024 (UTC)[reply]

@Draken Bowser (pinging so you know i replied)

• 1a: I do understand what you are trying to say, I think it just needs to be worded better.
• 1b: I'm not looking for strict following of the MEDMOS outline here, I just felt that the sections were a bit out of place. I made some changes to the layout that I think improve the article. Feel free to revert these changes if you don't feel that they are contructive. I do feel that the sick leave section is appropriate on it's own as it does seem important to the topic. In regards to the risk factors section I do understand what you mean about it somewhat falling under the epidemiology section. Usually what I do is put the risk factors under the causes section and then briefly go over the relevant ones in the epidemiology section. for example if a disease was more prevelant in women and those with diabetes I would put the risk factors section under causes saying that diabetes is a known risk factor and then in the epidemiology section i would note that it's more common in women and those with diabetes.

Thank you for taking the time to improve on the issues I noted. CursedWithTheAbilityToDoTheMath (talk) 22:27, 19 August 2024 (UTC)[reply]

I suppose I could make a short bullet-point list of risk factors based on the available sources, or just migrate the current section up there.

What are the concerns vis-á-vis the sources for: The initial phase can last several years and various complaints such as fatigue, anxiety, irritability, sleeplessness, restlessness or bowel issues may erupt. During this phase, some people seek medical care for physical or isolated symptoms without the underlying cause being addressed. As the disease progresses the fatigue compounds, which leads to exhaustion and cognitive decline, and the worsening of other associated symptoms. Draken Bowser (talk) 19:13, 20 August 2024 (UTC)[reply]

@Draken Bowser The concerns I have with the sources for that section (and the other failed verification tags) is that your page numbers don't match up.

"The initial phase can last several years and various complaints such as fatigue, anxiety, irritability, sleeplessness, restlessness or bowel issues may erupt. During this phase, some people seek medical care for physical or isolated symptoms without the underlying cause being addressed" cites "Lindsäter et al. 2022, p. 4." and "Glise 2013, p. 19."

Lindsäter et al. 2022, p. 4 somewhat backs up this statement and talks about the symptoms you mentioned, seeking care for the symptoms, and failure to identify the cause it doesn't really support the theory of a phase. This might just be me nitpicking here but the article doesn't discuss phases of the condition, just that symptoms typically decrease. The Glise 2013 PDF is no longer avaible but I do have it downloaded and translated. page 19 of that document talks a bit about stress, risk factors, studies, and cortisol but nothing to back up the claim made above.

"As the disease progresses the fatigue compounds, which leads to exhaustion and cognitive decline, and the worsening of other associated symptoms." cites "Glise 2013, p. 19." which again doesn't discuss this. Page 7 of the same document does back up your claims a bit more so I suspect this was some error with citing the wrong pages. CursedWithTheAbilityToDoTheMath (talk) 19:38, 20 August 2024 (UTC)[reply]

Ok I can replace Lindsäter so as to not infer anything. I first thought the disagreement on Glise (2013) may have originated from us possibly looking at different versions of the document. In my version both the table of contents as well as the heading and actual contents of page 19 is exclusively about "förlopp" i.e. the course of the disease. I'm really confused now. Draken Bowser (talk) 19:59, 20 August 2024 (UTC)[reply]

The version I have has a section called "Om stress och psykisk ohälsa" on page 18 that continues onto page 19. Does that match up with your version? CursedWithTheAbilityToDoTheMath (talk) 22:03, 20 August 2024 (UTC)[reply]