Coping styles in people with chronic fatigue syndrome identified from the general population of Wichita, KS

Studies of primary and tertiary care patients suggest that maladaptive coping styles contribute to the pathogenesis and maintenance of chronic fatigue syndrome (CFS). We assessed coping styles in persons with unexplained fatigue and nonfatigued controls in a population-based study. We enrolled 43 su...

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Veröffentlicht in:Journal of psychosomatic research 2006-06, Vol.60 (6), p.567-573
Hauptverfasser: Nater, Urs M., Wagner, Dieter, Solomon, Laura, Jones, James F., Unger, Elizabeth R., Papanicolaou, Dimitris A., Reeves, William C., Heim, Christine
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container_end_page 573
container_issue 6
container_start_page 567
container_title Journal of psychosomatic research
container_volume 60
creator Nater, Urs M.
Wagner, Dieter
Solomon, Laura
Jones, James F.
Unger, Elizabeth R.
Papanicolaou, Dimitris A.
Reeves, William C.
Heim, Christine
description Studies of primary and tertiary care patients suggest that maladaptive coping styles contribute to the pathogenesis and maintenance of chronic fatigue syndrome (CFS). We assessed coping styles in persons with unexplained fatigue and nonfatigued controls in a population-based study. We enrolled 43 subjects meeting the 1994 Research Case Definition of CFS, matching them with 61 subjects with chronic unexplained fatigue who did not meet criteria for CFS [we term them insufficient symptoms or fatigue (ISF)] and 60 non-ill (NI) controls. Coping styles and clinical features of CFS were assessed using standard rating scales. Subjects with CFS and ISF reported significantly more escape-avoiding behavior than NI controls. There were no differences between the CFS and ISF subjects. Among participants with CFS, escape-avoiding behavior was associated with fatigue severity, pain, and disability. We demonstrate significantly higher reporting of maladaptive coping in a population-based sample of people with CFS and other unexplained fatiguing illnesses defined by reproducible standardized clinical empirical means in comparison to NI controls.
doi_str_mv 10.1016/j.jpsychores.2006.04.001
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source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present)
subjects Activities of Daily Living - psychology
Adaptation, Psychological
Avoidance Learning
Chronic fatigue syndrome
Cohort Studies
Coping
Coping style
Cross-Sectional Studies
Escape Reaction
Escape-avoiding behavior
Fatigue Syndrome, Chronic - diagnosis
Fatigue Syndrome, Chronic - epidemiology
Fatigue Syndrome, Chronic - psychology
Female
Humans
Male
Middle Aged
Personality Inventory - statistics & numerical data
Population Surveillance
Population-based study
Psychometrics - statistics & numerical data
Reference Values
Somatoform Disorders - diagnosis
Somatoform Disorders - epidemiology
Somatoform Disorders - psychology
Statistics as Topic
Surveys and Questionnaires
Wisconsin
title Coping styles in people with chronic fatigue syndrome identified from the general population of Wichita, KS
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