Causal attributions for somatic sensations in patients with chronic fatigue syndrome and their partners

Background. Patients with chronic fatigue syndrome (CFS) often make somatic attributions for their illness which has been associated with poor outcome. A tendency to make somatic attributions in general may be a vulnerability factor for the development of CFS. Methods. This cross-sectional study bas...

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Veröffentlicht in:Psychological medicine 2001-01, Vol.31 (1), p.97-105
Hauptverfasser: BUTLER, J. A., CHALDER, T., WESSELY, S.
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CHALDER, T.
WESSELY, S.
description Background. Patients with chronic fatigue syndrome (CFS) often make somatic attributions for their illness which has been associated with poor outcome. A tendency to make somatic attributions in general may be a vulnerability factor for the development of CFS. Methods. This cross-sectional study based on self-report questionnaire data aimed to investigate the type of attributions for symptoms made by patients with CFS and to compare this to attributions made by their partners. It was hypothesized that patients with CFS would make more somatic attributions for their own symptoms than control subjects and that partners of patients with CFS would make more somatic attributions for their ill relative's symptoms but would be similar to controls regarding their own symptoms. Fifty patients with CFS were compared to 50 controls from a fracture clinic in the same hospital and 46 relatives living with the patients with CFS. A modified Symptom Interpretation Questionnaire was used to assess causal attributions. Results. CFS patients were more likely to make somatic attributions for their symptoms. The relatives of patients with CFS made significantly more somatic attributions for symptoms in their ill relative. However, they were like the fracture clinic controls in terms of making predominantly normalizing attributions for their own symptoms. Conclusions. The data support modification of existing cognitive behavioural treatments for CFS to investigate whether addressing partners' attributions for patients' symptoms improves recovery in the patient. Furthermore, a tendency to make somatic attributions for symptoms may be a vulnerability factor for the development of CFS.
doi_str_mv 10.1017/S0033291799003001
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Fifty patients with CFS were compared to 50 controls from a fracture clinic in the same hospital and 46 relatives living with the patients with CFS. A modified Symptom Interpretation Questionnaire was used to assess causal attributions. Results. CFS patients were more likely to make somatic attributions for their symptoms. The relatives of patients with CFS made significantly more somatic attributions for symptoms in their ill relative. However, they were like the fracture clinic controls in terms of making predominantly normalizing attributions for their own symptoms. Conclusions. The data support modification of existing cognitive behavioural treatments for CFS to investigate whether addressing partners' attributions for patients' symptoms improves recovery in the patient. 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A.</creatorcontrib><creatorcontrib>CHALDER, T.</creatorcontrib><creatorcontrib>WESSELY, S.</creatorcontrib><title>Causal attributions for somatic sensations in patients with chronic fatigue syndrome and their partners</title><title>Psychological medicine</title><addtitle>Psychol. Med</addtitle><description>Background. Patients with chronic fatigue syndrome (CFS) often make somatic attributions for their illness which has been associated with poor outcome. A tendency to make somatic attributions in general may be a vulnerability factor for the development of CFS. Methods. This cross-sectional study based on self-report questionnaire data aimed to investigate the type of attributions for symptoms made by patients with CFS and to compare this to attributions made by their partners. It was hypothesized that patients with CFS would make more somatic attributions for their own symptoms than control subjects and that partners of patients with CFS would make more somatic attributions for their ill relative's symptoms but would be similar to controls regarding their own symptoms. Fifty patients with CFS were compared to 50 controls from a fracture clinic in the same hospital and 46 relatives living with the patients with CFS. A modified Symptom Interpretation Questionnaire was used to assess causal attributions. Results. CFS patients were more likely to make somatic attributions for their symptoms. The relatives of patients with CFS made significantly more somatic attributions for symptoms in their ill relative. However, they were like the fracture clinic controls in terms of making predominantly normalizing attributions for their own symptoms. Conclusions. The data support modification of existing cognitive behavioural treatments for CFS to investigate whether addressing partners' attributions for patients' symptoms improves recovery in the patient. Furthermore, a tendency to make somatic attributions for symptoms may be a vulnerability factor for the development of CFS.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Caregivers</subject><subject>Causal attributions</subject><subject>Chronic fatigue syndrome</subject><subject>Cognitive Behavioral Therapy</subject><subject>Cognitive behaviour therapy</subject><subject>Cross-Sectional Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Fatigue Syndrome, Chronic - psychology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Pain</subject><subject>Partners</subject><subject>Patients</subject><subject>Perception</subject><subject>Psychiatric Somatic Therapies</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. 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A.</au><au>CHALDER, T.</au><au>WESSELY, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Causal attributions for somatic sensations in patients with chronic fatigue syndrome and their partners</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol. Med</addtitle><date>2001-01</date><risdate>2001</risdate><volume>31</volume><issue>1</issue><spage>97</spage><epage>105</epage><pages>97-105</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><coden>PSMDCO</coden><abstract>Background. Patients with chronic fatigue syndrome (CFS) often make somatic attributions for their illness which has been associated with poor outcome. A tendency to make somatic attributions in general may be a vulnerability factor for the development of CFS. Methods. This cross-sectional study based on self-report questionnaire data aimed to investigate the type of attributions for symptoms made by patients with CFS and to compare this to attributions made by their partners. It was hypothesized that patients with CFS would make more somatic attributions for their own symptoms than control subjects and that partners of patients with CFS would make more somatic attributions for their ill relative's symptoms but would be similar to controls regarding their own symptoms. Fifty patients with CFS were compared to 50 controls from a fracture clinic in the same hospital and 46 relatives living with the patients with CFS. A modified Symptom Interpretation Questionnaire was used to assess causal attributions. Results. CFS patients were more likely to make somatic attributions for their symptoms. The relatives of patients with CFS made significantly more somatic attributions for symptoms in their ill relative. However, they were like the fracture clinic controls in terms of making predominantly normalizing attributions for their own symptoms. Conclusions. The data support modification of existing cognitive behavioural treatments for CFS to investigate whether addressing partners' attributions for patients' symptoms improves recovery in the patient. Furthermore, a tendency to make somatic attributions for symptoms may be a vulnerability factor for the development of CFS.</abstract><cop>Cambridge</cop><pub>Cambridge University Press</pub><pmid>11200964</pmid><doi>10.1017/S0033291799003001</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Biological and medical sciences
Caregivers
Causal attributions
Chronic fatigue syndrome
Cognitive Behavioral Therapy
Cognitive behaviour therapy
Cross-Sectional Studies
Diseases of the osteoarticular system
Fatigue Syndrome, Chronic - psychology
Female
Fundamental and applied biological sciences. Psychology
Hospitals
Humans
Hypotheses
Illness and personality
Illness, stress and coping
Male
Medical sciences
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Pain
Partners
Patients
Perception
Psychiatric Somatic Therapies
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Questionnaires
Self Concept
Somatic symptoms
Somatoform Disorders - psychology
title Causal attributions for somatic sensations in patients with chronic fatigue syndrome and their partners
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