Illness behaviors in patients with unexplained chronic fatigue are associated with significant other responses.

Journal of Behavioral Medicine
Joan M RomanoDedra S Buchwald

Abstract

Chronic fatigue syndrome (CFS) and unexplained chronic fatigue (CF) are characterized by compromised functional status and physical disability. Prior research on chronic pain has suggested that social factors may contribute to disability. This study examined the relationship between significant other responses and patient outcomes in patients with unexplained CF. Questionnaire data were collected from 117 patients on physical function, fatigue, pain, illness behaviors and responses of significant others to them, and depression. Ninety-four SOs reported their perceptions of patient illness behavior and their responses. Thirty-seven of these dyads also completed a series of household activities while being videotaped. Dyadic interactions were coded and analyzed. Both reported and observed solicitous responses by the significant other were associated with reported and observed patient illness behavior. Negative responses to patient illness behavior by significant others were associated with higher levels of patient depressive symptoms. The findings provide support for the role of operant behavioral factors in the context of chronic fatigue. They also suggest that further research on the relationship between dysfunction and signifi...Continue Reading

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Citations

Mar 25, 2014·Pain Management·Toby Ro Newton-John
Apr 29, 2010·Current Psychiatry Reports·Boudewijn Van HoudenhovePatrick Luyten
Jan 10, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Paul CampbellKate M Dunn
Jun 26, 2012·Disability and Health Journal·Brandon J PattersonElizabeth A Chrischilles
Dec 10, 2015·The Journal of Pain : Official Journal of the American Pain Society·Joan M RomanoDedra S Buchwald
Nov 26, 2011·Journal of Oral Rehabilitation·C M C Van Der LugtC M Visscher
Dec 7, 2013·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Vinaya K C ManchaiahDafydd Stephens
Dec 1, 2015·Clinical Psychology : a Publication of the Division of Clinical Psychology of the American Psychological Association·Rebecca BandChristine Barrowclough
Sep 4, 2015·Journal of Occupational Rehabilitation·Cindy A McGearyDonald D McGeary
Oct 18, 2012·International Journal of Audiology·Dafydd StephensJyrki Rasku
May 2, 2017·Psychological Science·Stephanie J WilsonMartin J Sliwinski
Sep 20, 2017·Journal of Health Psychology·Karen B SchmalingSterling McPherson
May 5, 2018·Journal of Nursing Measurement·Basia BelzaXi Zhang

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