Social support and the persistence of complaints in chronic fatigue syndrome
| Autor: | E. Bos, J.W.M. van der Meer, S.P. van der Werf, Marcus J.H. Huibers, Gijs Bleijenberg, Judith B. Prins, Petra Servaes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Persistence (psychology)
Adult Male musculoskeletal diseases Psychotherapist Adolescent medicine.medical_treatment macromolecular substances Severity of Illness Index Group psychotherapy Social support Surveys and Questionnaires Severity of illness Effective Primary Care and Public Health [EBP 3] Chronic fatigue syndrome medicine Humans Applied Psychology Fatigue Syndrome Chronic Cognitive Behavioral Therapy virus diseases Social Support General Medicine Middle Aged medicine.disease Cognitive behaviour therapy nervous system diseases Psychiatry and Mental health Clinical Psychology Multicenter study Cognitive therapy Female Determinants of Health and Disease [EBP 1] Microbial pathogenesis and host defense [UMCN 4.1] Psychology Clinical psychology |
| Zdroj: | Psychotherapy and Psychosomatics, 73, 174-182. Karger Psychotherapy and Psychosomatics, 73, 174-82 Psychotherapy and Psychosomatics, 73, 3, pp. 174-82 Psychotherapy and Psychosomatics, 73, 3, pp. 174-182 |
| ISSN: | 0033-3190 |
| Popis: | Contains fulltext : 57919.pdf (Publisher’s version ) (Closed access) BACKGROUND: Several studies suggested that the surroundings of chronic fatigue syndrome (CFS) patients are of importance in the persistence of complaints. Contrary to what was expected, participation in support groups has not led to clinical improvement. The purpose of the present study was to describe social support in CFS patients as compared with other fatigued and non-fatigued groups. Further, changes in social support and the influence of social support on the course of CFS over a period of more than 1 year were studied in patients with and without treatment. METHODS: Baseline data were assessed in 270 CFS patients, 150 disease-free breast cancer patients, 151 fatigued employees on sick-leave and 108 healthy subjects using the Social Support List and Significant Others Scale. CFS patients were followed in cognitive behaviour therapy (CBT), guided support groups and natural course at 8 and 14 months. RESULTS: CFS patients and fatigued employees reported more negative interactions and insufficiency of supporting interactions than cancer patients and healthy controls. No differences in frequency of supporting interactions were found. Negative interactions decreased significantly after treatment with CBT, but did not change in support groups or natural course. In the natural course, higher fatigue severity at 8 months was predicted by more negative interactions at baseline. CONCLUSIONS: In CFS patients and fatigued employees, social support is worse than in disease-free cancer patients and healthy controls. Lack of social support was identified as a new factor in the model of perpetuating factors of fatigue severity and functional impairment in CFS. |
| Databáze: | OpenAIRE |
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