|
|||||
|
|
Illness experience,depression, and anxiety in chronic fatigue syndrome |
|
| Authors: | Lehman Anna M Lehman Darrin R Hemphill Kenneth J Mandel David R Cooper Lynne M |
| Institution: | a Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada b Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, BC, Canada V6T 1Z4 c Back in Motion Rehab, Surrey, BC, Canada d Department of Psychology, University of Victoria, Victoria, BC, Canada e Department of Social Work, University of North Carolina at Charlotte, Charlotte, NC, USA |
| Abstract: | Objective: Given the high rate of psychiatric comorbidity with chronic fatigue syndrome (CFS), we considered two possible correlates of anxiety and depression: lack of illness legitimization and beliefs about limiting physical activity. Method: A total of 105 people diagnosed with CFS reported on their experiences with medical professionals and their beliefs about recovery and completed the depression and anxiety subscales of the Brief Symptom Inventory. Results: Those who said that their physician did not legitimize their illness (36%) had higher depression and anxiety scores (P's<.05) than their counterparts. Those who believed that limiting their physical exertion was the path to recovery (55%) had lower depression and anxiety scores (P's<.01) than their counterparts. Conclusion: Lack of illness legitimization ranked high as a source of dissatisfaction for CFS patients, and it may aggravate psychiatric morbidity. Many CFS patients believed that staying within what they felt to be their physical limits would improve their condition. This belief, and possibly an accompanying sense of control over their symptoms, may alleviate psychiatric morbidity. |
| Keywords: | Doctor–patient relationships Illness beliefs Illness experience Chronic fatigue syndrome Anxiety Depression |
| 本文献已被 ScienceDirect PubMed 等数据库收录！ | |