Differential effects of childhood trauma subtypes on fatigue and physical functioning in chronic fatigue syndrome |
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| Institution: | 1. University Psychiatric Department, Campus Antwerp University Hospital (UZA), Antwerp (Edegem), Belgium;2. Collaborative Antwerp Psychiatric Research Institute (CAPRI), Faculty of Medicine and Health Sciences, University of Antwerp (UA), Antwerp, Belgium;3. Behaviour Therapy Division for Fatigue and Functional Symptoms, Antwerp University Hospital (UZA), Antwerp (Edegem), Belgium;4. Department of Internal Medicine, Antwerp University Hospital (UZA), Antwerp (Edegem), Belgium;5. University Psychiatric Department, Campus Psychiatric Hospital St.-Norbertus, Duffel, Belgium;1. Chronic Fatigue Research and Treatment Unit, South London and Maudsley NHS Foundation Trust, London, United Kingdom;2. Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, King’s College London;3. Rheumatology, Kings College Hospital NHS Foundation Trust, London, United Kingdom;4. Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London;1. School of Social and Community Medicine, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, UK;2. Expert Centre for Chronic Fatigue, Radboud University Medical Centre Nijmegen, The Netherlands;3. Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK;1. School of Psychological Sciences & Manchester Centre for Health Psychology, University of Manchester, UK;2. Academic unit of Psychology & Centre for Applications of Health Psychology, University of Southampton, UK;1. School of Psychiatry, University of New South Wales, Australia;2. Inflammation and Infection Research Centre, School of Medical Sciences, University of New South Wales, Australia;1. Institute of Health Science, Faculty of Health and Social Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;2. Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;3. Developmental Neuroscience Laboratory, Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway |
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| Abstract: | ObjectiveThere is wide consensus that childhood trauma plays an important role in the aetiology of chronic fatigue syndrome (CFS). The current study examines the differential effects of childhood trauma subtypes on fatigue and physical functioning in individuals suffering from CFS.MethodsParticipants were 155 well-documented adult, predominantly female CFS patients receiving treatment at the outpatient treatment centre for CFS of the Antwerp University Hospital in Belgium. Stepwise regression analyses were conducted with outcomes of the total score of the Checklist Individual Strength (CIS) measuring fatigue and the scores on the physical functioning subscale of the Medical Outcomes Short Form 36 Health Status Survey (SF-36) as the dependent variables, and the scores on the five subscales of the Traumatic Experiences Checklist (TEC) as the independent variables.ResultsThe patients' fatigue (β = 1.38; p = 0.025) and physical functioning scores (β = ? 1.79; p = 0.034) were significantly predicted by childhood sexual harassment. There were no significant effects of emotional neglect, emotional abuse, bodily threat, or sexual abuse during childhood.ConclusionOf the childhood trauma subtypes investigated, sexual harassment emerged as the most important predictor of fatigue and poor physical functioning in the CFS patients assessed. These findings have to be taken into account in further clinical research and in the assessment and treatment of individuals coping with chronic fatigue syndrome. |
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