Diagnostic Concordance Between Categorical and Dimensional Instruments to Assess Personality Disorder in Chronic Fatigue Syndrome

Abstract. The study examines the relationship between a categorical and a dimensional personality assessment instrument in patients with Chronic Fatigue Syndrome (CFS). A total of 162 CFS patients were included in the study (91.4% women; mean age 47.5 years). All subjects completed the Spanish versions of the Personality Diagnostic Questionnaire-4+ (PDQ-4+) and the Temperament and Character Inventory-Revised (TCI-R). Results: 78 (48.1%) of the patients presented a Personality Disorder (PD), the most frequent being Cluster C, specifically Obsessive-compulsive disorder, followed by Avoidant disorder. PDs showed a specific pattern of correlation with temperament scales. All PD clusters correlated positively with Harm Avoidance and Self-Transcendence, and negatively with Reward Dependence, Self-Directedness, and Cooperativeness. In a logistic regression analysis, Self-Directedness and Cooperativeness predicted PD presence. The findings are consistent with previous studies in non-CFS samples and suggest that the combination of the Temperament and Character dimensions (low Self-Directedness and Cooperativeness and high Harm Avoidance and Self-Transcendence) correlates with PD severity, and that Self-Directedness and Cooperativeness are associated with PD presence in CFS patients. The integration of these two perspectives expands the current comprehension of personality pathology in CFS patients.

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Psychiatric adjustment in chronic fatigue syndrome of childhood and in juvenile idiopathic arthritis

Psychological Medicine ◽

10.1017/s0033291702006529 ◽

2003 ◽

Vol 33 (2) ◽

pp. 289-297 ◽

Cited By ~ 33

Author(s):

L. RANGEL ◽

M. E. GARRALDA ◽

A. HALL ◽

S. WOODHAM

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Chronic Fatigue Syndrome ◽

Children And Adolescents ◽

Personality Assessment ◽

Chronic Fatigue ◽

Self Esteem ◽

Physical Disorder ◽

Psychiatric Status ◽

Fatigue Syndrome ◽

Age Range

Background. High rates of psychopathology and of personality problems have been reported in children and adolescents with chronic fatigue syndrome (CFS). It is not clear whether this is consequent on the experience of chronic physical ill health. We compare psychiatric adjustment in children with CFS and in children suffering from another chronic physical disorder (juvenile idiopathic arthritis or JIA).Method. Our sample consisted of 28 children with CFS and 30 with JIA attending tertiary paediatric centres (age range, 11 to 18 years, mean 15, S.D. 2·3). In order to assess psychiatric status and functioning, we used the K-SADS psychiatric interviews, CGAS and Harter Self-Esteem Questionnaire with child subjects; behavioural questionnaires (CBCL) and child personality assessment interviews (PAS) with parent informants.Results. Psychiatric disorders in the year prior to interview had been present significantly more commonly in the CFS group (72% v. 34% in JIA) and were more impairing to them (CGAS scores of 45 v. 77). Most common diagnoses in both groups were depressive and anxiety disorders. Personality problems were also significantly more frequent in CFS subjects (48% disorder and 26% difficulty v. 11% and 11% in JIA). There were few differences between the two groups in self-esteem.Conclusions. Psychopathology and personality problems are common in children and adolescents with severe forms of CFS and cannot be explained strictly through the experience of chronic physical illness.

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Moxibustion for Chronic Fatigue Syndrome: A Systematic Review and Meta-Analysis

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2021/6418217 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Jianyu You ◽

Jing Ye ◽

Haiyan Li ◽

Wenguo Ye ◽

Ensi Hong

Keyword(s):

Chronic Fatigue Syndrome ◽

Data Extraction ◽

Meta Analysis ◽

Complementary Therapy ◽

Chronic Fatigue ◽

Assessment Instrument ◽

Favorable Effect ◽

Control Group ◽

Level Of Evidence ◽

Fatigue Syndrome

Objective. This review aimed at systematically evaluating the efficacy and safety of moxibustion for chronic fatigue syndrome (CFS). Methods. Relevant trials were searched in seven digital databases up to January 2021. After literature screening, data extraction, and literature quality evaluation, the included studies were meta-analyzed using RevMan 5.4 software. The evidence level was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Results. Fifteen studies involving 1030 CFS participants were included. Meta-analyses showed a favorable effect of moxibustion on the total effective rate compared with acupuncture (OR = 4.58, 95%CI = [2.85, 7.35], P < 0.00001 ) and drugs (OR = 6.36, 95%CI = [3.48, 11.59], P < 0.00001 ). Moxibustion also appeared to significantly reduce fatigue severity measured by fatigue scale-14 (FS-14) (WMD = −2.20, 95% CI = [−3.16, −1.24], P < 0.00001 ) and fatigue assessment instrument (FAI) (WMD = −16.36, 95% CI = [−26.58, −6.14], P = 0.002 ) compared with the control group. In addition, among the 15 included studies, only two studies reported adverse events related to moxibustion, and the symptoms were relatively mild. The quality of evidence based on the 15 included trials was assessed as moderate to very low. Conclusions. Based on limited evidence, moxibustion might be an effective and safe complementary therapy for CFS, which can be recommended to manage CFS. Because of the limited level of evidence in this review, further high-quality trials are still needed to confirm these findings.

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Objective assessment of personality disorder in chronic fatigue syndrome

Journal of Psychosomatic Research ◽

10.1016/s0022-3999(03)00571-3 ◽

2004 ◽

Vol 56 (2) ◽

pp. 251-254 ◽

Cited By ~ 25

Author(s):

Max Henderson ◽

Charles Tannock

Keyword(s):

Personality Disorder ◽

Chronic Fatigue Syndrome ◽

Objective Assessment ◽

Chronic Fatigue ◽

Fatigue Syndrome

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The association between borderline personality disorder, fibromyalgia and chronic fatigue syndrome: systematic review

BJPsych Open ◽

10.1192/bjpo.bp.115.002808 ◽

2016 ◽

Vol 2 (4) ◽

pp. 275-279 ◽

Cited By ~ 10

Author(s):

Sarah Penfold ◽

Emily St. Denis ◽

Mir Nadeem Mazhar

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Chronic Fatigue Syndrome ◽

Fibromyalgia Syndrome ◽

Chronic Fatigue ◽

Borderline Personality ◽

Hand Search ◽

Fatigue Syndrome ◽

Clinical Observations ◽

Study Setting

BackgroundOverlap of aetiological factors and demographic characteristics with clinical observations of comorbidity has been documented in fibromyalgia syndrome, chronic fatigue syndrome (CFS) and borderline personality disorder (BPD).AimsThe purpose of this study was to assess the association of BPD with fibromyalgia syndrome and CFS. The authors reviewed literature on the prevalence of BPD in patients with fibromyalgia or CFS and vice versa.MethodsA search of five databases yielded six eligible studies. A hand search and contact with experts yielded two additional studies. We extracted information pertaining to study setting and design, demographic information, diagnostic criteria and prevalence.ResultsWe did not identify any studies that specifically assessed the prevalence of fibromyalgia or CFS in patients with BPD. Three studies assessed the prevalence of BPD in fibromyalgia patients and reported prevalence of 1.0, 5.25 and 16.7%. Five studies assessed BPD in CFS patients and reported prevalence of 3.03, 1.8, 2.0, 6.5 and 17%.ConclusionsMore research is required to clarify possible associations between BPD, fibromyalgia and CFS.

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