scholarly journals Illness-Related Cognition, Distress and Adjustment in Functional Stroke Symptoms, Vascular Stroke, and Chronic Fatigue Syndrome

2021 ◽  
Author(s):  
Abbeygail Jones ◽  
Abigail Smakowski ◽  
Alicia Hughes ◽  
Anthony S. David ◽  
Trudie Chalder
Keyword(s):  
Psychological Distress ◽  
Chronic Fatigue Syndrome ◽  
Longitudinal Design ◽  
Behavioral Responses ◽  
Chronic Fatigue ◽  
Sensitivity Analyses ◽  
Fatigue Syndrome ◽  
Severe Impairment ◽  
Stroke Group ◽  
Symptom Group

Abstract. Background: High rates of psychological distress are reported in functional conditions and vascular stroke, but there is limited understanding of how patients with functional neurological symptoms in stroke settings respond to symptoms. Aims: This study compared patients with functional stroke symptoms to those with vascular stroke and chronic fatigue syndrome (CFS). Methods: A prospective cohort of 56 patients with functional stroke symptoms were age-gender matched to patients with vascular stroke and CFS. Analysis of variance compared groups on cognitive and behavioral responses to symptoms, psychological distress, and functioning. Sensitivity analyses controlled for known confounders. The proportions of clinical anxiety and depression were compared between groups. Results: The functional stroke symptom group had a higher proportion of clinical anxiety cases than the CFS group, and a higher proportion of clinical depression cases than the vascular stroke group. Patients with functional stroke symptoms reported the highest rate of “damage beliefs” and “all-or-nothing” behaviors and greater symptom focusing and resting behavior than patients with vascular stroke. Limitations: Larger cohorts and a longitudinal design would strengthen study findings. Conclusion: Compared to patients with vascular stroke or CFS, patients with functional stroke symptoms show a somewhat distinct profile of illness-related beliefs and behaviors, as well as higher rates of clinical anxiety. Understanding such group differences provides some insights into aetiology and cognitive-behavioral responses. Appropriate support and referral should be available to patients with functional stroke symptoms to address distress and reduce the likelihood of severe impairment.

scholarly journals A Comparison of Patients with Chronic Fatigue Syndrome Attending Separate Fatigue Clinics Based in Immunology and Psychiatry

2002 ◽  
Vol 95 (9) ◽  
pp. 440-444 ◽  
Author(s):  
P D White ◽  
A J Pinching ◽  
A Rakib ◽  
M Castle ◽  
B Hedge ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Chronic Fatigue Syndrome ◽  
Mental Health Professionals ◽  
Chronic Fatigue ◽  
Physical Factors ◽  
Fatigue Syndrome ◽  
Two Samples ◽  
Post Hoc

Hospital clinics for patients with chronic unexplained fatigue are held in departments of various disciplines. This causes difficulties for referrers in choosing the appropriate clinic and for researchers in generalizing findings from one type of clinic to others. We randomly selected 37 outpatients attending an immunology fatigue clinic and 36 outpatients attending a psychiatry fatigue clinic, all of whom had chronic fatigue syndrome. We compared demographic factors, symptoms, disability, quality of life, psychological distress and illness attributions. The patients from the two clinics were closely similar in their specific symptoms, disability, quality of life, psychological distress and previous attendance to mental health professionals. Psychological distress was high and equal in the two samples. The proportion of men was greater among patients attending the immunology clinic. In a post-hoc analysis, 64% of immunology attenders attributed their fatigue to physical factors, compared with 31% of psychiatry clinic attenders (χ2=6.35, 1 d.f., P=0.01). These findings suggest that research data from one type of chronic fatigue clinic can be generalized to others. Clinically similar patients are referred to different clinics, and the choice of clinic may be influenced by the patients’ illness beliefs. The high levels of emotional distress suggest that psychosocial management is as important as physical management in hospital outpatients with chronic fatigue syndrome, irrespective of its aetiology.

scholarly journals Subgrouping in Chronic Fatigue Syndrome Based on Actigraphy and Illness Severity

2009 ◽  
Vol 2 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Mariya Zaturenskaya ◽  
Leonard A. Jason ◽  
Susan Torres-Harding ◽  
Warren W. Tryon
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Symptom Severity ◽  
Chronic Fatigue ◽  
Self Report ◽  
Psychiatric Status ◽  
Fatigue Syndrome ◽  
Severe Group ◽  
Report Symptom ◽  
Symptom Group ◽  
Anxiety Depression

Participants with chronic fatigue syndrome were categorized into subtypes based on actigraphy and illness selfreport symptom severity data. Each method identified two groups of patients, one with severe and one with less severe manifestations of the illness. For both subtypes, those in the more severe category had more physical functioning problems than those in the less severe categories. However, for the illness self-report symptom group, those in the more severe category had significantly more impairment in sleep, anxiety, depression, and pain, and more concurrent psychiatric status and Fibromyalgia than those in the less severe category. In contrast, those in the more severe actigraphy subtype group in comparison to the less severe group had more impairment in quality of life and cortisol readings. These findings suggest that CFS subtypes based on symptom severity and amount of activity identify different groups of patients with varying types of impairments.

scholarly journals Fallout from the COVID-19 pandemic – should we prepare for a tsunami of post viral depression?

2020 ◽  
Vol 37 (4) ◽  
pp. 295-300 ◽  
Author(s):  
D. Lyons ◽  
M. Frampton ◽  
S. Naqvi ◽  
D. Donohoe ◽  
G. Adams ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Chronic Fatigue Syndrome ◽  
Severe Acute Respiratory Syndrome ◽  
Chronic Fatigue ◽  
Health Impact ◽  
Fatigue Syndrome ◽  
Viral Illness ◽  
Second Wave ◽  
H1n1 Outbreak

The current COVID-19 pandemic is not just a medical and social tragedy, but within the threat of the outbreak looms the potential for a significant and persistent negative mental health impact, based on previous experience with other pandemics such as Severe Acute Respiratory Syndrome (SARS) in 2003 and the earlier H1N1 outbreak of 1918. This piece will highlight the links between depression and viral illnesses and explore important overlaps with myalgic encephalomyelitis/chronic fatigue syndrome, potentially implicating inflammatory mechanisms in those exposed to a range of viral agents. While containment of psychological distress currently focuses on social anxiety and quarantine measures, a second wave of psychological morbidity due to viral illness may be imminent.

scholarly journals Post-exertional malaise is associated with greater symptom burden and psychological distress in patients diagnosed with Chronic Fatigue Syndrome

2020 ◽  
Vol 129 ◽  
pp. 109893 ◽  
Author(s):  
Marcella May ◽  
Sara F. Milrad ◽  
Dolores M. Perdomo ◽  
Sara J. Czaja ◽  
Mary Ann Fletcher ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Chronic Fatigue Syndrome ◽  
Symptom Burden ◽  
Chronic Fatigue ◽  
Fatigue Syndrome

Long- and short-term blood pressure andRR-interval variability and psychosomatic distress in chronic fatigue syndrome: authors’ reply 1

1999 ◽  
Vol 97 (3) ◽  
pp. 319 ◽  
Author(s):  
D.A. DUPREZ ◽  
M.L. DE BUYZERE ◽  
B. DRIEGHE ◽  
F. VANHAVERBEKE ◽  
Y. TAES ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Fatigue Syndrome ◽  
Chronic Fatigue ◽  
Short Term ◽  
Fatigue Syndrome

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

2017 ◽  
Vol 33 (3) ◽  
pp. 158-165
Author(s):  
Natalia Calvo ◽  
Naia Sáez-Francàs ◽  
Sergi Valero ◽  
Jesús Castro-Marrero ◽  
José Alegre Martín ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Chronic Fatigue Syndrome ◽  
Personality Assessment ◽  
Chronic Fatigue ◽  
Specific Pattern ◽  
Harm Avoidance ◽  
Assessment Instrument ◽  
Compulsive Disorder ◽  
Fatigue Syndrome ◽  
Self Transcendence

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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