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Quality of Life Research

Erschienen in:

01.10.2012

Mental quality of life in chronic fatigue is associated with an accommodative coping style and neuroticism: a path analysis

verfasst von: Carine Poppe, Geert Crombez, Ignace Hanoulle, Dirk Vogelaers, Mirko Petrovic

Erschienen in: Quality of Life Research | Ausgabe 8/2012

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Abstract

Purpose

An accommodative coping style (e.g. acceptance) is related to a better mental health-related quality of life (MHQL) in patients with chronic fatigue syndrome (CFS). We want to explore whether neuroticism is predictive for this coping style and MHQL.

Secondly we want to explore the relation between acceptance and physical health-related quality of life (PHQL) and expect that illness-related variables such as fatigue severity and duration are related to PHQL.

Method

In this cross-sectional study, 117 patients with chronic fatigue syndrome from an outpatient internal medicine clinic completed self-report questionnaires on quality of life (SF-36), acceptance (ICQ), personality traits (NEO-FFI) and fatigue severity (CIS).

Results

Regression analyses showed that neuroticism and acceptance are predictors of MHQL (38% of the variance was explained). The path analysis showed that acceptance mediates between neuroticism and MHQL and that PHQL is related to MHQL. PHQL is related to fatigue severity and duration, but not to neuroticism and acceptance.

Conclusion

Stimulating an ‘accepting accommodative coping style’ within the treatment for CFS is important in improving mental quality of life. Our results suggest that neuroticism may be negatively related to acceptance and MHQL. This findings support the idea that a psychological diagnostic workout with special attention to personality traits in relation to their coping style is recommended in order to choose the most appropriate therapeutic approach in this population.

Fukuda, K., Straus, S., Hickie, I., Sharpe, M., Dobbins, J., & Komaroff, A. (1994). The chronic fatigue syndrome: a comprehensive approach to its definition and study. Annals of Internal Medicine, 121, 953–959.PubMed

Schweitzer, R., Kelly, B., Foran, A., Terry, D., & Whiting, J. (1995). Quality of life in chronic fatigue syndrome. Social Science and Medicine, 41, 1367–1372.PubMedCrossRef

Anderson, J., & Ferrans, C. (1997). The quality of life of persons with chronic fatigue syndrome. Journal of Nervous and Mental Disease, 185, 359–367.PubMedCrossRef

Hardt, J., Buchwald, D., Wilks, D., Sharpe, M., Nix, W., & Egle, U. (2001). Health-related quality of life in patients with chronic fatigue syndrome: An international study. Journal of Psychosomatic Research, 51, 431–434.PubMedCrossRef

Pinching, A., Hedge, B., Newbery, N., Fakhoury, W., et al. (2005). Subjective quality of life in patients with chronic fatigue syndrome. Quality of Life Research, 14, 11–19.PubMedCrossRef

Moss-Morris, R., & Chadler, T. (2003). Illness perceptions and levels of disability in patients with chronic fatigue syndrome and rheumatoid arthritis. Journal of Psychosomatic Research, 55, 305–308.PubMedCrossRef

Van Damme, S., Crombez, G., Van Houdenhove, B., Mariman, A., & Michielsen, W. (2006). Well-being in patients with chronic fatigue syndrome: The role of acceptance. Journal of Psychosomatic Research, 61, 595–599.PubMedCrossRef

Dancey, C. P., & Friend, J. (2008). Symptoms, impairment and illness intrusiveness—their relationship with depression in women with CFS/ME. Psychology and Health, 23, 983–989.CrossRef

Brandstädter, J., & Rothermund, K. (2002). The life-course dynamics of goal pursuit and goal adjustment: A two-process framework. Developmental Review, 22, 117–150.CrossRef

10.

Hamilton, N. A., Karoly, P., & Kitzman, H. (2004). Self-regulation and chronic pain: The role of emotion. Cognitive Therapy and Research, 28, 559–576.CrossRef

11.

De Vlieger, P., Crombez, G., & Eccleston, C. (2006). Worrying about chronic pain. An examination of worry and problem solving in adults who identify as chronic pain sufferers. Pain, 120, 138–144.PubMedCrossRef

12.

Dickson, A., Knussen, C., & Flowers, P. (2008). ‘That was my old life; it’s almost like a past-life now: Identity crisis, loss and adjustment amongst people living with CFS. Psychology and Health, 23, 459–476.CrossRef

13.

Bazelmans, E., Prins, J., & Bleijenberg, G. (2006). Cognitive behavior therapy for relatively active and for passive chronic fatigue syndrome patients. Cognitive Behavioural Practice, 13, 157–166.CrossRef

14.

Heins, M. J., Knoop, H., Prins, J. B., Stulemeijer, M., van der Meer, J. W., & Bleijenberg, G. (2010). Possible detrimental effects of cognitive behaviour therapy for chronic fatigue syndrome. Psychotherapy and Psychosomatics, 79, 249–256.PubMedCrossRef

15.

Wood, B., & Wessely, S. (1999). Personality and social attitudes in chronic fatigue syndrome. Journal of Psychosomatic Research, 47, 385–397.PubMedCrossRef

16.

Buckley, L., MacHale, S., Cavanagh, J., Sharpe, M., Deary, I., & Lawrie, S. (1999). Personality dimensions in chronic fatigue syndrome and depression. Journal of Psychosomatic Research, 46, 395–400.PubMedCrossRef

17.

White, C., & Schweitzer, R. (2000). The role of personality in the development and perpetuation of chronic fatigue syndrome. Journal of Psychosomatic Research, 48, 515–524.PubMedCrossRef

18.

Wyller, V. (2007). The chronic fatigue syndrome—an update. Acta Neurologica Scandinavica, 115, 7–14.CrossRef

19.

Van Campen, E., Van Den Eede, F., Moorkens, G., Schotte, C., Schacht, R., Sabbe, B., et al. (2009). Use of the temperament and character inventory (TCI) for assessment of personality in chronic fatigue syndrome. Psychosomatic, 50, 147–154.CrossRef

20.

Van Geelen, S., Sinnema, G., Hermans, H., & Kuis, W. (2007). Personality and chronic fatigue syndrome: Methodological and conceptual issues. Clinical Psychological Review, 27, 885–903.CrossRef

21.

Henderson, M., & Tannock, C. (2004). Objective assessment of personality disorder in chronic fatigue. Journal of Psychosomatic Research, 56, 251–254.PubMedCrossRef

22.

Johnson, S., Deluca, J., & Natelson, B. (1996). Personality dimensions in the chronic fatigue syndrome: A comparison with multiple sclerosis and depression. Journal of Psychiatric Research, 30, 9–20.PubMedCrossRef

23.

Luyten, P., Van Houdenhove, B., Cosyns, N., & Van den Broeck, A. (2006). Are patients with chronic fatigue syndrome perfectionistic or were they? A case control study. Personality and Individual Differences, 40, 1473–1483.CrossRef

24.

Nater, U. M., Jones, J. F., Lin, J. M., Maloney, E., Reeves, W. C., & Heim, C. (2010). Personality features and personality disorders in chronic fatigue syndrome: A population-based study. Psychotherapy and Psychosomatics, 79, 312–318.PubMedCrossRef

25.

Frost, R., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.CrossRef

26.

Russo, J., Katon, W., Sullivan, M., Clark, M., & Buchwald, D. (1994). Severity of somatization and its relationship to psychiatric disorders and personality. Psychosomatics, 35, 546–556.PubMedCrossRef

27.

Van Houdenhove, B., Onghena, P., Neerinckx, E., & Hellin, J. (1995). Does high action-proneness make people more vulnerable to chronic fatigue syndrome? A controlled psychometric study. Journal of Psychosomatic Research, 39, 633–640.PubMedCrossRef

28.

Magnusson, A., Nias, D., & White, P. (1996). Is perfectionism associated with fatigue? Journal of Psychosomatic Research, 4, 37–83.

29.

Christodoulou, C., Deluca, J., Johnson, S., Lange, G., Gaudino, E., & Natelson, B. (1999). Examination of cloniger’s basic dimensions of personality in fatiguing illness: Chronic fatigue syndrome and multiple sclerosis. Journal of Psychosomatic Research, 47, 597–607.PubMedCrossRef

30.

Deary, V., & Chalder, T. (2010). Personality and perfectionism in chronic fatigue syndrome: A closer look. Psychology and Health, 25, 465–475.PubMedCrossRef

31.

Eysenck, H., & Eysenck, S. (1991). Manual of the Eysenck personality scales. London: Hodder & Stoughton.

32.

Ormel, J., Rosmalen, J., & Farmer, A. (2004). Neuroticism: A non-informative marker of vulnerability to psychopathology. Social Psychiatry and Psychiatric Epidemiology, 39, 906–912.PubMedCrossRef

33.

Ferguson, E. (2001). Personality and coping traits: A joint factor analysis. British Journal of Health Psychology, 6, 311–325.PubMedCrossRef

34.

Connor-Smith, J., & Flachsbart, C. (2007). Relations between personality and coping: A meta-analysis. Journal of Personality and Social Psychology, 6, 1080–1107.CrossRef

35.

Shoji, K., Harrigan, J., Woll, S., & Miller, S. (2010). Interactions among situations, neuroticism, and appraisals in coping strategy choice. Personality and Individual Differences, 48, 270–276.CrossRef

36.

Carver, C., & Connor-Smith, J. (2010). Personality and coping. Annual Review Psychology;, 61, 679–704.CrossRef

37.

Ware, J., & Sherbourne, C. (1992). The medical outcomes study 36-item short form health survey (SF-36): I. Conceptual framework an item selection. Medical Care, 30, 473–483.PubMedCrossRef

38.

Evers, A. W., Kraaimaat, F. W., van Lankveld, W., Jongen, P. J., Jacobs, J. W., & Bijlsma, J. W. (2001). Beyond unfavorable thinking: The Illness Cognition Questionnaire for Chronic Diseases. Journal of Consulting and Clinical Psychology, 69, 1026–1036.PubMedCrossRef

39.

Costa, P., & McCrae, R. (1992). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five Factor Personality Inventory (NEO-FFI) professional manual. Odessa, FL: Psychological Assessment Resources.

40.

Hoekstra, H. A., Ormel, J., & de Fruyt, F. (1996). Handleiding NEO persoonlijkheids-vragenlijsten NEO-PI-R en NEO-FFI. Lisse: Swets Test Services.

41.

De Fruyt, F., & Mervielde, I. (1998). The assessment of the big five in the Dutch language domain. Psychologica Belgica, 38, 1–22.

42.

Costa, P., & McCrae, R. (1990). Personality disorders and the five factor model of personality. Journal of Personality Disorders, 4, 362–371.CrossRef

43.

McCrae, R., & John, O. (1992). An introduction to the five-factor model and its applications. Journal of Personality, 60, 175–215.PubMedCrossRef

44.

Vercoulen, J., Alberts, M., & Bleijenberg, G. (1999). De checklist individual strenght (CIS). Gedragstherapie, 32, 131–136.

45.

Vercoulen, J., Swanink, C., Fennis, J., Galama, J., van der Meer, J., & Bleijenberg, G. (1994). Dimensional assessment of chronic fatigue syndrome. Journal of Psychosomatic Research, 38, 383–392.PubMedCrossRef

46.

Vercoulen, J., Swanink, C., Galama, J., Fennis, J., Jongen, P., Hommers, O., et al. (1998). The persistence of fatigue in chronic fatigue syndrome and multiple sclerosis: Development of a model. Journal of Psychosomatic Research, 6, 507–517.CrossRef

47.

Tabachnik, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston, MA: Allyn & Bacon.

48.

Aiken, K. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.

49.

Bollen, K., & Long, J. (1993). Testing structural equation models. Newbury Park, CA: Sage.

50.

Byrne, B. (2001). Structural equation modeling with Amos: Basic concepts, applications and programming. New Jersey, NJ: Lawrence Erlbaum.

51.

Browne, M., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. Bollen & J. Long (Eds.), Testing structural equation models (pp. 136–162). Beverly Hills, CA: Sage.

52.

Jöreskog, K., & Sörbom, D. (1993). In LISREL VI users guide (3rd ed.). Moorsville: Scientific Software.

53.

Bentler, P. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.PubMedCrossRef

54.

Burnham, K., & Anderson, D. (1998). Model selection and inference: A practical information-theoretic approach. New York: Springer.

55.

de Ridder, D., Geenen, R., Kuijer, R., & van Middendorp, H. (2008). Psychological adjustment to chronic disease. Lancet, 372, 246–255.PubMedCrossRef

56.

Silver, A., Haeney, M., Vijayadurai, P., Wilks, D., Pattrick, M., & Main, C. (2002). The role of fear of physical movement and activity in chronic fatigue syndrome. Journal of Psychosomatic Research, 52, 485–493.PubMedCrossRef

57.

Johnson, S. K., Gil-Rivas, V., & Schmaling, K. B. (2008). Coping strategies in chronic fatigue syndrome: Outcomes over time. Stress Health, 24, 305–312.CrossRef

58.

Gomez, R., Holmberg, K., Bounds, J., Fullarton, C., & Gomez, A. (1999). Neuroticism and extraversion as predictors of coping styles during early adolescence. Personality and Individual Differences, 27, 3–17.CrossRef

59.

Grant, S., & Langan-Fox, J. (2006). Occupational stress, coping and strain: The combined/interactive effect of the Big Five traits. Personality and Individual Differences, 41, 719–732.CrossRef

60.

Roesch, S., Wee, C., & Vaughn, A. (2006). Relations between the Big Five personality traits and dispositional coping in Korean Americans: acculturation as a moderating factor. International Journal of Psychology, 41, 85–96.CrossRef

61.

Gallagher, D. (1990). Extraversion, neuroticism and appraisal of stressful academic events. Personality and Individual Differences, 11, 1053–1057.CrossRef

62.

David, J., & Suls, J. (1999). Coping efforts in daily life: Role of big five traits and problem appraisals. Journal of Personality, 67, 265–294.PubMedCrossRef

63.

Fukuda, S., Kuratsune, H., Tajima, S., Takashima, S., Yamagutchi, K., Nishizawa, Y., et al. (2010). Premorbid personality in chronic fatigue syndrome as determined by the temperament and character Inventory. Comprehensive Psychiatr, 51, 78–85.CrossRef

64.

McCrae, R., & Costa, P. (1986). Personality, coping and coping effectiveness in an adult sample. Journal of Personality, 54, 386–405.

Titel: Mental quality of life in chronic fatigue is associated with an accommodative coping style and neuroticism: a path analysis
verfasst von: Carine Poppe
Geert Crombez
Ignace Hanoulle
Dirk Vogelaers
Mirko Petrovic
Publikationsdatum: 01.10.2012
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 8/2012
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-011-0048-8

Springer Medizin

Abstract

Purpose

Method

Results

Conclusion

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