Relations between illness perceptions, coping, social support, and outcomes in the Chronic Fatigue Syndrome
Notice bibliographique
Résumé
Chronic fatigue syndrome (CFS) is a disorder of unknown etiology characterized by fatigue, flu-like symptoms, and neurocognitive complaints. Due to the severe impairment associated with the illness patients are often unable to work and must rely on disability income. Few patients recover spontaneously although a sizeable proportion has reported improvement. Since no definitive treatment is available for CFS, it is essential to identify effective ways for patients to adjust to the illness. The purpose of the study was to describe how patients adapt to CFS. A sample of 100 patients diagnosed medically with CFS and meeting the Centers for Disease Control and Prevention (CDC) case definition were recruited primarily from the practices of two hospital-based internists. The respondents were screened for psychiatric conditions and completed a battery of questionnaires at four time points over a 21-month period. Guided by Leventhal's self-regulatory model, multiple regression analyses and ANOVA were utilized to assess the relations between respondents' illness representations, self-management strategies (coping and social support), perceived efficacy of self-management, and outcomes including functioning, psychological distress, and health care utilization. Analyses revealed pessimistic illness representations and coping characterized by catastrophizing, focusing on symptoms, avoidance, and venting predicted unfavorable outcomes. On the other hand, optimistic perceptions and coping by accommodating to the illness, approach strategies, and social support predicted favorable outcomes. Moreover, in addition to the direct associations between illness representations and outcomes, representations were also related to coping. Pessimistic representations predicted maladaptive coping (strategies that predicted unfavorable outcomes) and optimistic perceptions predicted adaptive coping (strategies that predicted favorable outcomes). Coping frequency was a better predictor of outcomes than perceptions of coping efficacy save for physical functioning. To examine change, analyses of differences within and between groups were conducted. When the sample was stratified into short (ill four years) and long illness duration groups (ill four years or more) the long duration group reported fewer health care visits. As a whole the respondents experienced little change in outcomes over a 21-month period but stratification demonstrated that the short illness duration group evidenced a small but statistically significant improvement in physical functioning while the long illness duration group reported less vitality. Coping and social support efficacy decreased over time although for the most part the frequency of self-management behaviors was quite stable. The implications of the study results for the management of CFS and future research were discussed.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,006 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».