WAYS OF COPING WITH CHRONIC FATIGUE SYNDROME - DEVELOPMENT OF AN ILLNESS MANAGEMENT QUESTIONNAIRE

被引:75
作者
RAY, C [1 ]
WEIR, W [1 ]
STEWART, D [1 ]
MILLER, P [1 ]
HYDE, G [1 ]
机构
[1] COPPETTS WOOD HOSP,ROYAL FREE GRP,LONDON,ENGLAND
关键词
CHRONIC FATIGUE SYNDROME; COPING; EMOTIONAL ADJUSTMENT; IMPAIRMENT;
D O I
10.1016/0277-9536(93)90268-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Chronic fatigue syndrome (CFS) is a disorder of uncertain aetiology, and there is uncertainty also about the appropriate way in which patients should manage the illness. An illness management questionnaire (IMQ) was designed to assess coping in CFS. This was completed by 207 patients, in parallel with the COPE scales (a general measure of coping that can be applied situationally). and measures of functional impairment, anxiety and depression. The IMQ yielded four factors: maintaining activity, accommodating to the illness, focusing on symptoms and information-seeking. Scales based upon these factors together predicted 26, 27 and 22% of the variance in functional impairment, anxiety and depression, respectively, and each scale had significant relationships with relevant scales of the COPE, supporting the interpretation of the factors. It is suggested that the IMQ may be employed to relate ways of coping to outcomes in CFS, and to assess coping as a mediator of change in cognitive-behavioural interventions.
引用
收藏
页码:385 / 391
页数:7
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