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Chronic Fatigue Syndrome and DSM-IV Personality Disorders – Source: Journal of Psychosomatic Research, Jan 2009

  [ 7 votes ]   [ 1 Comment ]
By Joachime Courjaret, et al. • • December 15, 2008

Objective: Personality is an important factor in the research of the chronic fatigue syndrome (CFS). Although some studies report a high rate of personality disorders - around the 40% level - in samples of patients with CFS, the generalizability of these findings can be questioned.

The present study evaluates the prevalence of Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) personality disorders in a sample of female CFS patients and in two control groups.

Method: The ADP-IV questionnaire (Assessment of DSM Personality Disorders IV) was used to assess the DSM-IV-TR personality disorders at a dimensional and categorical level in a sample of 50 female CFS patients and in two matched control samples of Flemish civilians (n=50) and psychiatric patients (n=50).

Results: The results indicate a striking lack of statistical significant differences between the CFS sample and the Flemish control group at the level of dimensional Trait scores, number of criteria, and prevalence rates of personality disorder diagnoses.

Unsurprisingly, higher scores at these levels were obtained within the psychiatric sample. The prevalence of an Axis II disorder was 12% in the Flemish and CFS samples, whereas the psychiatric sample obtained a prevalence of 54%.

Conclusion: The prominent absence of any significant difference in personality disorder characteristics between the female Flemish general population and the CFS samples seems to suggest only a minor etiological role for personality pathology, as defined by the DSM-IV Axis II, within CFS.

Source: Journal of Psychosomatic Research, Jan 2009; 66(1) pp13-20. Corujaret J, Schotte CKW, Wijnants H, Moorkens G, Cosyns P. Departments of Psychiatry and Internal Medicine, University Hospital Antwerp, Edegem, Belgium; Faculty of Psychology and Educational Sciences, Free University of Brussels; Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp; Department of Clinical Psychology, University Hospital Brussels, Belgium. [E-mail:]

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Article Comments Post a Comment

Personality is an important factor!
Posted by: BeiYin
Dec 17, 2008
"Personality is an important factor!" Indeed it is. It is not only an important factor: There lays the key for all real healing! This one can generalize as there exist no disease and no accident that is not caused or at least influenced by the specific condition of the personality of the sick person. So when healing treatments don't include the personality then it must be incomplete as the reason is not changed and so even though the symptoms are eliminated, the cause is untouched and probably will cause another disease somewhere else where the system has a weak part. So ignoring "the important factor" and just giving pills or doing surgery is simply ignorant and has little or nothing to do with healing. If there isn't treated the whole system with all personality levels, then there is no real healing and energy and time is wasted. Disease should be seen as a challenge, as a creative process in which the sick individual takes part by being responsible and doing a work on oneself. What means: Clearing up ones personality! Healing ones whole being! BeiYin
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