Coping with Chronic Fatigue Syndrome (CFS): illness responses & their relationship with fatigue, functional impairment & emotional status

The implications of patients' approaches to managing chronic fatigue
syndrome were examined in a cross-sectional study. With
severity of fatigue controlled, attempting to maintain
activity was associated with less functional impairment, while
accommodating to the illness was positively related to
impairment; behavioural disengagement was related not only to
higher levels of impairment but also to greater emotional
disturbance. Fatigue itself was positively associated with
focusing on symptoms and with behavioural disengagement; it
was associated also with illness accommodation, but only for
illness of longer duration. The causal direction of
relationships between coping and fatigue severity is
ambiguous, and a follow-up study will address the effects of
coping on changes in the illness over time.

Ray C, Jefferies S, Weir WR

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