Friedberg Fred, Coronel Janna, Seva Viktoria, Adamowicz Jenna L, Napoli Anthony
Stony Brook University, USA
Stony Brook University, USA.
J Health Psychol. 2016 May;21(5):690-8. doi: 10.1177/1359105314535458. Epub 2014 Jun 8.
The purpose of this mixed methods study was to identify participants' attributions for their global impression of change ratings in a behavioral intervention for unexplained chronic fatigue and chronic fatigue syndrome. At 3-month follow-up, participants (N = 67) were asked "Why do you think you are (improved, unchanged, worse)?" Improved patients pointed to specific behavioral changes, unchanged patients referred to a lack of change in lifestyle, and worsened patients invoked stress and/or specific life events. Identifying patient perceptions of behaviors associated with patient global impression of change-rated improvement and non-improvement may assist in developing more effective management strategies in clinical care.
