慢性疲劳综合征患者控制信念模式：基于人群的调查结果。
Patterns of control beliefs in chronic fatigue syndrome: results of a population-based survey.
机构信息
Clinical Biopsychology, Dept. of Psychology, University of Marburg, Gutenbergstrasse 18, 35032, Marburg, Germany.
Dept. of Psychology, Fordham University, Dealy 318, 441 East Fordham Road, Bronx, NY, 10458-9993, USA.
出版信息
BMC Psychol. 2017 Mar 6;5(1):6. doi: 10.1186/s40359-017-0174-3.
BACKGROUND
Chronic fatigue syndrome (CFS) represents a unique clinical challenge for patients and health care providers due to unclear etiology and lack of specific treatment. Characteristic patterns of behavior and cognitions might be related to how CFS patients respond to management strategies.
METHODS
This study investigates control beliefs in a population-based sample of 113 CFS patients, 264 individuals with insufficient symptoms or fatigue for CFS diagnosis (ISF), and 124 well individuals.
RESULTS
Controlling for personality and coping, individuals with low confidence in their problem-solving capacity were almost 8 times more likely to be classified as ISF and 5 times more likely to be classified as CFS compared to being classified as well. However there was a wide distribution within groups and individuals with "low confidence" scores were found in 31.7% of Well individuals. Individuals with low levels of anxiety and who were more outgoing were less likely to be classified as ISF or CFS.
CONCLUSIONS
These findings suggest that fostering control beliefs could be an important focus for developing behavioral management strategies in CFS and other chronic conditions.
背景
慢性疲劳综合征（CFS）由于病因不明且缺乏特定治疗方法，对患者和医疗保健提供者来说是一个独特的临床挑战。行为和认知的特征模式可能与 CFS 患者对管理策略的反应有关。
方法
本研究在基于人群的 113 例 CFS 患者、264 例 CFS 症状或疲劳不足（ISF）患者和 124 例健康个体中调查了控制信念。
结果
控制人格和应对方式后，与被归类为健康个体相比，解决问题能力信心低的个体被归类为 ISF 的可能性几乎高 8 倍，被归类为 CFS 的可能性高 5 倍。然而，组内的分布范围很广，在 31.7%的健康个体中发现了“信心低”分数的个体。焦虑水平低且性格外向的个体不太可能被归类为 ISF 或 CFS。
结论
这些发现表明，培养控制信念可能是开发 CFS 和其他慢性疾病行为管理策略的重要重点。
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