Vercoulen J H, Swanink C M, Fennis J F, Galama J M, van der Meer J W, Bleijenberg G
Department of Medical Psychology, University Hospital, Nijmegen, The Netherlands.
J Psychosom Res. 1994 Jul;38(5):383-92. doi: 10.1016/0022-3999(94)90099-x.
The absence of laboratory tests and clear criteria to identify homogeneous (sub)groups in patients presenting with unexplained fatigue, and to assess clinical status and disability in these patients, calls for further assessment methods. In the present study, a multi-dimensional approach to the assessment of chronic fatigue syndrome (CFS) is evaluated. Two-hundred and ninety-eight patients with CFS completed a set of postal questionnaires that assessed the behavioural, emotional, social, and cognitive aspects of CFS. By means of statistical analyses nine relatively independent dimensions of CFS were identified along which CFS-assessment and CFS-research can be directed. These dimensions were named: psychological well-being, functional impairment in daily life, sleep disturbances, avoidance of physical activity, neuropsychological impairment, causal attributions related to the complaints, social functioning, self-efficacy expectations, and subjective experience of the personal situation. A description of the study sample on these dimensions is presented.
缺乏实验室检测以及明确的标准来识别出现不明原因疲劳的患者中的同质(亚)组,并评估这些患者的临床状况和残疾情况,这就需要进一步的评估方法。在本研究中,对一种评估慢性疲劳综合征(CFS)的多维方法进行了评估。298名CFS患者完成了一组邮寄问卷,这些问卷评估了CFS的行为、情绪、社会和认知方面。通过统计分析,确定了CFS的九个相对独立的维度,CFS评估和CFS研究可以沿着这些维度展开。这些维度被命名为:心理健康、日常生活功能损害、睡眠障碍、避免体育活动、神经心理损害、与主诉相关的因果归因、社会功能、自我效能期望以及对个人状况的主观体验。本文呈现了该研究样本在这些维度上的描述。