Schweitzer R, Robertson D L, Kelly B, Whiting J
Department of Psychology, University of Queensland, Australia.
J Psychosom Res. 1994 Jan;38(1):41-9. doi: 10.1016/0022-3999(94)90007-8.
The study examines the illness behaviour of patients with Chronic Fatigue Syndrome (CFS). The Illness Behaviour Questionnaire (IBQ), the twenty-eight version of the General Health Questionnaire (GHQ-28), and the Beck Depression Inventory (BDI) were administered to forty patients with a diagnosis of CFS. The results revealed that CFS patients in comparison with general practice patients, scored significantly higher on the IBQ sub-scales of General Hypochonriasis, t(188) = 5.2, p < 0.001 and Disease Conviction, t(188) = 13.28, p < 0.001 but lower on the Psychological/Somatic sub-scale, t(188) = -5.88, p < 0.001. The CFS and psychiatric patients did not differ significantly on the general hypochondriasis sub-scale. Results of the GHQ-28 revealed 66.7% of the CFS patients scored above the cut-off for psychiatric morbidity. In comparison to a previous study of CFS patients [1], the current findings indicate a significantly higher score on general hypochondriasis. The implications of these findings are discussed.
该研究调查了慢性疲劳综合征(CFS)患者的患病行为。对40名被诊断为CFS的患者进行了疾病行为问卷(IBQ)、第二十八版一般健康问卷(GHQ - 28)和贝克抑郁量表(BDI)的测评。结果显示,与普通门诊患者相比,CFS患者在IBQ的一般疑病量表上得分显著更高,t(188) = 5.2,p < 0.001;在疾病坚信量表上得分也显著更高,t(188) = 13.28,p < 0.001;但在心理/躯体量表上得分更低,t(188) = -5.88,p < 0.001。CFS患者和精神科患者在一般疑病量表上没有显著差异。GHQ - 28的结果显示,66.7%的CFS患者得分高于精神疾病发病的临界值。与之前一项关于CFS患者的研究[1]相比,当前研究结果表明在一般疑病方面得分显著更高。文中讨论了这些发现的意义。