Ray C, Weir W, Stewart D, Miller P, Hyde G
Department of Human Sciences, Brunel University, Uxbridge, Middlesex, U.K.
Soc Sci Med. 1993 Aug;37(3):385-91. doi: 10.1016/0277-9536(93)90268-9.
Chronic fatigue syndrome (CFS) is a disorder of uncertain aetiology, and there is uncertainty also about the appropriate way in which patients should manage the illness. An illness management questionnaire (IMQ) was designed to assess coping in CFS. This was completed by 207 patients, in parallel with the COPE scales (a general measure of coping that can be applied situationally), and measures of functional impairment, anxiety and depression. The IMQ yielded four factors: maintaining activity, accommodating to the illness, focusing on symptoms and information-seeking. Scales based upon these factors together predicted 26, 27 and 22% of the variance in functional impairment, anxiety and depression, respectively, and each scale had significant relationships with relevant scales of the COPE, supporting the interpretation of the factors. It is suggested that the IMQ may be employed to relate ways of coping to outcomes in CFS, and to assess coping as a mediator of change in cognitive-behavioural interventions.
慢性疲劳综合征（CFS）是一种病因不明的疾病，对于患者应如何妥善应对该疾病也尚无定论。设计了一份疾病应对问卷（IMQ）来评估慢性疲劳综合征患者的应对方式。207名患者完成了这份问卷，同时还填写了应对量表（一种可根据具体情况应用的应对方式通用测量工具）以及功能障碍、焦虑和抑郁的测量表。IMQ产生了四个因素：维持活动、适应疾病、关注症状和寻求信息。基于这些因素的量表分别预测了功能障碍、焦虑和抑郁中26%、27%和22%的方差，并且每个量表与应对量表的相关量表都有显著关系，支持了对这些因素的解读。建议IMQ可用于关联慢性疲劳综合征患者的应对方式与结果，并评估应对方式作为认知行为干预中变化的中介因素。
