Ray C, Jefferies S, Weir W R
Department of Human Sciences, Brunel University, Uxbridge, London.
Psychol Med. 1995 Sep;25(5):937-45. doi: 10.1017/s0033291700037429.
The implications of patients' approaches to managing chronic fatigue syndrome were examined in a cross-sectional study. With severity of fatigue controlled, attempting to maintain activity was associated with less functional impairment, while accommodating to the illness was positively related to impairment; behavioural disengagement was related not only to higher levels of impairment but also to greater emotional disturbance. Fatigue itself was positively associated with focusing on symptoms and with behavioural disengagement; it was associated also with illness accommodation, but only for illness of longer duration. The causal direction of relationships between coping and fatigue severity is ambiguous, and a follow-up study will address the effects of coping on changes in the illness over time.
在一项横断面研究中，对患者管理慢性疲劳综合征的方法所产生的影响进行了研究。在控制疲劳严重程度的情况下，试图维持活动与功能损害较轻相关，而顺应疾病则与损害呈正相关；行为脱离不仅与较高水平的损害相关，还与更大的情绪困扰相关。疲劳本身与关注症状和行为脱离呈正相关；它也与顺应疾病相关，但仅适用于病程较长的疾病。应对方式与疲劳严重程度之间关系的因果方向尚不明确，一项后续研究将探讨应对方式对疾病随时间变化的影响。
