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Psychiatric symptoms, personality and ways of coping in chronic fatigue syndrome

Published online by Cambridge University Press:  09 July 2009

Antony A. Blakely
Affiliation:
Department of Psychological Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand
Rick C. Howard
Affiliation:
Department of Psychological Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand
Rowena M. Sosich
Affiliation:
Department of Psychological Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand
J. Campbell Murdoch
Affiliation:
Department of Psychological Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand
David B. Menkes
Affiliation:
Department of Psychological Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand
George F. S. Spears
Affiliation:
Department of Psychological Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand

Synopsis

This study aimed to investigate the psychological characteristics of chronic fatigue syndrome (CFS: Holmes et al. 1988). A battery of psychometric instruments comprising the General Health Questionnaire (GHQ), the Beck Depression Inventory (BDI), the Minnesota Multiphasic Personality Inventory (MMPI) and the Lazarus Ways of Coping (WoC) inventory, was administered to a sample of clinically-defined CFS sufferers (N = 58), to a comparison group of chronic pain (CP) patients (N = 81) and to a group of healthy controls matched for sex and age with the CFS sample (N = 104). Considerable overlap was found between CFS and CP patients at the level of both physical and psychological symptoms. This raises the possibility that CFS sufferers are a sub-population of CP patients. However, while there was some commonality between CFS and CP patients in terms of personality traits, particularly the MMPI ‘neurotic triad’ (hypochondriasis, depression and hysteria), CFS patients showed more deviant personality traits reflecting raised levels on the first MMPI factor, emotionality. Moreover, results were not consistent with the raised emotionality being a reaction to the illness, but rather were consistent with the hypothesis that emotionality is a predisposing factor for CFS. The majority of CFS patients fell within four personality types, each characterized by the two highest MMPI scale scores. One type (N = 20) reported a lack of psychological symptoms or emotional disturbance contrary to the overall trend for the CFS sample. This group conformed to the ICD-10 classification of neurasthenia.

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Original Articles
Copyright
Copyright © Cambridge University Press 1991

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References

Archer, M. I. (1987). The post-viral syndrome: a review. Journal of the Royal College of General Practitioners 37, 212214.Google ScholarPubMed
Beck, A. T. & Beck, R. W. (1972). Screening depressed patients in family practice. A rapid technique. Postgraduate Medicine 52, 8185.CrossRefGoogle Scholar
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry 4 561571.CrossRefGoogle ScholarPubMed
Bridges, K. W. & Goldberg, D. P. (1986). The validation of the GHQ-28 and the use of the MMSE in neurological in-patients. British Journal of Psychiatry 148, 548553.CrossRefGoogle ScholarPubMed
Colligan, R. C., Osborne, D., Swenson, W. M. & Offord, K. P. (1983). The MMPI: A Contemporary Normative Study. Praeger Publishers: New York.Google Scholar
Colligan, R. C., Osborne, D., Swenson, W. M. & Offord, K. P. (1985). Using the 1983 norms for the MMPI: code-type frequencies in four clinical samples. Journal of Clinical Psychology 41, 629633.3.0.CO;2-B>CrossRefGoogle ScholarPubMed
Corah, N. (1964). Neuroticism and extraversion in the MMPI: empirical validation and exploration. British Journal of Social and Clinical Psychology 3, 168174.CrossRefGoogle Scholar
Cox, G. B., Chapman, C. R. & Black, R. G. (1978). The MMPI and chronic pain: the diagnoses of psychogenic pain. Journal of Behavioral Medicine 1, 437443.CrossRefGoogle ScholarPubMed
Dahlstrom, W. G., Welsh, G. S. & Dahlstrom, L. E. (1972). An MMPI Handbook. Volume 1: Clinical Interpretation. University of Minnesota Press: Minneapolis.Google Scholar
Dahlstrom, W. G., Welsh, G. S. & Dahlstrom, L. E. (1975). An MMPI Handbook. Volume 2: Research Applications. University of Minnesota Press: Minneapolis.Google Scholar
David, A. S., Wessely, S. & Pelosi, A. J. (1988). Postviral fatigue syndrome: time for a new approach. British Medical Journal 296, 696699.CrossRefGoogle ScholarPubMed
Editorial (1987). Depression, stress and immunity. Lancet i, 14671468.Google Scholar
Eichman, W. J. (1961). Replicated factors on the MMPI with female NP patients. Journal of Consulting and Clinical Psychology 25, 5560.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. A. & Murphy, E. (1979). Severity of psychiatric disorder and the 30-item General Health Questionnaire. British Journal of Psychiatry 134, 609616.CrossRefGoogle ScholarPubMed
Folkman, S. & Lazarus, R. S. (1985). If it changes it must be a process: study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology 48, 150170.CrossRefGoogle ScholarPubMed
Folkman, S., Lazarus, R. S., Gruen, R. & DeLongis, A. (1986). Appraisal, coping, health status and psychological symptoms. Journal of Personality and Social Psychology 50, 571579.CrossRefGoogle ScholarPubMed
Freeman, C. W., Calsyn, D. A. & Louks, J. (1976). The use of the MMPI with low back patients. Journal of Clinical Psychology 32, 294298.3.0.CO;2-Y>CrossRefGoogle Scholar
Giedt, F. H. & Downing, L. (1961). An extraversion scale for the MMPI. Journal of Clinical Psychology 17, 156159.3.0.CO;2-3>CrossRefGoogle ScholarPubMed
Goldberg, D. P. & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine 9, 139145.CrossRefGoogle ScholarPubMed
Graham, J. P. (1977). The MMPI: A Practical Guide. Oxford University Press: Oxford.Google Scholar
Greene, R. L. (1980). The MMPI. An Interpretative Manual. Grune & Stratton: New York.Google Scholar
Gynter, M. D., Altman, H. & Sletten, I. W. (1973). Replicated correlates of MMPI two-point types: the Missouri Actuarial System. Journal of Consulting and Clinical Psychology 40, 7883.Google Scholar
Hathaway, S. R. & McKinley, J. C. (1940). A multiphasic personality schedule (Minnesota): construction of the schedule. Journal of Psychology 10, 249254.CrossRefGoogle Scholar
Hiesel, J. S., Locke, S. E., Kraus, L. J. & Williams, R. M. (1986). Natural killer cell activity and MMPI scores of a cohort of college students. American Journal of Psychiatry 143, 13821386.Google Scholar
Holmes, G. P., Kaplan, J. E., Nelson, M., Gantz, N. M., Komaroff, A. L., Schonberger, L. B., Strauss, S. E., Jones, J. F., Dubois, R. E., Cunningham-Rundles, C., Pahwa, S., Tosato, G., Zegans, L. S., Purtilo, D. T., Brown, N., Schooley, R. T. & Brus, I. (1988). Chronic fatigue syndrome: a working case definition. Annals of Internal Medicine 108, 387389.CrossRefGoogle ScholarPubMed
Imboden, J. B., Canter, A. & Cluff, L. E. (1961). Convalescence from influenza. Archives of Internal Medicine 108, 393399.CrossRefGoogle ScholarPubMed
Jahanshahi, M. & Marsden, C. D. (1988). Personality in torticollis: a controlled study. Psychological Medicine 18, 375387.CrossRefGoogle ScholarPubMed
Kassebaum, G. S., Couch, A. R. & Slater, P. E. (1959). The factorial dimensions of the MMPI. Journal of Consulting and Clinical Psychology 23, 226236.CrossRefGoogle Scholar
Komaroff, A. L. (1988). Chronic fatigue syndromes: relationship to chronic viral infections. Journal of Virological Methods 21, 310.CrossRefGoogle ScholarPubMed
Kruesi, M. J. P., Dale, J. & Straus, S. E. (1989). Psychiatric diagnoses in patients who have chronic fatigue syndrome. Journal of Clinical Psychiatry 50, 5356.Google ScholarPubMed
Lewandowski, D. & Graham, J. R. (1972). Empirical correlates of frequently occurring two-point code types: a replicated study. Journal of Clinical Psychology 39, 467472.Google ScholarPubMed
Little, K. B. & Fisher, J. (1958). Two new experimental scales of the MMPI. Journal of Consulting and Clinical Psychology 22, 305306.CrossRefGoogle ScholarPubMed
Love, A. W. & Peck, C. L. (1987). The MMPI and psychological factors in chronic low back pain: a review. Pain 28, 112.CrossRefGoogle ScholarPubMed
McKenzie criteria (1988). Myalgic Encephalomyelitis Syndrome. Therapeutic Notes No. 205, New Zealand Department of Health Circulation.Google Scholar
Manu, P., Mathews, D. A. & Lane, T. J. (1988). The mental health of patients with a chief complaint of chronic fatigue. Archives of Internal Medicine 148, 22132217.CrossRefGoogle ScholarPubMed
Mathew, R. J., Maxine, L. W. & Mirabi, M. (1981). Physical symptoms of depression. British Journal of Psychiatry 139, 293296.CrossRefGoogle ScholarPubMed
Millon, C., Salvato, F., Blaney, N., Morgan, R., Mantero-Atienza, E., Klimas, N. & Fletcher, M. (1989). A psychological assessment of chronic fatigue syndrome/chronic Epstein-Barr virus patients. Psychology and Health 3, 131141.CrossRefGoogle Scholar
Moore, J. E., McFall, M. E., Kivlahan, D. R. & Capestany, F. (1988). Risk of misinterpretation of MMPI schizophrenia scale elevations in chronic pain patients. Pain 32, 207213.CrossRefGoogle ScholarPubMed
Murdoch, J. C. (1989). Myalgic encephalomyelitis syndrome. New Zealand Medical Journal 102, 372373.Google ScholarPubMed
Rabins, P. V. & Brooks, B. R. (1981). Emotional disturbances in multiple sclerosis patients: validity of the General Health Questionnaire. Psychological Medicine 11, 425427.CrossRefGoogle Scholar
Rosenhan, D. L. & Seligman, M. E. P. (1988). Abnormal Psychology (2nd edn.). Norton: New York.Google Scholar
Stout, A. L. & Steege, J. F. (1985). Psychological assessment of women seeking treatment for premenstrual syndrome. Journal of Psychosomatic Research 29, 621629.CrossRefGoogle ScholarPubMed
Taerk, G. S., Toner, B. B., Salit, I. S., Garfinkel, P. E. & Ozersky, S. (1987). Depression in patients with neuromyasthenia (benign myalgic encephalomyelitis). International Journal of Psychiatric Medicine 17, 4956.CrossRefGoogle Scholar
Watson, D. (1982). Neurotic tendencies among chronic pain patients: an MMPI item analysis. Pain 14, 365385.CrossRefGoogle ScholarPubMed
Welsh, G. S. (1956). Factor dimensions A and R. In Basic Readings on the MMPI in Psychology and Medicine (ed. Welsh, G. S. and Dahlstrom, W. G.), pp. 264281. University of Minnesota Press: Minneapolis.Google Scholar
Wessely, S. & Powell, R. (1989). Fatigue syndromes: a comparison of chronic ‘Postviral’ fatigue with neuromuscular and affective disorders. Journal of Neurology, Neurosurgery and Psychiatry 52, 940948.CrossRefGoogle ScholarPubMed
White, P. (1989). Fatigue syndrome: neurasthenia revived. British Medical Journal 298, 11991200.CrossRefGoogle ScholarPubMed
World Health Organization, Division of Mental Health (1988). International Classification of Disorders, 10: September 1988 draft. WHO: Geneva.Google Scholar

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