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Rosenberg M, Bar-Shalita T, Weiss M, Rahav G, Avrech Bar M. Associations between daily routines and social support among women with chronic fatigue syndrome. Scand J Occup Ther 2023; 30:1037-1046. [PMID: 37094093 DOI: 10.1080/11038128.2023.2200580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 04/03/2023] [Accepted: 04/03/2023] [Indexed: 04/26/2023]
Abstract
BACKGROUND Chronic fatigue syndrome (CFS) is characterised by extreme fatigue, as well as physical and cognitive symptoms. CFS is thrice as prevalent in women than in men. OBJECTIVE To compare women with and without CFS concerning social support and participation in daily routine occupations, and to assess the relationships between the two variables among women with CFS. METHODS This study included 110 women aged 24-69: 41 were diagnosed with CFS and 64 were not diagnosed with CFS. Participants completed the Occupational Questionnaire and the Medical Outcomes Study (MOS) Social Support Survey. RESULTS Women with CFS reported lower participation in instrumental activities of daily living and work occupations than women without CFS. However, they spend more time resting and enjoying it. In addition, they reported less social support than women without CFS. Positive correlations were found between the number of close friends and time spent in play and leisure occupations and a negative correlation with sleep/rest. CONCLUSIONS Women with CFS participate less in IADL and work occupations and more in rest/sleep than women without CFS and their social support is attenuated. SIGNIFICANCE Intervention plans should be developed for women with CFS, focussing on expanding their participation while considering their social support resources.
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Affiliation(s)
- Morit Rosenberg
- Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel
| | - Tami Bar-Shalita
- Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel
| | - Miryam Weiss
- Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel
| | - Galia Rahav
- Infectious Disease Unit and Laboratories, Sheba Medical Center, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Israel
| | - Michal Avrech Bar
- Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel
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2
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Holden CL, Rollins P, Gonzalez M. Health-Promoting Behaviors, Relationship Satisfaction, and Resilience Among a Community Sample. CONTEMPORARY FAMILY THERAPY 2022. [DOI: 10.1007/s10591-021-09624-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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3
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van Deuren S, van Dulmen-den Broeder E, Boonstra A, Gielissen M, Blijlevens N, Loonen J, Knoop H. Fatigue-Related Cognitive-Behavioral Factors in Survivors of Childhood Cancer: Comparison with Chronic Fatigue Syndrome and Survivors of Adult-Onset Cancer. J Adolesc Young Adult Oncol 2020; 10:92-99. [PMID: 32857640 DOI: 10.1089/jayao.2020.0094] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Purpose: Cancer-related fatigue is a burdensome late effect of cancer treatment. A pilot study showed the effectiveness of cognitive-behavioral therapy (CBT) in fatigued survivors of childhood cancer (CCS). The aim of this study is to investigate whether the six cognitive-behavioral factors that are addressed during CBT differ in CCS compared with patients with chronic fatigue syndrome (CFS) and survivors of adult-onset cancer (ACS). Levels of self-esteem, optimism, and depressive symptoms, variables that are also related to fatigue, were also compared between groups. Methods: Retrospective analyses were performed on 34 CCS (ages 11-42 years), 102 patients with CFS, and 95 ACS who were referred for evaluation of severe fatigue. Fatigue severity, possible cognitive-behavioral fatigue maintaining factors, depressive symptoms, self-esteem, and optimism were assessed using questionnaires and actigraphy. Results: No significant differences were found in the factors coping with the experience of having had cancer, fear of cancer recurrence, physical activity, and in levels of self-esteem and optimism. CCS attributed their fatigue significantly more often to psychosocial causes and reported fewer problems in sleep/rest compared with patients with CFS. Compared with ACS, CCS reported significantly more social support, more problems in sleep/rest, and more depressive symptoms. Conclusions: There is substantial overlap in cognitive-behavioral factors that can maintain fatigue between CCS and CFS patients or ACS. Also differences were found regarding attribution of fatigue, the sleep/rest pattern, social support, and depressive symptoms that might have clinical implications when CBT for fatigue is provided to CCS.
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Affiliation(s)
- Sylvia van Deuren
- Radboudumc Center of Expertise for Cancer Survivorship, Department of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Eline van Dulmen-den Broeder
- Department of Pediatric Oncology, VU University, Amsterdam University Medical Centers, Amsterdam, The Netherlands
| | - Amilie Boonstra
- Radboudumc Center of Expertise for Cancer Survivorship, Department of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands
| | | | - Nicole Blijlevens
- Department of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Jacqueline Loonen
- Radboudumc Center of Expertise for Cancer Survivorship, Department of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Hans Knoop
- Department of Medical Psychology, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam University Medical Centers, Amsterdam, The Netherlands.,Expert Center for Chronic Fatigue, Amsterdam Public Health Research Institute, VU University, Amsterdam University Medical Centers, Amsterdam, The Netherlands
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4
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Braamse A, Voss H, Nikolaus S, Wearden A, Knoop H. The role of partners' fatigue and the patient-partner relationship in the outcome of cognitive behavioural therapy for chronic fatigue syndrome. J Psychosom Res 2020; 135:110133. [PMID: 32450339 DOI: 10.1016/j.jpsychores.2020.110133] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Revised: 05/04/2020] [Accepted: 05/04/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND In chronic fatigue syndrome (CFS) little is known about how partner-related factors influence patients' fatigue symptoms and treatment outcome. We examined partners' fatigue severity, and determined the role of partner-related factors for patients' symptoms and the outcome of cognitive behavioural therapy (CBT). METHODS 1356 CFS patients and their partners completed baseline measures of fatigue severity (Checklist Individual Strength), causal attributions of symptoms, partner responses to patient symptoms, and relationship satisfaction. Fatigue in partners of patients with CFS was compared with fatigue in age- and gender-matched controls from the Dutch population. Associations between partners' fatigue severity and other partner-related factors were determined. In a subgroup of 760 CFS patients who completed CBT, logistic regression analyses were used to identify partner-related baseline predictors for treatment outcome (fatigue severity, functional impairment). RESULTS Partners' fatigue (M = 21.66, SD 11.60) was significantly lower than in controls (M = 24.58, SD = 11.02) (p < .001) and not related to patients' fatigue (r = -0.02, p = .58). Partners' fatigue was correlated with patients' functional impairment (p = .001), partners' and patients' relationship dissatisfaction, negative partner responses, and partners' and patients' psychological attributions of patient symptoms at baseline (all p < .001). After controlling for patients' baseline fatigue severity and functional impairment, only relationship dissatisfaction as reported by (female) patients significantly predicted worse treatment outcome. For male patients with female partners, higher partners' fatigue severity predicted higher fatigue severity after CBT. CONCLUSIONS Female partners' fatigue and relationship dissatisfaction as reported by the female patient should be addressed in CBT for CFS, as these factors affect treatment outcome.
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Affiliation(s)
- Annemarie Braamse
- Amsterdam UMC, University of Amsterdam, department of Medical Psychology, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, Netherlands.
| | - Hille Voss
- Expert Center for Chronic Fatigue, Amsterdam UMC, VU University Amsterdam, department of Medical Psychology, De Boelelaan 1117, Amsterdam, Netherlands.
| | - Stephanie Nikolaus
- Expert Center for Chronic Fatigue, Amsterdam UMC, VU University Amsterdam, department of Medical Psychology, De Boelelaan 1117, Amsterdam, Netherlands.
| | - Alison Wearden
- School of Health Sciences, University of Manchester, Manchester, United Kingdom.
| | - Hans Knoop
- Amsterdam UMC, University of Amsterdam, department of Medical Psychology, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, Netherlands; Expert Center for Chronic Fatigue, Amsterdam UMC, VU University Amsterdam, department of Medical Psychology, De Boelelaan 1117, Amsterdam, Netherlands.
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5
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Romero-Alcalá P, Hernández-Padilla JM, Fernández-Sola C, Coín-Pérez-Carrasco MDR, Ramos-Rodríguez C, Ruiz-Fernández MD, Granero-Molina J. Sexuality in male partners of women with fibromyalgia syndrome: A qualitative study. PLoS One 2019; 14:e0224990. [PMID: 31774846 PMCID: PMC6880977 DOI: 10.1371/journal.pone.0224990] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 10/26/2019] [Indexed: 12/12/2022] Open
Abstract
The aim of our study was to understand how male partners of women diagnosed with fibromyalgia syndrome perceive sexuality. Gadamerian hermeneutic phenomenology and the Roy Adaptation Model provided the overall framework for this research study. Eighteen participants were recruited through convenience and purposive sampling. Data collection was conducted between February and July of 2017 and included a focus group and twelve in-depth interviews. Two main themes were extracted: "facing a new sex life" and "resisting the loss of the couple's sexuality". Fibromyalgia syndrome compromises the couple's sex life. Enhancing intimacy, skin-to-skin contact (during acute FMS outbreaks), finding new positions, non-coital sex and use of sex toys can increase female desire and help coping.
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Affiliation(s)
| | - José Manuel Hernández-Padilla
- Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain
- Adult, Child and Midwifery Department, School of Health and Education, Middlesex University, London, United Kingdom
| | - Cayetano Fernández-Sola
- Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain
- Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile
| | | | | | | | - José Granero-Molina
- Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain
- Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile
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6
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Milrad SF, Hall DL, Jutagir DR, Lattie EG, Czaja SJ, Perdomo DM, Ironson G, Doss BD, Mendez A, Fletcher MA, Klimas N, Antoni MH. Relationship satisfaction, communication self-efficacy, and chronic fatigue syndrome-related fatigue. Soc Sci Med 2019; 237:112392. [PMID: 31377502 DOI: 10.1016/j.socscimed.2019.112392] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Revised: 05/21/2019] [Accepted: 06/29/2019] [Indexed: 10/26/2022]
Abstract
RATIONALE Relationship dissatisfaction has been linked with worse health outcomes in many patient populations, though the mechanism(s) underlying this effect are unclear. Among patients with chronic fatigue syndrome (CFS) and their partners, there is evidence for a bi-directional association between poorer relationship satisfaction and the severity of CFS-related fatigue. OBJECTIVE Here, we hypothesized that relationship dissatisfaction negatively impacts fatigue severity through greater depression and less patient satisfaction about communication about symptoms to partners. METHOD Baseline data were drawn from diagnosed CFS patients (N = 150) participating in a trial testing the efficacy of a stress management intervention. Data derived from fatigue severity (Fatigue Symptom Index, FSI), depression (Center for Epidemiologic Survey-Depression, CES-D), relationship quality (Dyadic Adjustment Scale, DAS) and communication satisfaction (Patient Symptom Disclosure Satisfaction, PSDS) questionnaires were used for bootstrapped indirect effect analyses using parallel mediation structural equation modeling in Mplus (v8). Age and BMI were entered as covariates. RESULTS Greater relationship satisfaction predicted greater communication satisfaction (p < 0.01) and lower CES-D scores (p < 0.01), which in turn were each significantly related to greater fatigue severity (p < 0.05). Tests of the indirect paths indicated that relationship satisfaction had a significant effect on fatigue severity through both constructs, but primarily via depression. There was no direct association between relationship satisfaction and fatigue severity after the intermediate variables (depression, communication satisfaction) were included in the model. CONCLUSION Results highlight the importance of considering depression and communication-related factors when examining the effects of relationship satisfaction on CFS symptoms such as fatigue. Further mechanism-based, longitudinal research might identify relationship-related mediating variables that can be targeted therapeutically.
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Affiliation(s)
| | - Daniel L Hall
- Department of Psychiatry, Massachusetts General Hospital/ Harvard Medical School, USA
| | - Devika R Jutagir
- Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, USA
| | - Emily G Lattie
- Department of Medical Social Sciences, Northwestern University, Chicago IL, USA
| | - Sara J Czaja
- Department of Psychiatry and Behavioral Sciences, University of Miami, USA
| | - Dolores M Perdomo
- Department of Psychiatry and Behavioral Sciences, University of Miami, USA
| | - Gail Ironson
- Department of Psychology, University of Miami, USA
| | - Brian D Doss
- Department of Psychology, University of Miami, USA
| | | | - Mary Ann Fletcher
- Institute for Neuro Immune Medicine, Nova Southeastern University, USA
| | - Nancy Klimas
- Institute for Neuro Immune Medicine, Nova Southeastern University, USA
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7
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Noble S, Bonner C, Hersch J, Jansen J, McGeechan K, McCaffery K. Could disease labelling have positive effects? An experimental study exploring the effect of the chronic fatigue syndrome label on intended social support. PATIENT EDUCATION AND COUNSELING 2019; 102:486-493. [PMID: 30514660 DOI: 10.1016/j.pec.2018.10.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2018] [Revised: 10/04/2018] [Accepted: 10/13/2018] [Indexed: 06/09/2023]
Abstract
Objective Chronic fatigue syndrome (CFS) patients report limited social support, which can affect symptom severity. Friends are a key source of social support for young adults with CFS, but there is limited research on friends' responses to the CFS label. We explored the potential benefits or harms of the CFS label for shaping the potential for social support from a friend's perspective. Method 207 university students responded to hypothetical scenarios about a close friend experiencing CFS. Participants were randomly allocated to either the CFS-label or no-label conditions. The potential for social support was operationalised as attitude (sympathetic or hostile), intended treatment support and intended behavioural support. Results The CFS label elicited a greater potential for social support, with significantly higher sympathetic responses, lower rejecting responses and greater support for active treatment. These effects were significantly greater in men compared to women. There was no effect on intended behavioural support. Conclusion This study suggests the CFS label may increase the potential for social support. Young adults, particularly men, held more supportive attitudes towards their friend when the CFS label was used. Practical Implications The effects of labels on the potential for social support need to be considered when evaluating the usefulness of a disease label.
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Affiliation(s)
- Samara Noble
- The University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney, Australia; Wiser Healthcare, Australia; The University of Sydney, Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), Sydney, Australia.
| | - Carissa Bonner
- The University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney, Australia; Wiser Healthcare, Australia; The University of Sydney, Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), Sydney, Australia
| | - Jolyn Hersch
- The University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney, Australia; Wiser Healthcare, Australia; The University of Sydney, Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), Sydney, Australia
| | - Jesse Jansen
- The University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney, Australia; Wiser Healthcare, Australia; The University of Sydney, Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), Sydney, Australia
| | - Kevin McGeechan
- The University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney, Australia; Wiser Healthcare, Australia; The University of Sydney, Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), Sydney, Australia
| | - Kirsten McCaffery
- The University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney, Australia; Wiser Healthcare, Australia; The University of Sydney, Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), Sydney, Australia
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8
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Schmaling KB, Fales JL, McPherson S. Longitudinal outcomes associated with significant other responses to chronic fatigue and pain. J Health Psychol 2017; 25:692-702. [PMID: 28925285 DOI: 10.1177/1359105317731824] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
This study investigated significant others' behavior associated with fatigue, pain, and mental health outcomes among 68 individuals with chronic fatigue (43% also had fibromyalgia) over 18 months. More negative significant others' responses were associated with more pain, poorer physical and mental health, and more fatigue-related symptoms over time. More fibromyalgia tender points covaried with more solicitous significant others' responses over time. Better mental health covaried with more distracting significant others' responses over time. The results are discussed in terms of theoretical models of the role of perceived significant others' responses on patient outcomes and recommendations for future research.
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9
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Andela CD, Tiemensma J, Kaptein AA, Scharloo M, Pereira AM, Kamminga NG, Biermasz NR. The partner's perspective of the impact of pituitary disease: Looking beyond the patient. J Health Psychol 2017; 24:1687-1697. [PMID: 28810427 PMCID: PMC6749171 DOI: 10.1177/1359105317695427] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
People with pituitary disease report impairments in quality of life. The aim of
this study was to elucidate the impact of the pituitary condition on the lives
of partners. Four focus groups of partners of people with pituitary disease
(Cushing’s disease, non-functioning adenoma, acromegaly, prolactinoma) were
conducted. Partners mentioned worries related to the pituitary disease and
negative beliefs about medication, coping challenges, relationship issues,
social issues and unmet needs regarding care. This study emphasizes the
importance of not only paying attention to psychosocial well-being of people
with pituitary disease but also to their partners.
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10
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Band R, Barrowclough C, Emsley R, Machin M, Wearden AJ. Significant other behavioural responses and patient chronic fatigue syndrome symptom fluctuations in the context of daily life: An experience sampling study. Br J Health Psychol 2015; 21:499-514. [PMID: 26700742 PMCID: PMC4991278 DOI: 10.1111/bjhp.12179] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2015] [Revised: 11/11/2015] [Indexed: 01/26/2023]
Abstract
Objective Significant other responses to patients’ symptoms are important for patient illness outcomes in chronic fatigue syndrome (CFS/ME); negative responses have been associated with increased patient depression, whilst increased disability and fatigue have been associated with solicitous significant other responses. The current study aimed to examine the relationship between significant other responses and patient outcomes within the context of daily life. Design Experience Sampling Methodology (ESM). Method Twenty‐three patients with CFS/ME and their significant others were recruited from specialist CFS/ME services. Sixty momentary assessments, delivered using individual San Francisco Android Smartphones, were conducted over a period of 6 days. All participants reported on affect, dyadic contact, and significant other responses to the patient. Patients reported on symptom severity, disability, and activity management strategies. Results Negative significant other responses were associated with increased patient symptom severity and distress reported at the same momentary assessment; there was evidence of a potentially mediating role of concurrent distress on symptom severity. Patient‐perceived solicitous responses were associated with reduced patient activity and disability reported at the same momentary assessment. Lagged analyses indicate that momentary associations between significant other responses and patient outcomes are largely transitory; significant other responses were not associated with any of the patient outcomes at the subsequent assessment. Conclusion The results indicate that significant other responses are important influences on the day‐to‐day experience of CFS/ME. Further research examining patient outcomes in association with specific significant other behavioural responses is warranted and future interventions that target such significant other behaviours may be beneficial. Statement of contribution What is already known on this subject? The existing literature has identified that significant other responses are important with respect to patient outcomes in CFS/ME. In particular, when examined cross‐sectionally and longitudinally, negative and solicitous significant other responses are associated with poorer illness outcomes. This study is the first to examine the momentary associations between negative and solicitous responses, as reported by the patient and significant other, and patient‐reported outcomes. An ESM paradigm was used to assess these temporal relationships within the context of participants’ daily life. What does this study add?Negative responses were associated with increased momentary patient distress and symptoms. Perceived solicitousness was associated with activity limitation but less perceived disability. The impact of significant other responses on patient outcomes was found to be transitory.
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Affiliation(s)
- Rebecca Band
- School of Psychological Sciences & Manchester Centre for Health Psychology, University of Manchester, UK.,Centre for Applications of Health Psychology, University of Southampton, UK
| | - Christine Barrowclough
- School of Psychological Sciences & Manchester Centre for Health Psychology, University of Manchester, UK
| | - Richard Emsley
- Centre for Biostatistics, Institute of Population Health, University of Manchester, UK
| | - Matthew Machin
- Centre for Health Informatics, Institute of Population Health, University of Manchester, UK
| | - Alison J Wearden
- School of Psychological Sciences & Manchester Centre for Health Psychology, University of Manchester, UK
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