Mental quality of life in chronic fatigue is associated with an accommodative coping style and neuroticism: a path analysis
Abstract
Purpose An accommodative coping style (e.g. acceptance) is related to a better mental health-related quality of life (MHQL) in patients with chronic fatigue syndrome (CFS). We want to explore whether neuroticism is predictive for this coping style and MHQL. Secondly we want to explore the relation between acceptance and physical health-related quality of life (PHQL) and expect that illness-related variables such as fatigue severity and duration are related to PHQL.Method In this cross-sectional study, 117 patients with chronic fatigue syndrome from an outpatient internal medicine clinic completed self-report questionnaires on quality of life (SF-36), acceptance (ICQ), personality traits (NEO-FFI) and fatigue severity (CIS).Results Regression analyses showed that neuroticism and acceptance are predictors of MHQL (38% of the variance was explained). The path analysis showed that acceptance mediates between neuroticism and MHQL and that PHQL is related to MHQL. PHQL is related to fatigue severity and duration, but not to neuroticism and acceptance.Conclusion Stimulating an 'accepting accommodative coping style' within the treatment for CFS is important in improving mental quality of life. Our results suggest that neuroticism may be negatively related to acceptance and MHQL. This findings support the idea that a psychological diagnostic workout with special attention to personality traits in relation to their coping style is recommended in order to choose the most appropriate therapeutic approach in this population.
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Preliminary evidence indicates neuroticism negatively influences illness acceptance and mental wellbeing in CFS.
“there is preliminary evidence that neuroticism negatively influences illness acceptance and mental wellbeing in CFS [31].”
From Cognitive behavior therapy in patients with chronic fatigue syndrome: The role of illness acceptance and neuroticism. (2013) · cites this paper as [31]
Acceptance is associated with better mental health-related quality of life (MQoL) in chronic illnesses including CFS.
“cross-sectional studies indicate that acceptance plays a role in adjustment to chronic illnesses, amongst which CFS and that acceptance has been found to be associated with a better mental health-related quality of life (MQoL) [17, 27, 29-31].”
From Cognitive behavior therapy in patients with chronic fatigue syndrome: The role of illness acceptance and neuroticism. (2013) · cites this paper as [31]
Non-accepting cognitions seem to lead to maladaptive activity patterns in patients with CFS, which results in increased fatigue, frustration and a negative QoL.
“non-accepting cognitions seem to lead to maladaptive activity patterns in patients with CFS which results in increased fatigue, frustration and a negative QoL [30-31, 40-41]”
From Cognitive behavior therapy in patients with chronic fatigue syndrome: The role of illness acceptance and neuroticism. (2013) · cites this paper as [31]
Clinically, the improvement in mental QoL of more neurotic patients is not always clear because those patients remain reporting a lower mental QoL before and after treatment in comparison with patients scoring lower on neuroticism.
“clinically, the improvement in mental QoL of more neurotic patients is not always clear because those patients remain reporting a lower mental QoL before and after treatment in comparison with the patients scoring lower on neuroticism [31].”
From Cognitive behavior therapy in patients with chronic fatigue syndrome: The role of illness acceptance and neuroticism. (2013) · cites this paper as [31]
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- Authors
- Poppe, C., Crombez, G., Hanoulle, I., Vogelaers, D., & Petrovic, M.
- Affiliations
- Ghent University Hospital (BE)
- Ghent University (BE)
- Corresponding author
- Poppe, Carine
- Venue
- Quality of Life Research
- Published
- 2011-10-29
- Volume
- 21
- Issue
- 8
- Pages
- 1337-1345
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W1970501813
- Cited by
- 19
- References
- 68
- Citations by year
- 2024: 1 · 2022: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- chronic fatigue syndrome, mental health-related quality of life, physical health-related quality of life, acceptance, neuroticism, personality traits, fatigue severity, mediation
- MeSH terms
- Neuroticism, Adaptation, Psychological, Adolescent, Adult, Anxiety Disorders, Cross-Sectional Studies, Female, Humans, Male, Mental Health, Middle Aged, Personality Tests, Psychometrics, Quality of Life, Surveys and Questionnaires, Regression Analysis, Risk Factors, Statistics as Topic, Stress, Psychological, Fatigue Syndrome, Chronic, Young Adult, Self Report
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