Metacognitions and negative emotions as predictors of symptom severity in chronic fatigue syndrome

Maher-Edwards, Lorraine; Fernie, Bruce A.; Murphy, Gabrielle; Wells, Adrian; Spada, Marcantonio M.

doi:10.1016/j.jpsychores.2010.09.016

Cited by 56Fibromyalgia and Chronic Fatigue Syndrome ResearchPsychosomatic Disorders and Their TreatmentsLong-Term Effects of COVID-19

Metacognitions and negative emotions as predictors of symptom severity in chronic fatigue syndrome

Maher-Edwards, Lorraine, Fernie, Bruce A., Murphy, Gabrielle, Wells, Adrian, Spada, Marcantonio M.·2011·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2010.09.016

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Abstract

Objective Chronic fatigue syndrome (CFS) describes a condition that is primarily characterized by fatigue and flu-like symptoms that are not alleviated by rest. This study investigated the relationship among metacognitions, negative emotions, and symptom severity in CFS.Methods A total of 96 patients who had received a diagnosis of CFS according to the Oxford Criteria completed a battery of self-report measures that consisted of the Depression Anxiety Stress Scales, the 30-Item Metacognitions Questionnaire, the Chalder Fatigue Questionnaire (CFQ), and the RAND 36-Item Short-Form Health Survey-Physical Functioning.Results Correlation analyses showed that negative emotions and metacognitions were positively correlated with measures of symptom severity and that metacognitions were a better predictor of symptom severity than anxiety and depression. Hierarchical regression analyses indicated that (1) lack of cognitive confidence predicted both mental and physical factors of the CFQ and physical functioning independently of negative emotions and (2) beliefs about the need to control thoughts predicted the mental factor of the CFQ independently of negative emotions and lack of cognitive confidence.Conclusion The data support the potential application of the metacognitive model of psychological disorder to understanding CFS.

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The metacognitive assessment in Maher-Edwards et al. did not specifically consider interoception.
“however, the metacognitive assessment did not specifically consider interoception.”
From Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression (2016) · cites this paper as Maher-Edwards et al., 2011
Metacognitive factors (including need for control of thoughts) predict individual levels of fatigue symptoms in CFS.
“Maher-Edwards et al. (2011) showed that metacognitive factors (including need for control of thoughts) predict individual levels of fatigue symptoms in CFS;”
From Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression (2016) · cites this paper as Maher-Edwards et al., 2011

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Authors: Maher-Edwards, L., Fernie, B. A., Murphy, G., Wells, A., & Spada, M. M.
Affiliations: The Royal Free Hospital (GB)
North East London NHS Foundation Trust (GB)
Corresponding author: Spada, Marcantonio M.
ORCID: Fernie, Bruce A.
Spada, Marcantonio M.
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2011-04
Volume: 70
Issue: 4
Pages: 311-317
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/j.jpsychores.2010.09.016
OpenAlex: W2094312695
Cited by: 56
References: 47
Citations by year: 2026: 1 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 6 · 2018: 3 · 2017: 6 · 2016: 8 · 2015: 2 · 2014: 3 · 2013: 8 · 2012: 2
FWCI: 2.62
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Research Explorer (The University of Manchester) (submittedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
Keywords: chronic fatigue syndrome, metacognition, negative emotions, symptom severity, cognitive confidence, metacognitive beliefs, anxiety, depression, physical function, fatigue
MeSH terms: Adult, Aged, Anxiety, Cognition, Depression, Emotions, Female, Health Status, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Surveys and Questionnaires, Regression Analysis, Severity of Illness Index, Fatigue Syndrome, Chronic, Self Report

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Metacognitions and negative emotions as predictors of symptom severity in chronic fatigue syndrome

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