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Illness perceptions and levels of disability in patients with chronic fatigue syndrome and rheumatoid arthritis

Moss-Morris, Rona and Chalder, Trudie (2003) Illness perceptions and levels of disability in patients with chronic fatigue syndrome and rheumatoid arthritis Journal of Psychosomatic Research, 55, (4), pp. 305-308. (doi:10.1016/S0022-3999(03)00013-8).

Record type: Article


Objective: to investigate the strength of chronic fatigue syndrome (CFS) patients' negative illness perceptions by comparing illness perceptions and self-reported disability in patients with CFS and rheumatoid arthritis (RA).
Methods: seventy-four RA patients and 49 CFS patients completed the Illness Perception Questionnaire-Revised and the 36-item Short-Form Health Survey.
Results: when compared to the RA group, the CFS group attributed a wider range of everyday somatic symptoms to their illness, perceived the consequences of their illness to be more profound and were more likely to attribute their illness to a virus or immune system dysfunction. Both groups reported equivalent levels of physical disability but the CFS group reported significantly higher levels of role and social disability.
Conclusion: although the symptoms of CFS are largely medically unexplained, CFS patients have more negative views about their symptoms and the impact that these have had on their lives than do patients with a clearly defined and potentially disabling medical condition. The data support the cognitive behavioural models of CFS that emphasise the importance of patients' illness perceptions in perpetuating this disorder.

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Published date: October 2003
Keywords: chronic fatigue syndrome, disability, illness perceptions, cognitive behavioural model


Local EPrints ID: 40270
ISSN: 0022-3999
PURE UUID: 7b241e21-8a37-46ad-ba89-49e7efbbfcc7

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Date deposited: 03 Jul 2006
Last modified: 17 Jul 2017 15:34

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Author: Rona Moss-Morris
Author: Trudie Chalder

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