Self-critical perfectionism, stress generation, and stress sensitivity in patients with chronic fatigue syndrome: relationship with severity of depression.
kelly to CO-CURE
[kl: It is possible that patients labeled with CFS in this study do not
have CFS as it is defined using the original Fukuda criteria.
According to proponents of ecological momentary assessment (EMA), many
physical diseases have been reported to be associated with
psychosocial factors. In these diseases, assessment relies mainly on
subjective symptoms in natural settings. Therefore, it is important to
assess symptoms and/or relationships between psychosocial factors and
symptoms in natural settings. Symptoms are usually assessed by
self-report when patients visit their doctors. However, self-report by
recall has an intrinsic problem; "recall bias". Recently, ecological
momentary assessment (EMA) has been proposed as a reliable method to
assess and record events and subjective symptoms as well as
physiological and behavioral variables in natural settings. Although
proponents consider EMA is a useful method to assess stress-related
diseases, they acknowledged that this method has not been fully
acknowledged in the wider scientific community, especially by
clinicians.]
Psychiatry. 2011 Spring;74(1):21-30.
Self-critical perfectionism, stress generation, and stress sensitivity
in patients with chronic fatigue syndrome: relationship with severity
of depression.
Luyten P, Kempke S, Van Wambeke P, Claes S, Blatt SJ, Van Houdenhove B.
Abstract
Chronic Fatigue Syndrome (CFS) is a highly disabling disorder that is
part of a broader spectrum of chronic pain and fatigue disorders.
Although the etiology and pathogenesis of CFS largely remain unclear,
there is increasing evidence that CFS shares important
pathophysiological disturbances with mood disorders in terms of
disturbances in the stress response and the stress system.
From a psycho-dynamic perspective, self-critical perfectionism and
related personality factors are hypothesized to explain in part
impairments of the stress response in both depression and CFS.
Yet, although there is ample evidence that high levels of
self-critical perfectionism are associated with stress generation and
increased stress sensitivity in depression, evidence supporting this
hypothesis in CFS is currently lacking.
This study therefore set out to investigate the relationship between
self-critical perfectionism, the active generation of stress, stress
sensitivity, and levels of depression in a sample of 57 patients
diagnosed with CFS using an ecological momentary assessment approach.
Results showed, congruent with theoretical assumptions, that
self-critical perfectionism was associated with the generation of
daily hassles, which in turn predicted higher levels of depression.
Moreover, multilevel analyses showed that self-critical perfectionism
was related to increased stress sensitivity in CFS patients over a
14-day period, and that increased stress sensitivity in turn was
related to increased levels of depression.
The implications of these findings for future research and
particularly for the development of psychodynamic treatment approaches
of CFS and related conditions are discussed.
PMID: 21463167 [PubMed - in process]
kelly to CO-CURE
[kl: It is possible that patients labeled with CFS in this study do not
have CFS as it is defined using the original Fukuda criteria.
According to proponents of ecological momentary assessment (EMA), many
physical diseases have been reported to be associated with
psychosocial factors. In these diseases, assessment relies mainly on
subjective symptoms in natural settings. Therefore, it is important to
assess symptoms and/or relationships between psychosocial factors and
symptoms in natural settings. Symptoms are usually assessed by
self-report when patients visit their doctors. However, self-report by
recall has an intrinsic problem; "recall bias". Recently, ecological
momentary assessment (EMA) has been proposed as a reliable method to
assess and record events and subjective symptoms as well as
physiological and behavioral variables in natural settings. Although
proponents consider EMA is a useful method to assess stress-related
diseases, they acknowledged that this method has not been fully
acknowledged in the wider scientific community, especially by
clinicians.]
Psychiatry. 2011 Spring;74(1):21-30.
Self-critical perfectionism, stress generation, and stress sensitivity
in patients with chronic fatigue syndrome: relationship with severity
of depression.
Luyten P, Kempke S, Van Wambeke P, Claes S, Blatt SJ, Van Houdenhove B.
Abstract
Chronic Fatigue Syndrome (CFS) is a highly disabling disorder that is
part of a broader spectrum of chronic pain and fatigue disorders.
Although the etiology and pathogenesis of CFS largely remain unclear,
there is increasing evidence that CFS shares important
pathophysiological disturbances with mood disorders in terms of
disturbances in the stress response and the stress system.
From a psycho-dynamic perspective, self-critical perfectionism and
related personality factors are hypothesized to explain in part
impairments of the stress response in both depression and CFS.
Yet, although there is ample evidence that high levels of
self-critical perfectionism are associated with stress generation and
increased stress sensitivity in depression, evidence supporting this
hypothesis in CFS is currently lacking.
This study therefore set out to investigate the relationship between
self-critical perfectionism, the active generation of stress, stress
sensitivity, and levels of depression in a sample of 57 patients
diagnosed with CFS using an ecological momentary assessment approach.
Results showed, congruent with theoretical assumptions, that
self-critical perfectionism was associated with the generation of
daily hassles, which in turn predicted higher levels of depression.
Moreover, multilevel analyses showed that self-critical perfectionism
was related to increased stress sensitivity in CFS patients over a
14-day period, and that increased stress sensitivity in turn was
related to increased levels of depression.
The implications of these findings for future research and
particularly for the development of psychodynamic treatment approaches
of CFS and related conditions are discussed.
PMID: 21463167 [PubMed - in process]