Couples’ experiences of interacting with others in CFS: a qualitative study

Abstract

Objectives: Social isolation and stigma are frequently reported by patients with chronic fatigue syndrome/myalgic encephalomyelitis and relationships in the home environment with those close to the patients (their ‘significant others’) may thus be particularly important. Rather little attention has yet been paid to the beliefs and experiences of ‘significant others’ themselves in this context. This study sought to explore in-depth the beliefs and experiences of both patients and ‘significant others’ in relation to chronic fatigue syndrome/myalgic encephalomyelitis.

Methods: In-depth interviews using a semi-structured interview schedule designed around the core constructs of the Common-Sense Model of self-regulation were conducted with two patients with chronic fatigue syndrome/myalgic encephalomyelitis and their spouses. Interpretative Phenomenological Analysis was used to analyse interview data.

Results: Experiences of social interactions in relation to chronic fatigue syndrome/myalgic encephalomyelitis with others outside of the relationship dyad emerged as a key issue for all participants when reflecting on their experiences of living with the condition. These concerns are presented under two themes: interactions with healthcare professionals and interactions with the social world.

Conclusions: It is evident that significant others play an important role in the lived experience of chronic fatigue syndrome/myalgic encephalomyelitis. For both patients and significant others, the wider social world and interactions with outside others may be important influences on dyadic coping in chronic fatigue syndrome/myalgic encephalomyelitis. Both future research and treatment interventions could usefully include a ‘significant other’ perspective.

Couples’ experiences of interacting with outside others in chronic fatigue syndrome: a qualitative study.  Joanna Brooks, Nigel King, Alison Wearden  Chronic Illness April 12, 2013 [Epub ahead of print]

 

 

 

 

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Carers & social care reform – Sylvia Penny interview

WAMES’ volunteer Sylvia Penny who cares for her adult daughter with ME, her adult son with asperger’s and her 90 year old mother, was one of the people interviewed on BBC Wales about the proposed changes to social care in Wales.

In the draft bill more people who look after disabled, sick and frail relatives could be entitled to help at home under proposals to change the law in Wales. Carers will have their needs assessed and could get a payment that puts them in control of their own care budget. But the Welsh government has said extra funding will not be required to deliver the Social Services and Wellbeing Bill.

WAMES joins other charities asking who will benefit, what support will be offered and when – 2016 is a long time away!

BBC news item: Helping hand for carers proposed in Wales

The Deputy Minister for Children and Social Services, Gwenda Thomas introduces the bill in a video on the Welsh Government website. (She speaks in Welsh first, then English)

According to the government the legislation will:

  • Strengthen powers for safeguarding of children and adults, so that vulnerable people at risk in our society can be protected more effectively;
  • Allow Welsh Ministers to consider extending the range of services available by direct payments, meaning people will have more control over the services they use;
  • Introduce national eligibility criteria and ensure people are assessed on what they need, rather than just on what services are available locally;
  • Introduce portable assessments, which means if people move from one part of Wales to another they will not require their needs to be re-assessed if these haven’t changed;
  • Introduce a National Outcomes Framework to set out very clearly what children and adults can expect from social services, to measure achievements and see where improvements are needed; Contribute to this through the I matter, we matter campaign
  • Introduce equivalent rights for carers so that people who care for someone such as an elderly or disabled relative or friend would get similar rights to the people they care for; and
  • Establish a National Adoption Service to improve the outcomes of children in need of a permanent family.
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WAMES & MWWMEG pool resources

On 1st January 2013 WAMES and the Mid & West Wales ME Group (MWWMEG) merged with WAMES. We already had a good working relationship with MWWMEG but we are excited about this opportunity to pool resources, learn from MWWMEG and improve our support and representation of people with ME throughout Wales.  So, what’s next?

A new magazine due out in February

MWWMEG’s informative newsletter was widely appreciated by their members so we have decided to replace our small infrequent newsletter with a magazine which we hope will be of interest to people all over Wales. It will be available free of charge online or by email,  or paper copies can be bought by subscription.  More information in February.

Choose how to get involved

  • become a member and help direct the work of WAMES
  • volunteer and help us to make a difference for people with ME
  • subscribe or join the free e-mailing list
  • donate

OR do all 4!

Support group meetings

MWWMEG’s local get togethers will continue as independent groups, with the support of WAMES. We are always keen to help people to set up new meetings. Find out about all Welsh support groups here.

What else?

We will continue to campaign ,  provide a helpline and information for people with ME, carers and professionals, to the best of our ability. But remember, we are a small organisation with limited funds so please think about how you can help!

 

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Carer Sylvia from WAMES & Text Santa appeal

Sylvia Penny from WAMES talks about what it is like being a full-time carer in  ITV’s Text Santa appeal video.

She is also interviewd on the Carers UK website.

Support ITV’s text Santa appeal and help raise vital funds for Carers UK

 

 

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Dr Dowsett on ME relapses

To commemorate the life of Dr Betty Dowsett the Young ME Sufferers Trust has posted online an article by her about ME relapses.

There’s No Smoke Without Fire! Some comments on the tendency to replase in ME

She lists the main principles of management as:

  • Conservation of energy
  • Reduction of stress
  • Simplification of work

Construct a lifestyle in which it is possible for the illness to stabilise and the sufferer to progress at their own pace towards realistic ambitions.

More about Dr Dowsett

 

 

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ME/CFS Primer for clinical practitioners

The International Association for Chronic Fatigue Syndrome/ME (IACFS/ME) has published a Primer for clinical practitioners. It is available as a PDF file and is free to download, though donations are invited. A 42 page spiral bound print booklet can be purchased for $15 from the BookPatch website.

ME/CFS: a Primer for Clinical Practitioners has been developed by an international team of practitioners led by Dr Fred Friedberg.

Highlights of the Primer include:

  • A summary of the pathophysiological effects of ME/CFS to date
  • A user-friendly diagnostic worksheet utilizing the Canadian Consensus Criteria
  • Straightforward treatment suggestions covering an array of ME/CFS symptoms
  • Emphasis on post-exertional malaise and activity management
  • Sections on special populations/ problems (e.g. severely affected, pediatric ME/CFS, pregnancy)

 

 

 

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Pioneer for ME, David Lewis 1939- 2012

Paediatrician David Lewis has died of pancreatic cancer at the age of 73.  As a consultant paediatrician at Bronglais hospital, Aberystwyth, he was one of very few doctors in Wales to take ME seriously in the 1980s and 1990s. His care and concern for children who were often misunderstood and sometimes mistreated, led him to respond to calls for help from many parts of Wales and England. He was willing to travel far and wide to diagnose very sick children, support their families, and speak out against abuse (as in the case of Ean Proctor in the Isle of Man).

His clinic in Aberystwyth accepted adult patients for a time, even though this brought him into conflict with the hospital management. He had an acute intelligence and refreshingly open minded attitude to medicine. He practised homeopathy and recommended treatments that were often considered ‘alternative’. He was sometimes ridiculed by fellow doctors but he did not allow that to stop him looking for ways to safely relieve the suffering of his patients.

Dr Lewis was greatly missed when he retired and he will be remembered as a Pioneer for the physical illness Myalgic Encephalomyelitis. Many patients and families will always be grateful that he believed and supported them when no-one else in the medical community would.

Obituary

 

 

 

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Michelle Penny – Living with ME for the last 17 years

For the last 17 years, Michelle Penny has been crippled by chronic fatigue and pain, which has left her virtually bed-bound. She tells Rachel Mainwaring what it’s like living with ME at Wales online.

Excerpts:

“I relapsed in October and this is probably the worst I’ve ever been,” says Michelle. “People think it’s just a condition that makes you tired all the time but it’s worse then that. It’s the pain that’s the worst thing. It’s not that I’m not motivated to do things, I just can’t. I just don’t have the energy and my legs really hurt…”

Michelle’s condition means she is also very sensitive to light and noise so, while sitting in bed, she has a slightly darkened room with very little natural light coming in, and plays her iPod very quietly, just to provide some background noise…

“It’s more than just being tired. I have trouble concentrating so I can’t even read books anymore, even though I used to love to read. I also get very random headaches…

 

 

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Dr Betty Dowsett 1920-2012 ME champion

It is with deep regret that we announce the death of Dr Betty Dowsett on June 14 in a nursing home in Cambridge at the age of 91.  In 2001, at the age of 80, and already retired for many years, she was the key speaker at the launch of WAMES in the National Assembly in Cardiff, and continued as our adviser. Her support in our early years gave us the confidence to campaign ‘against the flow’ of the medical tide.

Betty was born in Newport, Gwent and studied medicine at Edinburgh University. She worked as a GP in London then after further studies became a consultant microbiologist. She built up an expertise in ME seeing thousands of people with ME from the 1960s onwards, working with Dr John Richardson and Dr. Melvin Ramsey. She was instrumental in setting up the National ME clinic in Essex with Prof Leslie Findley.

In latter years, she also worked with Jane Colby and The Young ME Sufferers Trust (Tymes Trust), on a groundbreaking study into ME as the cause of major long-term sickness absence from school. She continued to lecture and advise patients and professionals about ME following her retirement, at her own expense. She is quoted as saying “ it is not how old you are but what you can do and you are never to old to do something”.

Simon Lawrence of the 25% ME group summed her up:

“She was someone who was relentlessly courageous in fighting the establishment on their stance of ME. She was sympathetic and empathetic to all who contacted her for help and support. She was someone who did not seek glory or try to make a name for herself in all that she did for others but simply did it because, as a doctor and, more importantly, as a human being, she felt it was her duty to help and, indeed, took great pleasure in helping people with this disease.”

The funeral will be held on Friday, June 29. The family have asked that, instead of sending flowers, people should make donations directly to the M.E. charity of their choice.

Cards should be sent to The Family of Betty Dowsett, c/o The Cottenham Court Nursing Home, High Street, Cottenham, Cambridge CB24 8SS (but do not send donations with your cards).

Bibliography of Dr Dowsett’s papers

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The proof El shaved her head for WAMES!

El Jones with shaved head

El Jones with shaved head

Eleanor with hair

El before the shearing!

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