{"id":11251,"date":"2017-01-06T10:55:49","date_gmt":"2017-01-06T10:55:49","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=11251"},"modified":"2017-01-06T10:59:05","modified_gmt":"2017-01-06T10:59:05","slug":"fatigue-psychosocial-variables-in-autoimmune-rheumatic-disease-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/fatigue-psychosocial-variables-in-autoimmune-rheumatic-disease-cfs\/","title":{"rendered":"Fatigue & psychosocial variables in autoimmune rheumatic disease & CFS"},"content":{"rendered":"

Research abstract:<\/strong><\/h3>\n

Objective:<\/strong>\u00a0 Fatigue is common in autoimmune rheumatic diseases<\/a> (ARD). This study\u00a0 compared symptom-related cognitions, beliefs, behaviours, quality of\u00a0sleep, lack of acceptance and distress in participants with ARD such as\u00a0rheumatoid arthritis (RA), seronegative spondyloarthropathy (SpA), and\u00a0connective tissue disease (CTD), and participants with chronic fatigue\u00a0syndrome (CFS).<\/p>\n

Methods:<\/strong>\u00a0 303 participants with RA, SpA, CTD and CFS completed questionnaire\u00a0 measures of fatigue, social adjustment, cognitive-behavioural responses,\u00a0lack of acceptance, distress and quality of sleep. The RA, SpA and CTD\u00a0groups were first compared with each other. They were then combined into\u00a0one group and compared with the CFS group.<\/p>\n

Results:<\/strong>\u00a0 There were no statistically significant differences between the RA, SpA
\nor CTD groups for any of the measures. The CFS group was more fatigued,\u00a0reported more distress and sleep disturbance and had worse social\u00a0adjustment than the ARD group after adjustment for age and illness\u00a0duration. After adjustment for fatigue, age, and illness duration, the\u00a0CFS group scored more highly on lack of acceptance and avoidance\/resting
\nbehaviour while the ARD group showed significantly higher levels of\u00a0catastrophizing, damage beliefs, and symptom focusing than the CFS\u00a0group.<\/p>\n

Conclusion:<\/strong>\u00a0 Fatigue in rheumatic diseases may be perpetuated by similar underlying\u00a0transdiagnostic <\/a>processes. The ARD and CFS groups showed similarities\u00a0but also key differences in their responses to symptoms. Specific\u00a0aspects of treatment may need to be tailored towards each group. For\u00a0example, lack of acceptance and avoidance behaviour may be particularly\u00a0important in perpetuating fatigue in CFS.<\/p>\n

Fatigue and psychosocial variables in autoimmune rheumatic\u00a0disease and chronic fatigue syndrome:\u00a0a cross-sectional comparison<\/a>, by\u00a0Sheila Ali, Faith Matcham, Katherine Irving, Trudie\u00a0 Chalder in<\/span> Journal of Psychosomatic Research, <\/em>vol 92, Jan 2017\u00a0<\/em>[Available online 14 November 2016]<\/p>\n

NB<\/strong> Prof Chalder’s assumption of the existence of avoidance behaviour in CFS was presented in an analysis of the debunked PACE trial results:\u00a0Rehabilitative therapies for chronic fatigue syndrome: a secondary mediation analysis of the PACE trial<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Research abstract: Objective:\u00a0 Fatigue is common in autoimmune rheumatic diseases (ARD). This study\u00a0 compared symptom-related cognitions, beliefs, behaviours, quality of\u00a0sleep, lack of acceptance and distress in participants with ARD such as\u00a0rheumatoid arthritis (RA), seronegative spondyloarthropathy (SpA), and\u00a0connective tissue disease (CTD), … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":true,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[3409,9,3407,3406,3408],"class_list":["post-11251","post","type-post","status-publish","format-standard","hentry","category-news","tag-avoidance-behaviour","tag-chronic-fatigue","tag-prof-trudie-chalder","tag-rheumatology","tag-transdiagnostic-theory"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-2Vt","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/11251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=11251"}],"version-history":[{"count":5,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/11251\/revisions"}],"predecessor-version":[{"id":11337,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/11251\/revisions\/11337"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=11251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=11251"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=11251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}