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Activity patterns in response to symptoms in patients being treated for chronic fatigue syndrome: An experience sampling methodology study.

Becky Band Orcid Logo, Christine Barrowclough, Kim Caldwell, Richard Emsley Orcid Logo, Alison Wearden

Health Psychology, Volume: 36, Issue: 3, Pages: 264 - 269

Swansea University Author: Becky Band Orcid Logo

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DOI (Published version): 10.1037/hea0000422

Abstract

Objective: Cognitive–behavioral models of chronic fatigue syndrome (CFS) propose that patients respond to symptoms with 2 predominant activity patterns—activity limitation and all-or-nothing behaviors—both of which may contribute to illness persistence. The current study investigated whether activit...

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Published in: Health Psychology
ISSN: 0278-6133 1930-7810
Published: American Psychological Association (APA) 2017
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URI: https://cronfa.swan.ac.uk/Record/cronfa67037
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spelling 2024-09-02T13:32:05.2172997 v2 67037 2024-07-09 Activity patterns in response to symptoms in patients being treated for chronic fatigue syndrome: An experience sampling methodology study. 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2024-07-09 HSOC Objective: Cognitive–behavioral models of chronic fatigue syndrome (CFS) propose that patients respond to symptoms with 2 predominant activity patterns—activity limitation and all-or-nothing behaviors—both of which may contribute to illness persistence. The current study investigated whether activity patterns occurred at the same time as, or followed on from, patient symptom experience and affect. Method: Twenty-three adults with CFS were recruited from U.K. CFS services. Experience sampling methodology (ESM) was used to assess fluctuations in patient symptom experience, affect, and activity management patterns over 10 assessments per day for a total of 6 days. Assessments were conducted within patients’ daily life and were delivered through an app on touchscreen Android mobile phones. Multilevel model analyses were conducted to examine the role of self-reported patient fatigue, pain, and affect as predictors of change in activity patterns at the same and subsequent assessment. Results: Current experience of fatigue-related symptoms and pain predicted higher patient activity limitation at the current and subsequent assessments whereas subjective wellness predicted higher all-or-nothing behavior at both times. Current pain predicted less all-or-nothing behavior at the subsequent assessment. In contrast to hypotheses, current positive affect was predictive of current activity limitation whereas current negative affect was predictive of current all-or-nothing behavior. Both activity patterns varied at the momentary level. Conclusions: Patient symptom experiences appear to be driving patient activity management patterns in line with the cognitive–behavioral model of CFS. ESM offers a useful method for examining multiple interacting variables within the context of patients’ daily life. Journal Article Health Psychology 36 3 264 269 American Psychological Association (APA) 0278-6133 1930-7810 chronic fatigue syndrome, experience sampling methodology, ecological momentary assessment, activity, behaviors 1 3 2017 2017-03-01 10.1037/hea0000422 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University This study was supported by a PhD studentship awarded to Rebecca Band by the Economic and Social Research Council. 2024-09-02T13:32:05.2172997 2024-07-09T15:25:20.8580287 Faculty of Medicine, Health and Life Sciences School of Psychology Becky Band 0000-0001-5403-1708 1 Christine Barrowclough 2 Kim Caldwell 3 Richard Emsley 0000-0002-1218-675x 4 Alison Wearden 5 67037__31217__5817a2d24f734312b1bf9ee170a7eb08.pdf 67037.VoR.pdf 2024-09-02T13:31:01.5662938 Output 95032 application/pdf Version of Record true This article has been published under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/3.0/
title Activity patterns in response to symptoms in patients being treated for chronic fatigue syndrome: An experience sampling methodology study.
spellingShingle Activity patterns in response to symptoms in patients being treated for chronic fatigue syndrome: An experience sampling methodology study.
Becky Band
title_short Activity patterns in response to symptoms in patients being treated for chronic fatigue syndrome: An experience sampling methodology study.
title_full Activity patterns in response to symptoms in patients being treated for chronic fatigue syndrome: An experience sampling methodology study.
title_fullStr Activity patterns in response to symptoms in patients being treated for chronic fatigue syndrome: An experience sampling methodology study.
title_full_unstemmed Activity patterns in response to symptoms in patients being treated for chronic fatigue syndrome: An experience sampling methodology study.
title_sort Activity patterns in response to symptoms in patients being treated for chronic fatigue syndrome: An experience sampling methodology study.
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Becky Band
Christine Barrowclough
Kim Caldwell
Richard Emsley
Alison Wearden
format Journal article
container_title Health Psychology
container_volume 36
container_issue 3
container_start_page 264
publishDate 2017
institution Swansea University
issn 0278-6133
1930-7810
doi_str_mv 10.1037/hea0000422
publisher American Psychological Association (APA)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
active_str 0
description Objective: Cognitive–behavioral models of chronic fatigue syndrome (CFS) propose that patients respond to symptoms with 2 predominant activity patterns—activity limitation and all-or-nothing behaviors—both of which may contribute to illness persistence. The current study investigated whether activity patterns occurred at the same time as, or followed on from, patient symptom experience and affect. Method: Twenty-three adults with CFS were recruited from U.K. CFS services. Experience sampling methodology (ESM) was used to assess fluctuations in patient symptom experience, affect, and activity management patterns over 10 assessments per day for a total of 6 days. Assessments were conducted within patients’ daily life and were delivered through an app on touchscreen Android mobile phones. Multilevel model analyses were conducted to examine the role of self-reported patient fatigue, pain, and affect as predictors of change in activity patterns at the same and subsequent assessment. Results: Current experience of fatigue-related symptoms and pain predicted higher patient activity limitation at the current and subsequent assessments whereas subjective wellness predicted higher all-or-nothing behavior at both times. Current pain predicted less all-or-nothing behavior at the subsequent assessment. In contrast to hypotheses, current positive affect was predictive of current activity limitation whereas current negative affect was predictive of current all-or-nothing behavior. Both activity patterns varied at the momentary level. Conclusions: Patient symptom experiences appear to be driving patient activity management patterns in line with the cognitive–behavioral model of CFS. ESM offers a useful method for examining multiple interacting variables within the context of patients’ daily life.
published_date 2017-03-01T08:26:47Z
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score 11.047306

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