Journal article 3 views
Significant other behavioural responses and patient chronic fatigue syndrome symptom fluctuations in the context of daily life: An experience sampling study
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Christine Barrowclough,
Richard Emsley,
Matthew Machin,
Alison J. Wearden
British Journal of Health Psychology, Volume: 21, Issue: 3, Pages: 499 - 514
Swansea University Author:
Becky Band
Full text not available from this repository: check for access using links below.
DOI (Published version): 10.1111/bjhp.12179
Abstract
ObjectiveSignificant other responses to patients’ symptoms are important for patient illness outcomes in chronic fatigue syndrome (CFS/ME); negative responses have been associated with increased patient depression, whilst increased disability and fatigue have been associated with solicitous signific...
| Published in: | British Journal of Health Psychology |
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| ISSN: | 1359-107X 2044-8287 |
| Published: |
Wiley
2016
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa67046 |
| Abstract: |
ObjectiveSignificant other responses to patients’ symptoms are important for patient illness outcomes in chronic fatigue syndrome (CFS/ME); negative responses have been associated with increased patient depression, whilst increased disability and fatigue have been associated with solicitous significant other responses. The current study aimed to examine the relationship between significant other responses and patient outcomes within the context of daily life.DesignExperience Sampling Methodology (ESM).MethodTwenty-three patients with CFS/ME and their significant others were recruited from specialist CFS/ME services. Sixty momentary assessments, delivered using individual San Francisco Android Smartphones, were conducted over a period of 6 days. All participants reported on affect, dyadic contact, and significant other responses to the patient. Patients reported on symptom severity, disability, and activity management strategies.ResultsNegative significant other responses were associated with increased patient symptom severity and distress reported at the same momentary assessment; there was evidence of a potentially mediating role of concurrent distress on symptom severity. Patient-perceived solicitous responses were associated with reduced patient activity and disability reported at the same momentary assessment. Lagged analyses indicate that momentary associations between significant other responses and patient outcomes are largely transitory; significant other responses were not associated with any of the patient outcomes at the subsequent assessment.ConclusionThe results indicate that significant other responses are important influences on the day-to-day experience of CFS/ME. Further research examining patient outcomes in association with specific significant other behavioural responses is warranted and future interventions that target such significant other behaviours may be beneficial. |
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| Keywords: |
chronic fatigue syndrome; Experience Sampling Methodology; significant others; responses |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
This study was supported by a PhD studentship awarded to the first author by the UK Economicand Social Research Council (ESRC) whilst at the University of Manchester. The research teamacknowledges the support of the National Institute for Health Research, through theComprehensive Clinical Research Network. |
| Issue: |
3 |
| Start Page: |
499 |
| End Page: |
514 |