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Long-term sickness absence among patients with chronic fatigue syndrome

  • Ann Kristin Knudsen (a1), Max Henderson (a2), Samuel B. Harvey (a2) and Trudie Chalder (a2)

Summary

Chronic fatigue syndrome is associated with high levels of occupational disability. Consecutive out-patients at a chronic fatigue syndrome treatment service were studied for associations between occupational status, symptom severity and cognitive and behavioural responses to symptoms. All patients had high symptom levels; however, those on long-term sickness absence had significantly more physical fatigue (β = 0.098, P<0.05) and worse sleep (β = 0.075, P<0.05). Patients with long-term sickness absence also demonstrated more embarrassment avoidance cognitions (β = 0.086, P<0.05) and avoidance resting behavioural responses (β = 0.078, P<0.05). Identifying and addressing avoidance behaviours and cognitions regarding embarrassment in interventions may enhance the chances of individuals returning to work.

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Copyright

Corresponding author

Ann Kristin Knudsen, Research Section of Mental Health Epidemiology, Department of Health Promotion and Development, Faculty of Psychology, University of Bergen, Christiesgt. 13, N-5020 Bergen, Norway. Email: Ann.Knudsen@psych.uib.no

Footnotes

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These authors contributed equally to the work.

Declaration of interest

T.C. is an author of self-help books on chronic fatigue.

Footnotes

References

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1 Cairns, R, Hotopf, M. A systematic review describing the prognosis of chronic fatigue syndrome. Occup Med 2005; 55: 2031.
2 Leone, SS, Huibers, MJH, Kant, I, Van Schayck, CP, Bleijenberg, G, Knottnerus, JA. Long-term predictors of outcome in fatigued employees on sick leave: a 4-year follow-up study. Psychol Med 2006; 36: 1293–300.
3 Sivertsen, B, Overland, S, Bjorvatn, B, Maeland, JG, Mykletun, A. Does insomnia predict sick leave? The Hordaland Health Study. J Psychosomat Res 2009; 661: 6774.
4 Huibers, MJH, Kant, IJ, Swaen, GMH, Kasl, SV. Prevalence of chronic fatigue syndrome-like caseness in the working population: results from the Maastricht cohort study. Occup Environ Med 2004; 61: 464–6.
5 Harvey, SB, Wadsworth, M, Wessely, S, Hotopf, M. The relationship between prior psychiatric disorder and chronic fatigue: evidence from a national birth cohort study. Psychol Med 2008; 387: 933–40.
6 Sharpe, MC. A report – chronic fatigue syndrome – guidelines for research. J R Soc Med 1991; 84: 118–21.
7 Lewis, G, Pelosi, AJ, Araya, R, Dunn, G. Measuring psychiatric disorder in the community: a standardised assessment for use by lay interviewers. Psychol Med 1992; 222: 465–86.
8 Harvey, SB, Wessely, S, Kuh, D, Hotopf, M. The relationship between fatigue and psychiatric disorders: evidence for the concept of neurasthenia. J Psychosomat Res 2009; 66: 445–54.
9 Chalder, T, Berelowitz, G, Pawlikowska, T, Watts, L, Wessely, S, Wright, D, et al. Development of a fatigue scale. J Psychosomat Res 1993; 37: 147–53.
10 Jenkins, CD, Stanton, BA, Niemcryk, SJ, Rose, RM. A scale for the estimation of sleep problems in clinical research. J Clin Epidemiol 1988; 41: 313–21.
11 Skerrett, TN, Moss-Morris, R. Fatigue and social impairment in multiple sclerosis: the role of patients' cognitive and behavioral responses to their symptoms. J Psychosomat Res 2006; 615: 587–93.
12 Hoving, JL, van der Meer, M, Volkova, AY, Frings-Dresen, MH. Illness perceptions and work participation: a systematic review. Int Arch Occup Environ Health 2010; 836: 595605.
13 Scharloo, M, Kaptein, AA, Weinman, J, Hazes, JM, Willems, LN, Bergman, W, et al. Illness perceptions, coping and functioning in patients with rheumatoid arthritis, chronic obstructive pulmonary disease and psoriasis. J Psychosomat Res 1998; 445: 573–85.
14 Vlaeyen, JWS, Linton, SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain 2000; 853: 317–32.
15 van Rhenen, W, Schaufeli, WB, van Dijk, FJH, Blonk, RW. Coping and sickness absence. Int Arch Occup Environ Health 2008; 814: 461–72.
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Long-term sickness absence among patients with chronic fatigue syndrome

  • Ann Kristin Knudsen (a1), Max Henderson (a2), Samuel B. Harvey (a2) and Trudie Chalder (a2)
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