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Participant attributions for global change ratings in unexplained chronic fatigue and chronic fatigue syndrome.

Authors
  • Friedberg, Fred1
  • Coronel, Janna2
  • Seva, Viktoria2
  • Adamowicz, Jenna L2
  • Napoli, Anthony2
Type
Published Article
Journal
Journal of health psychology
Publication Date
May 01, 2016
Volume
21
Issue
5
Pages
690–698
Identifiers
DOI: 10.1177/1359105314535458
PMID: 24913009
Source
Medline
Keywords
License
Unknown

Abstract

The purpose of this mixed methods study was to identify participants' attributions for their global impression of change ratings in a behavioral intervention for unexplained chronic fatigue and chronic fatigue syndrome. At 3-month follow-up, participants (N = 67) were asked "Why do you think you are (improved, unchanged, worse)?" Improved patients pointed to specific behavioral changes, unchanged patients referred to a lack of change in lifestyle, and worsened patients invoked stress and/or specific life events. Identifying patient perceptions of behaviors associated with patient global impression of change-rated improvement and non-improvement may assist in developing more effective management strategies in clinical care.

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