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Onverklaarde chronische vermoeidheid

Jan Vandenbergen UGent, Stijn Vanheule UGent, Mattias Desmet UGent and Paul Verhaeghe UGent (2010) PSYCHOLOGIE & GEZONDHEID. 38(1). p.18-27
abstract
Research indicates that in functional somatic disorders the request for therapeutic help is related to either medical symptoms or interpersonal problems. We test whether a specific type of request for help is present in a sample of primary care patients with either chronic fatigue syndrome; a chronic cardiovascular or auto-immune disease; or a minor medical condition. In this study 155 primary care patients were recruited through 52 primary care practitioners: 52 chronic fatigue syndrome (CFS) patients; 52 patients with a cardiovascular or auto-immune disease; 51 patients with a minor medical condition. Interpersonal problems were assessed by means of the Inventory for Patients' Request for Help (HLV). Chronic Fatigue Syndrome was measured with the Checklist Individual Strength (CIS); alexithymia was assessed by means of the Toronto Alexithymia Scale (TAS-20); and the driven and impatient interpersonal functioning by the Jenkins Activity Survey (JAS). Results indicate that CFS patients have a significantly more consumer related request for help with the emphasis on symptom reduction. Prolonged and debilitating fatigue was significantly related to a request for medical and liaison-psychiatric help; a help request in a more impatient functioning is related to higher complaint behavior; and alexithymia was related to a request for specific medical aid. We found no specific therapeutic relationship in Chronic Fatigue Syndrome. We conclude that the exact status of the therapeutic relationship in CFS and cardiovascular or auto-immune disease remains undecided, but clearly the request for consumer help and symptom reduction is related to CFS as a population.
Please use this url to cite or link to this publication:
author
organization
alternative title
Help-seeking preferences and therapeutic relationship in unexplained chronic fatigue
year
type
journalArticle (original)
publication status
published
subject
keyword
FIBROMYALGIA, PSYCHOTHERAPY, PERSONALITY, FACTORIAL VALIDITY, RANDOMIZED CONTROLLED TRIAL, TORONTO-ALEXITHYMIA-SCALE, TRANSFERENCE, ATTRIBUTIONS, STYLE, RISK
journal title
PSYCHOLOGIE & GEZONDHEID
Psychol. Gezondh.
volume
38
issue
1
pages
18 - 27
Web of Science type
Article
Web of Science id
000276439700003
JCR category
PSYCHOLOGY
JCR impact factor
0.241 (2010)
JCR rank
69/72 (2010)
JCR quartile
4 (2010)
ISSN
1873-1791
language
Dutch
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
901178
handle
http://hdl.handle.net/1854/LU-901178
date created
2010-03-10 18:29:41
date last changed
2015-06-17 11:23:31
@article{901178,
  abstract     = {Research indicates that in functional somatic disorders the request for therapeutic help is related to either medical symptoms or interpersonal problems. We test whether a specific type of request for help is present in a sample of primary care patients with either chronic fatigue syndrome; a chronic cardiovascular or auto-immune disease; or a minor medical condition.
In this study 155 primary care patients were recruited through 52 primary care practitioners: 52 chronic fatigue syndrome (CFS) patients; 52 patients with a cardiovascular or auto-immune disease; 51 patients with a minor medical condition. Interpersonal problems were assessed by means of the Inventory for Patients' Request for Help (HLV). Chronic Fatigue Syndrome was measured with the Checklist Individual Strength (CIS); alexithymia was assessed by means of the Toronto Alexithymia Scale (TAS-20); and the driven and impatient interpersonal functioning by the Jenkins Activity Survey (JAS).
Results indicate that CFS patients have a significantly more consumer related request for help with the emphasis on symptom reduction. Prolonged and debilitating fatigue was significantly related to a request for medical and liaison-psychiatric help; a help request in a more impatient functioning is related to higher complaint behavior; and alexithymia was related to a request for specific medical aid. We found no specific therapeutic relationship in Chronic Fatigue Syndrome.
We conclude that the exact status of the therapeutic relationship in CFS and cardiovascular or auto-immune disease remains undecided, but clearly the request for consumer help and symptom reduction is related to CFS as a population.},
  author       = {Vandenbergen, Jan and Vanheule, Stijn and Desmet, Mattias and Verhaeghe, Paul},
  issn         = {1873-1791},
  journal      = {PSYCHOLOGIE \& GEZONDHEID},
  keyword      = {FIBROMYALGIA,PSYCHOTHERAPY,PERSONALITY,FACTORIAL VALIDITY,RANDOMIZED CONTROLLED TRIAL,TORONTO-ALEXITHYMIA-SCALE,TRANSFERENCE,ATTRIBUTIONS,STYLE,RISK},
  language     = {dut},
  number       = {1},
  pages        = {18--27},
  title        = {Onverklaarde chronische vermoeidheid},
  volume       = {38},
  year         = {2010},
}

Chicago
Vandenbergen, Jan, Stijn Vanheule, Mattias Desmet, and Paul Verhaeghe. 2010. “Onverklaarde Chronische Vermoeidheid.” Psychologie & Gezondheid 38 (1): 18–27.
APA
Vandenbergen, J., Vanheule, S., Desmet, M., & Verhaeghe, P. (2010). Onverklaarde chronische vermoeidheid. PSYCHOLOGIE & GEZONDHEID, 38(1), 18–27.
Vancouver
1.
Vandenbergen J, Vanheule S, Desmet M, Verhaeghe P. Onverklaarde chronische vermoeidheid. PSYCHOLOGIE & GEZONDHEID. 2010;38(1):18–27.
MLA
Vandenbergen, Jan, Stijn Vanheule, Mattias Desmet, et al. “Onverklaarde Chronische Vermoeidheid.” PSYCHOLOGIE & GEZONDHEID 38.1 (2010): 18–27. Print.