دانلود رایگان مقاله عوامل روانشناختی و جمعیت شناختی مرتبط با خستگی و سازگاری اجتماعی در افراد جوان مبتلا به سندرم خستگی شدید مزمن / آنسفالومیلیت میالژیک: یک مطالعه مقدماتی با روش های مختلط

This  mixed-methods  study  investigated  factors associated with fatigue, disability and school attendance in young  people  with  severe  CFS/ME.  Participants’  illness experiences   were   also   explored.   Questionnaires   were completed  at  baseline  (T1)  and  approximately  5 months later (T2). There were 51 participants aged between 12 and 25,  with  a  mean  age  of  18.8 years  (SD  3.4).  At  T1,  par- ticipants  reported  severe  fatigue  and  poor  social  adjust- ment. Stronger fear avoidance beliefs at T1 were associated with higher fatigue at T2, and with worse social adjustment at  T1  and  T2.  Female  gender  was  associated  with  lower work/school attendance at T1 and T2 but not with higher fatigue   or   worse   social   adjustment.   Having   accessed treatment  was  associated  with  reporting  lower  levels  of work/school attendance at T1 and T2. Multivariate analy- ses  of  key  outcomes  identified  significant  associations between  stronger  fear  avoidance  beliefs  and  worse  social adjustment  at  T2,  and  between  female  gender  and  lower work/school attendance at T2. It was clear from the qual- itative  data  that  severe  CFS/ME  negatively  impacted  on many aspects of young people’s lives. Fearful beliefs about activity   could   be   targeted   using   cognitive-behavioural interventions.