Perfectionism and beliefs about emotions in adolescents with chronic fatigue syndrome and their parents: a preliminary investigation in a case control study nested within a cohort

Objectives: To investigate perfectionism and beliefs about emotions in adolescents with chronic fatigue syndrome (CFS) and their parents.

Design: Case-control comparing adolescents (age 11–18) with CFS (N?=?121), asthma (N?=?27) and healthy controls (N?=?78) with a 3-month follow up for CFS participants.

Main outcome measures: Adolescents: Chalder Fatigue Questionnaire, physical functioning, Beliefs about Emotions scale (BES), Child and Adolescent Perfectionism Scale, Frost Multidimensional Perfectionism Scale (FMPS). Parents: BES, FMPS, Self—sacrificing scale, Affective styles questionnaire.

Results: Adolescents with CFS did not consistently report higher levels of perfectionism and unhelpful beliefs about emotions than adolescents with asthma or healthy adolescents. Mothers’ and adolescents’ beliefs about emotions and unhelpful perfectionism were significantly associated (p = .007). Linear regression found that neither adolescent perfectionism nor beliefs about emotions accounted for variance in subsequent fatigue or physical functioning.

Conclusion: Parental perfectionism and emotion regulation style may contribute to perfectionism in adolescents with CFS. Parental representations could contribute to fatigue maintenance.     

Emotion recognition and emotional theory of mind in chronic fatigue syndrome

Background: Difficulties with social function have been reported in chronic fatigue syndrome (CFS), but underpinning factors are unknown. Emotion recognition, theory of mind (inference of another's mental state) and ‘emotional’ theory of mind (eToM) (inference of another's emotional state) are important social abilities, facilitating understanding of others. This study examined emotion recognition and eToM in CFS patients and their relationship to self-reported social function.

Methods: CFS patients (n?=?45) and healthy controls (HCs; n?=?50) completed tasks assessing emotion recognition, basic or advanced eToM (for self and other) and a self-report measure of social function.

Results: CFS participants were poorer than HCs at recognising emotion states in the faces of others and at inferring their own emotions. Lower scores on these tasks were associated with poorer self-reported daily and social function. CFS patients demonstrated good eToM and performance on these tasks did not relate to the level of social function.

Conclusions: CFS patients do not have poor eToM, nor does eToM appear to be associated with social functioning in CFS. However, this group of patients experience difficulties in emotion recognition and inferring emotions in themselves and this may impact upon social function.     

Patients with chronic fatigue syndrome do not score higher on the autism‐spectrum quotient than healthy controls: Comparison with autism spectrum disorder

Clinically, there is an overlap of several symptoms of chronic fatigue syndrome (CFS ) and autism spectrum disorder (ASD ), including fatigue; brain “fog”; cognitive impairments; increased sensitivity to sound, light, and odour; increased pain and tenderness; and impaired emotional contact. Adults with CFS (n = 59) or ASD (n = 50) and healthy controls (HC ; n = 53) were assessed with the Autism‐Spectrum Quotient (AQ ) in a cross‐sectional study. Non‐parametric analysis was used to compare AQ scores among the groups. Univariate analysis of variance (ANCOVA ) was used to identify if age, sex, or diagnostic group influenced the differences in scores. Patients with ASD scored significantly higher on the AQ than the CFS group and the HC group. No differences in AQ scores were found between the CFS and HC groups. AQ results were influenced by the diagnostic group but not by age or sex, according to ANCOVA . Despite clinical observations of symptom overlap between ASD and CFS , adult patients with CFS report few autistic traits in the self‐report instrument, the AQ . The choice of instrument to assess autistic traits may influence the results.     

Coping mediates between social support,neuroticism, and depression after earthquake and examination stress among adolescents

Abstract

The objective of this study was to investigate the mediating role of coping strategies in the relationships between neuroticism, social support, and depression in two groups of adolescents: earthquake group and examination group. Adolescents facing earthquake stress (earthquake group, N=219) completed measures of neuroticism, perceived social support, coping strategies, and self-rating depression. Similarly, adolescents facing examination stress (examination group, N=241) completed the same measures. Results indicated that the earthquake group reported more use of secondary control engagement coping, whereas the examination group reported more use of primary control engagement coping. In addition, neuroticism was more strongly associated with coping in earthquake group and coping strategies explained significantly larger part of the relationship between neuroticism and depression. In contrary, perceived social support was more strongly associated with coping in examination group, and coping strategies explained significantly larger part of the relationship between perceived social support and depression.     

Adaptive and Maladaptive Perfectionism,Adult Attachment,and Big Five Personality Traits

The author examined the role of anxiety and avoidance dimensions of attachment and Big Five personality traits in adaptive and maladaptive dimensions of perfectionism among 604 (377 male, 227 female) Turkish university students. The results of 2 separate multiple regression analyses yielded that adaptive perfectionism was significantly predicted by conscientiousness, openness, and extraversion. Maladaptive perfectionism was significantly predicted by the neuroticism, anxiety, and avoidance dimensions of attachment. The authors discuss the implications, limitations, and future directions for research.     

Development of a measure of symptoms in chronic fatigue syndrome: The profile of fatigue-related symptoms(pfrs)

Abstract

Chronic fatigue syndrome (CFS) is a disorder of uncertain aetiology which attracts increasing research interest. This paper describes the development of a multidimensional measure incorporating the diverse symptoms associated with the illness. The Profile of Fatigue-Related Symptoms (PFRS) has four scales: emotional distress, cognitive difficulty, fatigue and somatic symptoms. These showed good convergence with comparison measures, high reliability and high internal consistency. CFS patients had markedly elevated scores compared with a student comparison group, and these scores correlated with indices of illness severity. The PFRS is a short and easily administered measure which, it is suggested, may be used to assess patients in terms of the severity and pattern of their disorder, to relate subjective symptoms to immunological and other findings, to evaluate the effects of treatments, and to compare the symptomatology of CFS with that in other fatiguing illnesses.     

Prevalence and correlates of disordered eating in female figure skaters

ObjectivesThe purposes of this study were to (a) examine the prevalence of disordered eating among female figure skaters, (b) compare levels of disordered eating between skaters and their same-age peers, (c) compare levels of disordered eating between elite skaters and their sub-elite counterparts, and (d) examine general and sport-related correlates of disordered eating (i.e., four sport-related weight pressures, general and sport-related body dissatisfaction, positive and negative perfectionism, self-esteem, and athletic identity).DesignThis study employed a cross-sectional design.MethodsParticipants completed paper–pencil surveys, including measures for disordered eating, four sport-related weight pressures, general and sport-related body dissatisfaction, positive and negative perfectionism, self-esteem, and athletic identity. Participants included 272 female figure skaters ages 12–25 (M = 15.63) across five US states.ResultsThirteen percent of participants scored within range of problematic eating attitudes and behaviors but were no more symptomatic than their same-age peers when compared to existing normative data. Levels of disordered eating did not significantly differ between those competing at the elite and sub-elite level. After controlling for body mass index and age, disordered eating was significantly predicted by self-consciousness of weight and appearance, general and sport-related body dissatisfaction, and positive perfectionism.ConclusionsDisordered eating occurs in female figure skaters across competitive levels. Concern over weight and appearance, dissatisfaction with one's body in general and in sport, and positive perfectionism may serve as important tools in the prevention and detection of disordered eating in female figure skaters.     

Muscle force compensation among synergistic muscles after fatigue of a single muscle

PurposeThe aim of this study was to examine control strategies among synergistic muscles after fatigue of a single muscle. It was hypothesized that the compensating mechanism is specific for each fatigued muscle.MethodsThe soleus (SOL), gastrocnemius lateralis (GL) and medialis (GM) were fatigued in separate sessions on different days. In each experiment, subjects (n = 11) performed maximal voluntary contractions prior to and after fatiguing a single muscle (SOL, GL or GM) while the voluntary muscle activity and torque were measured. Additionally, the maximal single twitch torque of the plantarflexors and the maximal spinal reflex activity (H-reflex) of the SOL, GL and GM were determined. Fatigue was evoked using neuromuscular stimulation.ResultsFollowing fatigue the single twitch torque decreased by −20.1%, −19.5%, and −23.0% when the SOL, GL, or GM, have been fatigued. The maximal voluntary torque did not decrease in any session but the synergistic voluntary muscle activity increased significantly. Moreover, we found no alterations in spinal reflex activity.ConclusionsIt is concluded that synergistic muscles compensate each other. Furthermore, it seems that self-compensating mechanism of the fatigued muscles occurred additionally. The force compensation does not depend on the function of the fatigued muscle.     

The role of perfectionism,agreeableness, and neuroticism in predicting dyadic adjustment

Research has suggested that perfectionism, agreeableness, and neuroticism may influence relationship adjustment; however, these personality variables have not been examined in conjunction when considering relationship adjustment. In a sample of 222 university students (95 male, 126 female), the perfectionism dimensions of concern over mistakes and parental criticism were found to be significantly negatively related to dyadic adjustment. Agreeableness and neuroticism were also significantly negatively related to dyadic adjustment, and accounted for significant variance in explaining dyadic adjustment, while perfectionism dimensions did not. The results suggest that while negative aspects of perfectionism, such as concern over mistakes, have an impact on dyadic adjustment, the personality variables of agreeableness and neuroticism have a more salient impact. The implications of these findings for research in interventions for perfectionism and relationship adjustment are discussed.     

Integrating five-factor model facet-level traits with the theory of planned behavior and exercise

ObjectivesThe purpose of this study was to examine direct, indirect, and moderating links between facet-level personality traits of the five-factor model, the theory of planned behavior (TPB) constructs [Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.], and exercise behavior.DesignCross-sectional.MethodUniversity students (N = 507) completed the NEO-PI-R [Costa, P. T., McCrae, R. R. (1992). The NEO-PI-R personality inventory: Professional manual. Odessa, FL: Psychological Assessment Resources.], the Leisure-time Exercise Questionnaire [Godin, G., Shephard, R. J. (1985). A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Science, 10, 141–146.], and measures assessing the TPB constructs.ResultsPreliminary analysis revealed the extraversion and conscientiousness facet-level traits of activity and self-discipline respectively were independent predictors of exercise behavior. An integrated structural model with both facet-level traits revealed that 46% of the variance in exercise behavior and 70% of the variance in intention was explained. Significant indirect effects of activity and self-discipline and the TPB constructs of affective attitude, instrumental attitude, and subjective norm, on exercise behavior through intention and perceived behavioral control were also observed. Finally, the anxiety facet trait of neuroticism significantly moderated the intention–behavior relationship.ConclusionsOur findings showed that the facet-level personality traits of activity and self-discipline are important motivational variables that link the TPB constructs to exercise behavior. Future research that integrates personality with the TPB within experimental interventions is warranted.     

Intuitive Heuristics Linking Perfectionism, Control, and Beliefs Regarding Body Shape in Eating Disorders

A number of correlational studies have established a clear association between perfectionism, control and beliefs regarding body shape in eating disorders (EDs). The aim of this study is to test the effectiveness of the above- mentioned associations in exploring the presence of intuitive heuristics. Intuitive heuristics can be conceived as as mental shortcuts, cognitive processes that are highly susceptible to irrational biases. Forty one non clinical female controls and 27 in-patient females with an ED diagnosis participated in an experimental task that tested whether participants would show an intuitive rather than a logically based link between perfectionism in different domains (study, work, hygiene) and a thin body shape. In the healthy female participants the occurrence of proposed link was noted in the hygiene domain only, while ED participants showed this intuitive association in all the domains explored: study, work, and hygiene. The study confirms in clinical ED sample a wider employment of heuristics associating perfectionism and thinness that is based on purely intuitive irrational reasoning.     

Two sides of the same coin? On the history and phenomenology of chronic fatigue and burnout

Background: Burnout and chronic fatigue syndrome (CFS) are two fatigue syndromes which have developed largely independently from each other, yet whose similarities in symptoms can be a source of confusion. We aim to explore the phenomenology of burnout and CFS in a historical context as this may provide some insight into the links and relationship between these conditions. Method: A narrative review based on literature in the fields of history, social science and medicine. Results: The origins of CFS lie within medicine, whereas burnout developed in a psychological setting. As well as symptoms, burnout and CFS also share similar themes such as an overload process triggering illness onset, the need for restoration of depleted energy, external causal attributions and the characteristics of people suffering from these illnesses. However, these themes are expressed in either psychological or medical terms according to the historical background. Conclusion: Despite their similarities, there have been few direct comparisons of the two concepts. Culture, illness perceptions and accountability are important issues in both conditions and could contribute to their differences. Comparing burnout and CFS within one sample frame, thus looking beyond the psychology/medicine divide, could be a useful first step towards understanding their relationship.     

Editorial

Fatigue is among the most common and disabling symptoms in multiple sclerosis (MS). However, the relationship of perfectionism to fatigue in MS patients remains poorly understood. One hundred and twenty MS patients (79 women, 41 men) were compared with 120 healthy individuals (79 women, 41 men) to explore whether differences exist between the two groups with respect to perfectionistic characteristics and to investigate whether dimensions of positive and negative perfectionism are related to the symptomatology of fatigue. All participants were asked to complete the positive and negative perfectionism scale (PANPS), the modified fatigue impact scale (MFIS), the fatigue severity scale (FSS) and the Beck depression inventory (BDI). The results revealed that the MS group reported lower levels of positive perfectionism and higher levels of negative perfectionism as well as depressive symptoms than the control group. Perfectionism was also significantly related to fatigue symptoms in both groups. These findings suggest that the fatigue symptoms are strongly associated with perfectionistic characteristics. The negative (maladaptive) dimension of perfectionism may play a predisposing role in the development and/or perpetuation of fatigue in MS patients. The findings are discussed within the scope of current literature and implications for clinical applications are suggested.     

Associations between personality and driving behavior are mediated by mind-wandering tendency: A cross-national comparison of Australian and Italian drivers

ObjectiveThis study examined the associations between personality traits (i.e., neuroticism, extraversion, openness, agreeableness, and conscientiousness) and aberrant driving behaviors in a sample of Australian and Italian drivers by investigating the mediation effect of mind-wandering (MW) tendency.BackgroundAlthough unsafe driving behaviors are influenced by both a driver’s MW tendency and personality traits, the potential interaction between these variables and their association with aberrant driving behaviors has not been previously investigated.MethodNine-hundred and four active drivers (n = 452 Australians, n = 452 Italians) completed an online survey related to their self-reported personality traits, driving behaviors, and MW tendency.ResultsA multi-group path analysis showed that MW tendency significantly mediated the effects of neuroticism, extraversion, and conscientiousness on aberrant driving behavior with invariances across nationality groups.ConclusionThese results suggest that the association between personality traits and aberrant driving behaviors is partially explained by a driver’s MW tendency while driving. Further research is needed to understand these relationships using objective measures of MW while driving (e.g., the probe-caught method). The findings of this study suggest that the assessment of personality traits may have important implications for inattentive and distracted driving and fitness-to-drive evaluation purposes.     

Telephone-based guided self-help for adolescents with chronic fatigue syndrome: A non-randomised cohort study

The aim of this study was to gain preliminary evidence about the efficacy of a new telephone-based guided self-help intervention, based on cognitive-behavioural principles, which aimed to reduce fatigue and improve school attendance in adolescents with chronic fatigue syndrome (CFS). A non-randomised cohort design was used, with a two-month baseline period. Sixty-three 11–18 year-old participants recruited from a specialist CFS unit received the intervention. Participants received six half-hour fortnightly telephone sessions and two follow-up sessions. Fatigue and school attendance were the main outcomes and the main time point for assessing outcome was 6 months post-treatment. Using multi-level modelling, a significant decrease in fatigue was found between pre-treatment and 6 month follow-up, treatment effect estimate = – 5.68 (?7.63, ?3.72), a large effect size (Cohen's d = 0.79). The decrease in fatigue between pre and post-treatment was significantly larger than between baseline and pre-treatment. A significant increase in school attendance was found between pre-treatment and 6 month follow-up, effect estimate = 1.38 (0.76, 2.00), a medium effect size (d = ?0.48). Univariate logistic regression found baseline perfectionism to be associated with poorer school attendance at six-month follow-up. In conclusion, telephone-based guided self-help is an acceptable minimal intervention which is efficacious in reducing fatigue in adolescents with CFS.     

Therapist effects and the dissemination of cognitive behavior therapy for chronic fatigue syndrome in community-based mental health care

ObjectiveThe purpose of the present study was to explore the role of the therapist in the dissemination of manualized cognitive behavior therapy (CBT) for chronic fatigue syndrome (CFS) outside specialized treatment settings.MethodWe used the routinely collected outcome data of three community-based mental health care centers (MHCs) which implemented and sustained CBT for CFS during the course of the study. Ten therapists, who all received the same training in CBT for CFS, and 103 patients with CFS were included.ResultsRandom effects modeling revealed a significant difference in mean post-treatment fatigue between therapists. The effect of the therapist accounted for 21% of the total variance in post-treatment fatigue in our sample. This effect could be explained by the therapists’ attitude toward working with evidence-based treatment manuals as well as by the MHC where CBT for CFS was delivered.ConclusionThe context in which CBT for CFS is delivered may play an important role in the accomplishment of established therapy effects outside specialized treatment settings. Due to the small sample size of MHCs and the different implementation scenarios in which they were engaged, our findings should be interpreted as preliminary results which are in need for replication.     

Personality,self-efficacy and risk-taking in parkour (free-running)

ObjectiveTo assess the effect of self-efficacy on the relationship between personality and risk-taking in parkour/free-running, a growing high-risk sport.DesignQuantitative cross-sectional study.Method277 parkour and free-running practitioners were recruited online to complete a survey assessing Big Five personality traits, self-efficacy and perceived risk-taking.ResultsGreater reckless risk-taking behaviours were associated with high neuroticism (p = .013) and low conscientiousness (p = .004). Mediation analysis showed that self-efficacy exerted a significant (95% CI) indirect mediation on the relationship between personality traits of neuroticism and conscientiousness, and risk-taking. Extraversion did not predict risk-taking, and was not significantly mediated by self-efficacy.ConclusionsSelf-efficacy plays a significant mediation role in the relationship between stable traits of neuroticism and conscientiousness, and risk-taking amongst parkour/free-running practitioners. This may help elucidate reasons underlying risky sports behaviours.     

Examination of the Association Among Personality Traits,Anxiety Sensitivity,and Cannabis Use Motives in a Community Sample

Personality factors, such as neuroticism, are important for understanding motives for cannabis use; however, few studies have examined the role of neuroticism in the context of other personality factors, or possible mechanisms accounting for an association between neuroticism and motives for use. The present study examined concurrent associations between personality traits (i.e., conscientiousness, extraversion, agreeableness, and neuroticism) and cannabis use motives, and the role of anxiety sensitivity (AS) in the association between neuroticism and coping cannabis use motives. Seventy young adults endorsing past-month cannabis use (58.6 % female, M _age = 20.91) completed self-report measures. Linear regressions were conducted to examine the concurrent associations between personality factors and cannabis use motives. Higher levels of neuroticism, but no other personality traits, were significantly associated with greater coping (β = 45, p < .01) and expansion (β = 0.29, p = <.05) motives. Bootstrap analysis (10,000 re-samples) revealed that a significant portion of the relationship between neuroticism and coping motives was explained by AS (point estimate = 0.029, PB 95 % CI: 0.0089 to 0.0615). Greater neuroticism may result in heightened sensitivity to arousal, which may then increase motivation to use cannabis to alleviate such arousal.     

Insomnia symptoms are associated with elevated C-reactive protein in young adults

Abstract

Objective: Insomnia is associated with elevated inflammation; however, studies have not investigated if this relationship is confounded with depression and neuroticism, which are associated with insomnia and inflammation. The current study examined the association of insomnia symptoms with C-reactive protein (CRP) and with interleukin-6 (IL-6), independently and after controlling for depressive symptoms and neuroticism. Design: Fifty-two young adults (mean age?=?25.2?±?3.9 years, 52% female) completed a baseline survey to assess psychological characteristics, followed by a plasma blood draw. Main outcome measures: Plasma CRP and IL-6. Results: When examined alone, insomnia symptoms were significantly associated with elevated CRP (β?=?0.52; R²?=?0.27), as was neuroticism (β?=?0.41, R²?=?0.17), but not depressive symptoms (β?=?0.21, R²?=?0.05). The association between insomnia symptoms and CRP remained significant when depressive symptoms and neuroticism were entered into the model simultaneously; this model did not explain more variance than the model with insomnia symptoms alone. No variables were associated with IL-6. Conclusions: Results suggest that insomnia symptoms are independently associated with elevated CRP in young adults, even after controlling for presumed overlapping psychological constructs. Findings highlight the potential importance of treating insomnia to reduce systemic inflammation.     

Perfectionism Dimensions and the Five‐factor Model of Personality

This study of university students (n = 357) and community adults (n = 223) examined personal standards (PS) and evaluative concerns (EC) higher‐order dimensions of perfectionism that underlie several measures from three different theoretical frameworks. In both students and community adults, confirmatory factor analyses supported PS perfectionism and EC perfectionism higher‐order latent factors. In relation to the revised NEO Personality Inventory, PS perfectionism was primarily related to conscientiousness and achievement striving. In contrast, EC perfectionism was primarily related to neuroticism, and lower positive emotions, trust and competence. EC perfectionism accounted for unique variance in current depressive and anxious symptoms over and above the five‐factor domain scores. Copyright © 2011 John Wiley & Sons, Ltd.