Vulnerability to Chronic Fatigue Syndrome: Considering the Role of Personality Traits and Vocational Status : Vulnerability to chronic fatigue syndrome

Houman Daryoushi; Maryam Hossini; Fatemeh Abazari; Nader Abazari

Authors

Houman Daryoushi Department of Pediatric, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
Maryam Hossini Department of Psychology, University of Roudehen, Tehran, Iran
Fatemeh Abazari Department of Psychology,University of Allameh Tabatabayi, Tehran, Iran
Nader Abazari Department of Psychology, Shahed University of Tehran, Tehran, Iran

Keywords:

Myalgia, Pain, Psychological Distress, Personality, chronic fatigue.

Abstract

Introduction:Chronic fatigue syndrome (CFS) is a complex disorder characterized by severe fatigue with no known cause. Any medical condition does not justify chronic fatigue syndrome, and fatigue may be exacerbated by physical, mental, or physical activity but does not improve with rest. This paper, gives an account of clarification on vulnerability to chronic fatigue syndrome, considering the role of personality traits and vocational status.

Methods: This study was a descriptive-analytical-cross-sectional study. The statistical population of this study included police officers, employees of fire departments, and administrative staff. The total number of samples was 273 through convenience sampling method. The executive stages of the work carried out in Kermanshah province between December 2019 and April 2020. The NEO questionnaire and the fatigue impact scale were used to evaluate the variables. Also, in order to check possible psychiatric symptoms, SCID-5 were used. The data analysis performed via T-test and regression using SPSS-22 software.

Results: The results showed that most of the surveyed people were married, in addition, the sampled people in the firemen group had the lowest level of education, and on the contrary, the administrative staff had the highest level of education. The findings clearly indicate that Job differences could not predict chronic fatigue syndrome, while some personality traits did it significantly.

Conclusion: In the end, findings illustrate that firstly, despite the differences between the vocational status, the effects of cognitive, physical, and social fatigue were observed in all three groups equally. The latter is related to the summary of the fatigue prediction model based on personality traits in which demonstrated that three subscales of personality traits, consisting of neuroticism, openness, and extraversion, significantly predicted the effect of fatigue. By and large, this study has found that in order to prevent vulnerability to chronic fatigue syndrome, changing the job status will not necessarily be fruitful, hereupon, the psychological attempts namely life skills training, time management, targeting skill training, self-expression training and teaching the skill of saying no, according to the needs caused by personality traits may be more profitable.

References

- Thomas N, Gurvich C, Huang K, Gooley PR, Armstrong CW. The underlying sex differences in neuroendocrine adaptations relevant to Myalgic Encephalomyelitis Chronic Fatigue Syndrome. Frontiers in Neuroendocrinology. 2022 Apr 11:100995.

- Stevelink SA, Mark KM, Fear NT, Hotopf M, Chalder T. Chronic fatigue syndrome and occupational status: A retrospective longitudinal study. Occupational Medicine. 2022 Apr;72(3):177-83.

- van Campen CL, Visser FC. Psychogenic Pseudosyncope: Real or Imaginary? Results from a Case-Control Study in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Patients. Medicina. 2022 Jan;58(1):98.

- Lim EJ, Son CG. Review of case definitions for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Journal of translational medicine. 2020 Dec;18(1):1-0.

- Monden R, Rosmalen JG, Wardenaar KJ, Creed F. Predictors of new onsets of irritable bowel syndrome, chronic fatigue syndrome and fibromyalgia: the lifelines study. Psychological medicine. 2022 Jan;52(1):112-20.

- Khanpour Ardestani S, Karkhaneh M, Stein E, Punja S, Junqueira DR, Kuzmyn T, Pearson M, Smith L, Olson K, Vohra S. Systematic review of mind-body interventions to treat myalgic encephalomyelitis/chronic fatigue syndrome. Medicina. 2021 Jul;57(7):652.

- Cheshire A, Ridge D, Clark LV, White PD. Sick of the sick role: narratives of what “recovery” means to people with CFS/ME. Qualitative health research. 2021 Jan;31(2):298-308.

- Calvo N, Pueyo N, Gutiérrez F, Ferrer M, Castro-Marrero J, Alegre J, Casas M, Ramos Quiroga JA, Sáez-Francàs N. Dimensional personality assessment among a chronic fatigue syndrome (CFS) sample with Personality Inventory for DSM-5 (PID-5). Actas espanolas de psiquiatria. 2018 Jul.

- Geraghty KJ, Blease C. Myalgic encephalomyelitis/chronic fatigue syndrome and the biopsychosocial model: a review of patient harm and distress in the medical encounter. Disability and rehabilitation. 2019 Dec 4;41(25):3092-102.

- Geraghty K, Jason L, Sunnquist M, Tuller D, Blease C, Adeniji C. The ‘cognitive behavioural model’of chronic fatigue syndrome: Critique of a flawed model. Health Psychology Open. 2019 Apr;6(1):2055102919838907.

- van Geelen SM, Sinnema G, Hermans HJ, Kuis W. Personality and chronic fatigue syndrome: methodological and conceptual issues. Clinical psychology review. 2007 Dec 1;27(8):885-903.

- White C, Schweitzer R. The role of personality in the development and perpetuation of chronic fatigue syndrome. Journal of psychosomatic research. 2000 Jun 1;48(6):515-24.

- Deary V, Chalder T. Personality and perfectionism in chronic fatigue syndrome: a closer look. Psychology and Health. 2010 Apr 1;25(4):465-75.

- Athar ME, Ebrahimi A. Psychometric properties and factor structure of the personality inventory for DSM-5–brief form (PID-5-BF) in Iranian student and clinical samples.

- Heidari M, Nabavi SM, Akbarfahimi M, Salehi M, Torabi-Nami M. Psychometric properties of the Persian version of the Fatigue Impact Scale (FIS-P) in patients with Multiple Sclerosis. Iranian Rehabilitation Journal. 2015 Sep 10;13(3):32-8.

- van’t Leven M, Zielhuis GA, van der Meer JW, Verbeek AL, Bleijenberg G. Fatigue and chronic fatigue syndrome-like complaints in the general population. European journal of public health. 2010 Jun 1;20(3):251-7.

- Taylor RR, Kielhofner GW, Abelenda J, Colantuono K, Fong T, Heredia R, Kulkarni S, Vazquez E. An approach to persons with chronic fatigue syndrome based on the model of human occupation: Part one, impact on occupational performance and participation. Occupational Therapy in Health Care. 2003 Jan 1;17(2):47-61.

- Richman JA, Jason LA. Gender biases underlying the social construction of illness states: The case of chronic fatigue syndrome. Current Sociology. 2001 May;49(3):15-29.

- Wieder L, Brown R, Thompson T, Terhune DB. Suggestibility in functional neurological disorder: a meta-analysis. Journal of Neurology, Neurosurgery & Psychiatry. 2021 Feb 1;92(2):150-7.

- Yin JH, Lin YK, Yang CP, Liang CS, Lee JT, Lee MS, Tsai CL, Lin GY, Ho TH, Yang FC. Prevalence and association of lifestyle and medical‐, psychiatric‐, and pain‐related comorbidities in patients with migraine: A cross‐sectional study. Headache: The Journal of Head and Face Pain. 2021 May;61(5):715-26.

- Strassheim V, Newton JL, Collins T. Experiences of Living with Severe Chronic Fatigue Syndrome/Myalgic Encephalomyelitis. InHealthcare 2021 Feb (Vol. 9, No. 2, p. 168). Multidisciplinary Digital Publishing Institute.

- Bartlett C, Hughes JL, Miller L. Living with myalgic encephalomyelitis/chronic fatigue syndrome: Experiences of occupational disruption for adults in Australia. British Journal of Occupational Therapy. 2021 May 27:03080226211020656.

- Dennison L, Stanbrook R, Moss‐Morris R, Yardley L, Chalder T. Cognitive behavioural therapy and psycho‐education for chronic fatigue syndrome in young people: Reflections from the families' perspective. British journal of health psychology. 2010 Feb;15(1):167-83.

- Baloh RW. Medically unexplained symptoms: A brain-centered approach. Springer Nature; 2020 Dec 1.

- Mohammadkhani P, Forouzan AS, Hooshyari Z, Abasi I. Psychometric properties of Persian version of structured clinical interview for DSM-5-research version (SCID-5-RV): a diagnostic accuracy study. Iranian Journal of Psychiatry and Behavioral Sciences. 2020 Jun 30;14(2).

Vulnerability to Chronic Fatigue Syndrome: Considering the Role of Personality Traits and Vocational Status