Elsevier

Journal of Psychiatric Research

Volume 30, Issue 1, January–February 1996, Pages 9-20
Journal of Psychiatric Research

Personality dimensions in the chronic fatigue syndrome: A comparison with multiple sclerosis and depression

https://doi.org/10.1016/0022-3956(95)00040-2Get rights and content

Abstract

This study investigated the relative rates of personality disturbance in chronic fatigue syndrome (CFS). Individuals who met the CDC criteria for CFS were compared to two other fatiguing illness groups, mild multiple sclerosis and depression, as well as sedentary healthy controls. Subjects were administered a structured psychiatric interview to determine Axis I psychiatric disorders and two self-report instruments to assess Axis II personality disorders and the personality trait of neuroticism. The depressed group had significantly more personality disorders and elevated neuroticism scores compared with the other three groups. The CFS and MS subjects had intermediary personality scores which were significantly higher than healthy controls. The CFS group with concurrent depressive disorder (34% of the CFS group) was found to account for most of the personality pathology in the CFS sample. The results are discussed in the context of the relationship between personality variables and fatiguing illness.

References (51)

  • M. Clark et al.

    The relevance of psychiatric research on somatization to the concept of chronic fatigue syndrome

  • P.T. Costa et al.

    Hypochondriasis, neuroticism, and aging

    American Psychologist

    (1985)
  • P.T. Costa et al.
  • P.T. Costa et al.

    Cross-sectional studies of personality in a national sample: 2. Stability in neuroticism extraversion and openness

    Psychology and Aging

    (1986)
  • P.T. Costa et al.

    Neuroticism, somatic complaints, and disease: Is the bark worse than the bite?

    Journal of Personality

    (1987)
  • J.M. Digman et al.

    Further specification of the five robust factors of personality

    Journal of Personality and Social Psychology

    (1986)
  • C.F. Duggan et al.

    Does recurrent depression lead to a change in neuroticism?

    Psychological Medicine

    (1991)
  • H.S. Freidman et al.

    The disease-prone personality

    American Psychologist

    (1987)
  • C.S. Gass

    MMPI-2 Interpretation and closed head injury: A correction factor

    Psychological Assessment: A Journal of Clinical and Consulting Psychology

    (1991)
  • P. Guthrie et al.

    A comparison of the differential diagnostic efficiency of three personality disorder inventories

    Journal of Clinical Psychology

    (1994)
  • R.M.A. Hirshfeld et al.

    Premorbid personality assessments of first onset of major depression

    Archives of General Psychiatry

    (1989)
  • G.P. Holmes et al.

    Chronic fatigue syndrome: a working case definition

    Annals of Internal Medicine

    (1988)
  • S.E. Hyler et al.

    PDQ-R: Personality Disorders Questionnaire—Revised

    (1987)
  • S.E. Hyler et al.

    Validity of the Personality Diagnostic Questionnaire—Revised: Comparison with two structured interviews

    American Journal of Psychiatry

    (1990)
  • J.B. Imboden et al.

    Convalescence from influenza

    Archives of Internal Medicine

    (1961)
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