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Illness-Related Cognition, Distress and Adjustment in Functional Stroke Symptoms, Vascular Stroke, and Chronic Fatigue Syndrome, 2021, Jones, Chalder

Discussion in 'PsychoSocial ME/CFS Research' started by Sly Saint, Nov 24, 2021 at 5:55 PM.

  1. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    Illness-Related Cognition, Distress and Adjustment in Functional Stroke Symptoms, Vascular Stroke, and Chronic Fatigue Syndrome
    Abbeygail Jones
    ,
    Abigail Smakowski
    ,
    Alicia Hughes
    ,
    Anthony S. David
    , and Trudie Chalder


    Abstract.
    Background
    : High rates of psychological distress are reported in functional conditions and vascular stroke, but there is limited understanding of how patients with functional neurological symptoms in stroke settings respond to symptoms.

    Aims
    : This study compared patients with functional stroke symptoms to those with vascular stroke and chronic fatigue syndrome (CFS).

    Methods
    : A prospective cohort of 56 patients with functional stroke symptoms were age-gender matched to patients with vascular stroke and CFS. Analysis of variance compared groups on cognitive and behavioral responses to symptoms, psychological distress, and functioning. Sensitivity analyses controlled for known confounders. The proportions of clinical anxiety and depression were compared between groups.

    Results
    : The functional stroke symptom group had a higher proportion of clinical anxiety cases than the CFS group, and a higher proportion of clinical depression cases than the vascular stroke group. Patients with functional stroke symptoms reported the highest rate of “damage beliefs” and “all-or-nothing” behaviors and greater symptom focusing and resting behavior than patients with vascular stroke.

    Limitations
    : Larger cohorts and a longitudinal design would strengthen study findings.

    Conclusion
    : Compared to patients with vascular stroke or CFS, patients with functional stroke symptoms show a somewhat distinct profile of illness-related beliefs and behaviors, as well as higher rates of clinical anxiety. Understanding such group differences provides some insights into aetiology and cognitive-behavioral responses. Appropriate support and referral should be available to patients with functional stroke symptoms to address distress and reduce the likelihood of severe impairment.

    https://econtent.hogrefe.com/doi/10.1027/2512-8442/a000093
     
  2. InitialConditions

    InitialConditions Senior Member (Voting Rights)

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    North-West England
    Chalder coming up with the idea for this paper:

    D1s0vYHXcAEG5MW.jpg
     
  3. Trish

    Trish Moderator Staff Member

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    So irritating that the abstract contains no data. I assume the differences they list are cherry picked from a long list of questionnaire results. Whatever they found, the conclusion would always have been that the patients need psychological therapy.
     
    Mithriel, Sean, alktipping and 4 others like this.
  4. Amw66

    Amw66 Senior Member (Voting Rights)

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