The Relationship of Stress and Social Support on Physical and Psychological Well-being in Chronic Fatigue Syndrome (CFS) Patients, Flynn & Smith

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https://www.researchgate.net/publication/399488874_The_Relationship_of_Stress_and_Social_Support_on_Physical_and_Psychological_Well-being_in_Chronic_Fatigue_Syndrome_CFS_Patients

In: “The ones that got away.” Volume 1. Stress and Social Support.

Edited by Andrew P Smith.

Chapter 3: The Relationship of Stress and Social Support on Physical and Psychological Well-being in Chronic Fatigue Syndrome (CFS) Patients

Robert Flynn* & Andrew P Smith

Centre for Occupational and Health Psychology, Cardiff University E-mail: smithap@cardiff.ac.uk

*deceased

Our previous research (Chapter 2 in this volume) has raised the issue of the generalisability of models of well-being from healthy populations to chronically ill ones.

Stress and well-being

Chapter Two reported that stress had a detrimental effect on physical and psychological symptoms in healthy individuals. Those who experienced more signific ant stress reported poorer well-being. It was predicted that in CFS patients, higher levels of stress resulted in poorer physical and mental health.

Social support and health

Suppose models derived from healthy populations can be applied to patients with CFS. In that case, it is predicted that social support effects relate to psychological well-being and have little impact on physical symptoms. More specifically, it should correlate with depression an d have little influence on obsessional symptoms. Although anxiety and depression are highly correlated, a support-depression relationship may be maintained even when anxiety is controlled. Effects should be maintained when demographics and illness-related controlling variables are considered.

Social support models and the nature of social support

Among healthy individuals, no buffering effects were observed; support was restricted to main effects. This should be demonstrated among patients with CFS. No selective effects of ISEL subscales should be observed, as none have been established in healthy individuals.
 
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