Emotional processing and chronic fatigue syndrome

Chalder, Trudie; Hill, Kirsty

doi:10.1080/02668734.2012.678644

Cited by 6 publications

(3 citation statements)

References 61 publications

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“…Moreover, difficulties in emotional awareness capacity have been shown to be a strong moderator of treatment effectiveness in both CBT and psychodynamic psychotherapy (Beutel, Scheurich, Knebel et al ., ). Given that existing CBT treatments for CFS have a moderate effect (White, Goldsmith, Johnson et al ., ) and that CFS patients both report and have a hampered emotional awareness capacity, an increased focus on emotional awareness could enhance treatment outcome (Chalder & Hill, ; Moss‐Morris, ). Simply adding two 30‐minute psycho‐educative sessions of emotional awareness training to standard medical treatment led to a more decreased pain intensity for patients with Irritable Bowel Syndrome (IBS; Farnam, Somi, Farhang, Mahdavi & Besharat, ), a very common comorbid diagnosis of CFS (Riedl, Schmidtmann, Stengel et al ., ).…”

Section: Discussionmentioning

confidence: 99%

Differences in alexithymia and emotional awareness in exhaustion syndrome and chronic fatigue syndrome

Maroti

Molander

Bilevičiūtė-Ljungar

2016

Scandinavian J Psychology

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Symptoms of Exhaustion Syndrome (ES) and Chronic Fatigue Syndrome (CFS) are overlapping and create difficulties of differential diagnosis. Empirical studies comparing ES and CFS are scarce. This study aims to investigate if there are any emotional differences between ES and CFS. This cross-sectional study compared self-reported alexithymia and observer-rated emotional awareness in patients with ES (n = 31), CFS (n = 38) and healthy controls (HC) (n = 30). Self-reported alexithymia was measured with the Toronto Alexithymia Scale-20 (TAS-20) and emotional awareness with an observer-rated performance test, the Level of Emotional Awareness Scale (LEAS). Additionally, depression and anxiety were scored by the Hospital Anxiety and Depression Scale (HADS). Results show that patients with ES expressed higher self-reported alexithymia in the TAS-20 compared to HC, but had similar emotional awareness capacity in the observer-rated performance test, the LEAS. Patients with CFS expressed more difficulties in identifying emotions compared to HCs, and performed significantly worse in the LEAS-total and spent more time completing the LEAS as compared to HC. Correlation and multiple regressions analyses revealed that depression and anxiety positively correlated with and explained part of the variances in alexithymia scores, while age and group explained the major part of the variance in LEAS. Findings of this study indicate that emotional status is different in patients with ES and CFS with respect to both self-reported alexithymia and observer-rated emotional awareness. Emotional parameters should be approached both in clinical investigation and psychotherapy for patients with ES and CFS.

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Section: Discussionmentioning

confidence: 99%

Differences in alexithymia and emotional awareness in exhaustion syndrome and chronic fatigue syndrome

Maroti

Molander

Bilevičiūtė-Ljungar

2016

Scandinavian J Psychology

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“…Research has shown that the emotional responses of individuals experiencing fatigue can range from impatience to emotional numbness ( Olson, 2007 ). And in cases of chronic fatigue, individuals are more likely to repress or hide their emotions, resulting in a reluctance to seek social support ( Chalder and Hill, 2012 ; Brooks et al, 2017 ). Furthermore, individuals who experienced mental fatigue after the prolonged cognitive activity had significantly more fatigue and negative emotions and significantly less attention and positive emotions during the task ( Li et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of mindfulness and fatigue on emotional processing: an event-related potentials study

Fan

Lin

et al. 2023

Front. Behav. Neurosci.

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Fatigue is a common experience in everyday life. People who experience fatigue will have more intense negative emotions, and at the same time, their positive emotions will decrease, impairing the individual’s emotional processing ability. In previous research, mindfulness meditation reduces the intensity of negative emotional stimuli. However, if individuals continue to be affected by negative emotions when they are fatigued, it is unclear whether mindfulness can buffer the negative association between fatigue and emotions. This study examined whether mindfulness meditation affects the association between fatigue and emotions, using event-related potentials (ERPs). One hundred and forty-five participants completed the experiment. They were randomly assigned to the Mindfulness or Non-mindfulness group; and they were presented with positive, neutral, or negative pictures in an emotional processing task before and after mindfulness or rest. Late positive potential (LPP) is an important indicator of emotional stimuli perceived by individuals, and positive or negative pictures can induce an increase in LPP amplitude more than neutral pictures. Our findings suggest that fatigue significantly affected individuals’ LPP amplitudes in the early, mid, and late windows in the Non-mindfulness group, specifically, the more fatigued individuals had lower LPP amplitudes, but not in the Mindfulness group. These results suggest that in a state of fatigue, mindful individuals are able to maintain responsiveness to emotional stimuli by maintaining LPP amplitude. Our study has demonstrated that mindfulness meditation, to some extent, offsets the negative association of fatigue with the neural activation of emotions.

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“…Cognitive behaviour therapy (CBT) aimed at changing fatigue-related cognitions and a gradual increase of activity levels leads to a significant reduction of fatigue and functional impairments (Castell et al 2011). Different models have been developed to explain how behavioural, psychological, and social factors interact to perpetuate CFS (Moss-Morris, 2005; Knoop et al 2010; Wiborg et al 2010; Chalder & Hill, 2012; Jason et al 2012). Fatigue-related cognitions and behaviours of the patient are relevant, but the social environment and social support as perceived by the patient also play a role in the maintenance of CFS symptoms.…”

Section: Introductionmentioning

confidence: 99%

The role of the partner and relationship satisfaction on treatment outcome in patients with chronic fatigue syndrome

et al. 2015

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Emotional processing and chronic fatigue syndrome

Cited by 6 publications

References 61 publications

Differences in alexithymia and emotional awareness in exhaustion syndrome and chronic fatigue syndrome

Differences in alexithymia and emotional awareness in exhaustion syndrome and chronic fatigue syndrome

Effects of mindfulness and fatigue on emotional processing: an event-related potentials study

The role of the partner and relationship satisfaction on treatment outcome in patients with chronic fatigue syndrome

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