Fatigue and Mood in Chronic Fatigue Syndrome Patients: Results of a Momentary Assessment Protocol Examining Fatigue and Mood Levels and Diurnal Patterns
Fatigue and Mood in Chronic Fatigue Syndrome Patients: Results of a Momentary Assessment Protocol Examining Fatigue and Mood Levels and Diurnal Patterns
复制标题
慢性疲劳综合症患者的疲劳和情绪：检查疲劳和情绪水平以及昼夜模式的瞬时评估方案的结果
DOI：
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发表时间：
1994
影响因子：
3.8
通讯作者：
S. Shiffman
中科院分区：
文献类型：
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作者：
A. Stone;J. Broderick;L. Porter;Laurie Krupp;Maryann Gnys;J. Paty;S. Shiffman
在许多天内，使用计算机提示的评估在随机点检查慢性疲劳综合征（CFS）患者的疲劳、情绪和活动的总体水平和昼夜模式。我们假设各组的疲劳和情绪水平不同，昼夜模式也不同。瞬时评估方法避免了回顾性回忆技术中固有的许多潜在偏差。8名CFS患者和21名社区居住的对照受试者每天被随机提示5到6次，并回答有关疲劳，积极影响，消极影响以及他们在提示时所从事的活动的问题。CFS患者参加了26天，对照组参加了15天。与对照组相比，CFS组的疲劳程度更高，但积极或消极影响的总体水平没有差异。观察到强烈的昼夜模式的影响，疲劳的措施，这是在早上和晚上较高。还观察了情绪的昼夜模式：积极情绪在一天中增加，消极情绪减少。有非常适度的支持差异昼夜模式组，效果是明显的，只有一个积极的影响形容词。最后，当受试者在评估时所从事的活动受到控制时，这些结果并没有减少。
Examined the overall levels and the diurnal patterns of fatigue, mood, and activities in chronic fatigue syndrome (CFS) patients using computer-prompted assessments at random points throughout many days. We hypothesized that levels of fatigue and mood would be different in the groups and that diurnal patterns would also differ by group. Momentary assessment methods avoid many potential biases inherent in retrospective recall techniques. Eight CFS patients and 21 community-dwelling control subjects were randomly prompted between five and six times per day and responded to questions about fatigue, positive affect, negative affect, and the activities they were engaged in at the moment of the prompt. CFS patients participated for 26 days and control subjects participated for 15 days. Compared to the control group, levels of fatigue were higher in the CFS group, yet there were no differences in overall level of positive or negative affect. Strong diurnal patterns of affect were observed for fatigue measures indicating that it was higher in the morning and evening. Diurnal patterns were also observed for mood: Positive affect increased over the day and negative affect decreased. There was very modest support for differential diurnal patterns by group; the effect was only evident for one of the positive affect adjectives. Finally, these results were not diminished when the activities subjects were engaged in at the time of the assessments were controlled.