'Physical or psychological?' - a comparative study of causal attribution for chronic fatigue in Brazilian and British primary care patients

'Physical or psychological?' - a comparative study of causal attribution for chronic fatigue in Brazilian and British primary care patients

Autor Cho, H. J. Autor UNIFESP Google Scholar
Bhugra, D. Google Scholar
Wessely, S. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Kings Coll London
Resumo Objective: Causal attribution influences symptom experience, help-seeking behaviour and prognosis in chronic fatigue syndrome. We compared causal attribution of patients with unexplained chronic fatigue (UCF) in Brazil and Britain.Method: Primary care attenders in São Paulo (n = 3914) and London (n = 2459) were screened for the presence of UCF. Those with UCF (São Paulo n = 452; London n = 178) were assessed for causal attribution (physical vs. psychosocial), perceived chronicity (i.e. reported duration of fatigue) and disability.Results: British UCF patients were more likely to attribute their fatigue to physical causes (adjusted odds ratio 1.70, P = 0.037) and perceived their fatigue to be more chronic (adjusted beta 0.15, P = 0.002). There was no significant difference in current disability (adjusted beta -0.01, P = 0.81).Conclusion: Despite similar disability levels, UCF patients in different cultural settings presented different attributions and perceptions about their illness. Sociocultural factors may have an important role in shaping illness attribution and perception around chronic fatigue.
Assunto chronic fatigue syndrome
culture
mind-body relations
Idioma Inglês
Data 2008-07-01
Publicado em Acta Psychiatrica Scandinavica. Malden: Wiley-Blackwell, v. 118, n. 1, p. 34-41, 2008.
ISSN 0001-690X (Sherpa/Romeo, fator de impacto)
Editor Wiley-Blackwell
Extensão 34-41
Fonte http://dx.doi.org/10.1111/j.1600-0447.2008.01200.x
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000256684000005
URI http://repositorio.unifesp.br/handle/11600/30793

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