title: Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Symptom Severity: Stress Management Skills are Related to Lower Illness Burden.
abstract: BACKGROUND
  The onset of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) typically involves reductions inactivities of daily livingandsocial interactions(jointly referred to as "illness burden"). Emotional distress has been linked to increased reported symptoms, and stress management skills have been related to lower fatigue severity in CFS patients. Symptom severity and illness burden are highly correlated. The ability to manage stress may attenuate this relationship, allowing individuals to feel less burdened by the illness independent of the severity of their symptoms.
  
  
  OBJECTIVE
  This study aimed to evaluate if perceived stress management skills affect illness burden via emotional distress, independent of ME/CFS symptom severity.
  
  
  METHODS
  A total of 117 adults with ME/CFS completed measures of perceived stress management skills, emotional distress, ME/CFS symptom severity and illness burden.
  
  
  RESULTS
  Regression analyses revealed that greater perceived stress management skills related to less social and fatigue-related illness burden, via lower emotional distress. This relationship existed independent of the association of symptom severity on illness burden, and was stronger among those not currently employed.
  
  
  CONCLUSIONS
  Ability to manage stress is associated with a lower illness burden for individuals with ME/CFS. Future studies should evaluate the efficacy of psychosocial interventions in lowering illness burden by targeting stress management skills.
authors.affiliation: Department of Psychology, University of Miami.
authors.forename: Emily G
authors.initials: EG
authors.lastname: Lattie
authors.forename: Michael H
authors.initials: MH
authors.lastname: Antoni
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Fletcher
authors.forename: Sara
authors.initials: S
authors.lastname: Czaja
authors.forename: Dolores
authors.initials: D
authors.lastname: Perdomo
authors.forename: Andreina
authors.initials: A
authors.lastname: Sala
authors.forename: Sankaran
authors.initials: S
authors.lastname: Nair
authors.forename: Shih Hua
authors.initials: SH
authors.lastname: Fu
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Penedo
authors.forename: Nancy
authors.initials: N
authors.lastname: Klimas
keywords: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome; emotional distress; illness burden; stress management