Abstract
Chronic fatigue syndrome (CFS) is a highly invalidating condition characterized by severe and prolonged fatigue. Clinicians and researchers have long theorized a connection between perfectionism and chronic fatigue. This chapter provides an overview of research examining the role of perfectionism in CFS. Along with a brief description of the concept of CFS, we present a working model of chronic fatigue suggesting that self-critical or maladaptive perfectionism is one of the key factors that may contribute to chronic stress and subsequent neurobiological alterations in at least a subgroup of CFS patients. We then review studies suggesting that self-critical perfectionism (SCP) is involved in the development and maintenance of chronic fatigue. We also discuss the mechanisms that may explain the link between perfectionism and chronic fatigue. This is followed by a closer look at the developmental origins of perfectionism in CFS. Finally, the last section of this chapter addresses the clinical implications of these findings.
*Stefan Kempke is a postdoctoral researcher of the Research Foundation Flanders (FWO).
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Ablin, J. N., Buskila, D., Van Houdenhove, B., Luyten, P., Atzeni, F., & Sarzi-Puttini, P. (2012). Is fibromyalgia a discrete entity? Autoimmunity Reviews, 11(8), 585–588.
Afari, N., Ahumada, S. M., Wright, L. J., Mostoufi, S., Golnari, G., Reis, V., & Cuneo, J. G. (2014). Psychological trauma and functional somatic syndromes: A systematic review and meta-analysis. Psychosomatic Medicine, 76(1), 2–11.
Arnold, L. M. (2008). Understanding fatigue in major depressive disorder and other medical disorders. Psychosomatics, 49(3), 185–190.
Arroll, M. A. (2013). Allostatic overload in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Medical Hypotheses, 81(3), 506–508.
Bick, J., Naumova, O., Hunter, S., Barbot, B., Lee, M., Luthar, S. S., et al. (2012). Childhood adversity and DNA methylation of genes involved in the hypothalamus–pituitary–adrenal axis and immune system: Whole-genome and candidate-gene associations. Development and Psychopathology, 24(4), 1417–1425.
Blatt, S. J. (2004). Experiences of depression: Theoretical, clinical and research perspectives. Washington, DC: APA.
Blatt, S. J., & Homann, E. (1992). Parent-child interaction in the etiology of dependent and self-critical depression. Clinical Psychology Review, 12(1), 47–91.
Blatt, S. J., & Shahar, G. (2005). A dialectic model of personality development and psychopathology: Recent contributions to understanding and treating depression. In J. Corveleyn, P. Luyten, & S. J. Blatt (Eds.), The theory and treatment of depression: Towards a dynamic interactionism model (pp. 137–162). Leuven: Leuven University Press/Lawrence Erlbaum Associates.
Blatt, S. J., Zuroff, D. C., Hawley, L. L., & Auerbach, J. S. (2010). Predictors of sustained therapeutic change. Psychotherapy Research, 20(1), 37–54.
Blenkiron, P., Edwards, R., & Lynch, S. (1999). Associations between perfectionism, mood, and fatigue in chronic fatigue syndrome: A pilot study. Journal of Nervous and Mental Disease, 187(9), 566–570.
Boneva, R. S., Maloney, E. M., Lin, J. M., Jones, J. F., Wieser, F., Nater, U. M., & Reeves, W. C. (2011). Gynecological history in chronic fatigue syndrome: A population-based case-control study. Journal of Women’s Health, 20(1), 21–28.
Brooks, S. K., Rimes, K. A., & Chalder, T. (2011). The role of acceptance in chronic fatigue syndrome. Journal of Psychosomatic Research, 71(6), 411–415.
Carruthers, B. M., van de Sande, M. I., De Meirleir, K. L., Klimas, N. G., Broderick, G., Mitchell, T., et al. (2011). Myalgic encephalomyelitis: International consensus criteria. Journal of Internal Medicine, 270(4), 327–338.
Cleare, A. J. (2003). The neuroendocrinology of chronic fatigue syndrome. Endocrine Reviews, 24(2), 236–252.
Deary, V., & Chalder, T. (2010). Personality and perfectionism in chronic fatigue syndrome: A closer look. Psychology and Health, 25(4), 465–475.
Dendy, C., Cooper, M., & Sharpe, M. (2001). Interpretation of symptoms in chronic fatigue syndrome. Behaviour Research and Therapy, 39(11), 1369–1380.
Dittner, A. J., Rimes, K., & Thorpe, S. (2011). Negative perfectionism increases the risk of fatigue following a period of stress. Psychology and Health, 26(3), 253–268.
Dunkley, D. M., Blankstein, K. R., Masheb, R. M., & Grilo, C. M. (2006). Personal standards and evaluative concerns dimensions of “clinical” perfectionism: A reply to Shafran et al. (2002, 2003) and Hewitt et al. (2003). Behavior Research and Therapy, 44(1), 63–84.
Egan, S. J., Wade, T. D., & Shafran, R. (2011). Perfectionism as a transdiagnostic process: A clinical review. Clinical Psychology Review, 31(2), 203–212.
Farmer, A., Fowler, T., Scourfield, J., & Thapar, A. (2004). Prevalence of chronic disabling fatigue in children and adolescents. British Journal of Psychiatry, 184, 477–481.
Fjorback, L. O., Arendt, M., Ornbol, E., Walach, H., Rehfeld, E., Schroder, A., & Fink, P. (2013). Mindfulness therapy for somatization disorder and functional somatic syndromes: Randomized trial with one-year follow-up. Journal of Psychosomatic Research, 74(1), 31–40.
Flett, G. L., & Hewitt, P. L. (2008). Treatment interventions for perfectionism—introduction to the special issue. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 26, 127–133.
Flett, G. L., Hewitt, P. L., Oliver, J. M., & Macdonald, S. (2002). Perfectionism in children and their parents: A developmental analysis. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 89–132). Washington, DC: American Psychological Association.
Fries, E., Hesse, J., Hellhammer, J., & Hellhammer, D. H. (2005). A new view on hypocortisolism. Psychoneuroendocrinology, 30(10), 1010–1016.
Frost, R. O., Marten, P., Lahart, C.M., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.
Fukuda, K., Straus, S. E., Hickie, I., Sharpe, M. C., Dobbins, J. G., & Komaroff, A. (1994). The chronic fatigue syndrome: A comprehensive approach to its definition and study. International Chronic Fatigue Syndrome Study Group. Annals of Internal Medicine, 121(12), 953–959.
Gallagher, A. M., Thomas, J. M., Hamilton, W. T., & White, P. D. (2004). Incidence of fatigue symptoms and diagnoses presenting in UK primary care from 1990 to 2001. Journal of the Royal Society of Medicine, 97(12), 571–575.
Glover, D. S., Brown, G. P., Fairburn, C. G., & Shafran, R. (2007). A preliminary evaluation of cognitive-behaviour therapy for clinical perfectionism: A case series. British Journal of Clinical Psychology, 46(Pt 1), 85–94.
Greenspon, T. S. (2008). Making sense of error: A view of the origins and treatment of perfectionism. American Journal of Psychotherapy, 62(3), 263–282.
Gregory, R. J., Manring, J., & Wade, M. J. (2005). Personality traits related to chronic pain location. Annals of Clinical Psychiatry, 17(2), 59–64.
Hambrook, D., Oldershaw, A., Rimes, K., Schmidt, U., Tchanturia, K., Treasure, J., & Chalder, T. (2011). Emotional expression, self-silencing, and distress tolerance in anorexia nervosa and chronic fatigue syndrome. British Journal of Clinical Psychology, 50(3), 310–325.
Hammen, C. (2006). Stress generation in depression: Reflections on origins, research, and future directions. Journal of Clinical Psychology, 62(9), 1065–1082.
Harvey, S. B., Wadsworth, M., Wessely, S., & Hotopf, M. (2008). Etiology of chronic fatigue syndrome: Testing popular hypotheses using a national birth cohort study. Psychosomatic Medicine, 70(4), 488–495.
Heim, C., Wagner, D., Maloney, E., Papanicolaou, D. A., Solomon, L., Jones, J. F., et al. (2006). Early adverse experience and risk for chronic fatigue syndrome: Results from a population-based study. Archives of General Psychiatry, 63(11), 1258–1266.
Heim, C., Nater, U. M., Maloney, E., Boneva, R., Jones, J. F., & Reeves, W. C. (2009). Childhood trauma and risk for chronic fatigue syndrome: Association with neuroendocrine dysfunction. Archives of General Psychiatry, 66(1), 72–80.
Jason, L. A., Richman, J. A., Rademaker, A. W., Jordan, K. M., Plioplys, A. V., Taylor, R. R., et al. (1999). A community-based study of chronic fatigue syndrome. Archives of Internal Medicine, 159(18), 2129–2137.
Jason, L. A., Benton, M. C., Valentine, L., Johnson, A., & Torres-Harding, S. (2008). The economic impact of ME/CFS: Individual and societal costs. Dynamic Medicine, 7, 6.
Jason, L. A., Brown, M., Brown, A., Evans, M., Flores, S., Grant-Holler, E., & Sunnquist, M. (2013). Energy conservation/envelope theory interventions to help patients with myalgic encephalomyelitis/chronic fatigue syndrome. Fatigue, 1(1–2), 27–42.
Kannan, D., & Levitt, H. M. (2013). A review of client self-criticism in psychotherapy. Journal of Psychotherapy Integration, 23(2), 166–178.
Kanaan, R. A., Lepine, J. P., & Wessely, S. C. (2007). The association or otherwise of the functional somatic syndromes. Psychosomatic Medicine, 69(9), 855–859.
Kempke, S., Goossens, L., Luyten, P., Bekaert, P., Van Houdenhove, B., & Van Wambeke, P. (2010). Predictors of outcome in a multi-component treatment program for chronic fatigue syndrome. Journal of Affective Disorders, 126, 174–179.
Kempke, S., Van Houdenhove, B., Luyten, P., Goossens, L., Bekaert, P., & Van Wambeke, P. (2011a). Unraveling the role of perfectionism in chronic fatigue syndrome: Is there a distinction between adaptive and maladaptive perfectionism? Psychiatry Research, 186(2–3), 373–377.
Kempke, S., Luyten, P., Van Houdenhove, B., Goossens, L., Bekaert, P., & Van Wambeke, P. (2011b). Self-esteem mediates the relationship between maladaptive perfectionism and depression in chronic fatigue syndrome. Clinical Rheumatology, 30(12), 1543–1548.
Kempke, S., Luyten, P., Claes, S., Goossens, L., Bekaert, P., Van Wambeke, P., & Van Houdenhove, B. (2013a). Self-critical perfectionism and its relationship to fatigue and pain in the daily flow of life in patients with chronic fatigue syndrome. Psychological Medicine, 43(5), 995–1002.
Kempke, S., Luyten, P., Claes, S., Van Wambeke, P., Bekaert, P., Goossens, L., & Van Houdenhove, B. (2013b). The prevalence and impact of early childhood trauma in chronic fatigue syndrome. Journal of Psychiatric Research, 47(5), 664–669.
Kempke, S., Van Den Eede, F., Schotte, C., Claes, S., Van Wambeke, P., Van Houdenhove, B., & Luyten, P. (2013c). Prevalence of DSM-IV personality disorders in patients with chronic fatigue syndrome: A controlled study. International Journal of Behavioral Medicine, 20(2), 219–228.
Kempke, S., Luyten, P., Mayes, L., Van Houdenhove, B., & Claes, S. (2014). Self-critical perfectionism predicts lower cortisol response to experimental stress in patients with chronic fatigue syndrome. Manuscript submitted for publication.
Kempke, S., Luyten, P., Van Wambeke, P., Coppens, E., & Morlion, B. (2014). Self-critical perfectionism predicts outcome in multidisciplinary treatment for chronic pain. Pain Practice, 14(4), 309–314.
Kempke, S., Luyten, P., De Coninck, S., Van Houdenhove, B., Mayes, L., & Claes, S. (2015). Effects of early childhood trauma on hypothalamic-pituitary-adrenal (HPA) axis function in patients with chronic fatigue syndrome. Psychoneuroendocrinology, 52, 14–21.
Kempke, S., Coppens, E., Luyten, P., & Van Houdenhove, B. (in press). The self in chronic fatigue syndrome. In M. Kyrios, R. Moulding, M. Nedeljkovic, S. S. Bhar, G. Doron, & M. Mikulincer (Eds.), The self in understanding and treating psychological disorders. Cambridge: Cambridge University Press.
Kirmayer, L. J., Groleau, D., Looper, K. J., & Dao, M. D. (2004). Explaining medically unexplained symptoms. Canadian Journal of Psychiatry, 49(10), 663–672.
Kirschbaum, C., Pirke, K. M., & Hellhammer, D. H. (1993). The ‘Trier Social Stress Test’—a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology, 28(1–2), 76–81.
Knoop, H., Prins, J. B., Moss-Morris, R., & Bleijenberg, G. (2010). The central role of cognitive processes in the perpetuation of chronic fatigue syndrome. Journal of Psychosomatic Research, 68(5), 489–494.
Kudielka, B. M., & Wust, S. (2010). Human models in acute and chronic stress: Assessing determinants of individual hypothalamus–pituitary–adrenal axis activity and reactivity. Stress, 13(1), 1–14.
Lerman, S. F., Rudich, Z., & Shahar, G. (2010). Distinguishing affective and somatic dimensions of pain and depression: A confirmatory factor analytic study. Journal of Clinical Psychology, 66(4), 456–465.
Lerman, S. F., Shahar, G., & Rudich, Z. (2011). Self-criticism interacts with the affective component of pain to predict depressive symptoms in female patients. European Journal of Pain, 16(1), 115–22.
Lupien, S. J., McEwen, B. S., Gunnar, M. R., & Heim, C. (2009). Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nature Reviews Neuroscience, 10(6), 434–445.
Luyten, P., & Blatt, S. J. (2013). Interpersonal relatedness and self-definition in normal and disrupted personality development: Retrospect and prospect. American Psychologist, 68(3), 172–183.
Luyten, P., & Van Houdenhove, B. (2013). Common versus specific factors in the treatment of functional somatic disorders. Journal of Psychotherapy Integration, 23(1), 14–27.
Luyten, P., Corveleyn, J., & Blatt, S. J. (2005). The convergence among psychodynamic and cognitive-behavioral theories of depression: A critical review of empirical research. In J. Corveleyn, P. Luyten, & S. J. Blatt (Eds.), The theory and treatment of depression: Towards a dynamic interactionism model (pp. 95–136). Leuven: Leuven University Press/Lawrence Erlbaum Associates.
Luyten, P., Blatt, S. J., Van Houdenhove, B., & Corveleyn, J. (2006). Depression research and treatment: Are we skating to where the puck is going to be? Clinical Psychology Review, 26(8), 985–999.
Luyten, P., Van Houdenhove, B., Cosyns, N., & Van den Broeck, A.-L. (2006). Are patients with chronic fatigue syndrome perfectionistic—or were they? A case-control study. Personality and Individual Differences, 40(7), 1473–1483.
Luyten, P., Van Houdenhove, B., Pae, C. U., Kempke, S., & Van Wambeke, P. (2008). Treatment of chronic fatigue syndrome: Findings, principles and strategies. Psychiatry Investigation, 5(4), 209–212.
Luyten, P., Vliegen, N., Van Houdenhove, B., & Blatt, S. J. (2008). Equifinality, multifinality, and the rediscovery of the importance of early experiences: Pathways from early adversity to psychiatric and (functional) somatic disorders. Psychoanalytic Study of the Child, 63, 27–60.
Luyten, P., Kempke, S., Van Wambeke, P., Claes, S., Blatt, S. J., & Van Houdenhove, B. (2011). Self-critical perfectionism, stress generation, and stress sensitivity in patients with chronic fatigue syndrome: Relationship with severity of depression. Psychiatry, 74(1), 21–30.
Luyten, P., van Houdenhove, B., Lemma, A., Target, M., & Fonagy, P. (2012). A mentalization-based approach to the understanding and treatment of functional somatic disorders. Psychoanalytic Psychotherapy, 26(2), 121–140.
Luyten, P., Van Houdenhove, B., Lemma, A., Target, M., & Fonagy, P. (2013). Vulnerability for functional somatic disorders: A contemporary psychodynamic approach. Journal of Psychotherapy Integration, 23(3), 250–262.
Magnusson, A. E., Nias, D. K., & White, P. D. (1996). Is perfectionism associated with fatigue? Journal of Psychosomatic Research, 41(4), 377–383.
McEwen, B. S. (1998). Stress, adaptation, and disease. Allostasis and allostatic load. Annals of the New York Academy of Sciences, 840, 33–44.
Morlion, B., Kempke, S., Luyten, P., Coppens, E., & Van Wambeke, P. (2011). Multidisciplinary pain education program (MPEP) for chronic pain patients: Preliminary evidence for effectiveness and mechanisms of change. Current Medical Research and Opinion, 27(8), 1595–601.
Moser, J. S., Slane, J. D., Alexandra Burt, S., & Klump, K. L. (2012). Etiologic relationships between anxiety and dimensions of maladaptive perfectionism in young adult female twins. Depression and Anxiety, 29(1), 47–53.
Moss-Morris, R., Spence, M. J., & Hou, R. (2011). The pathway from glandular fever to chronic fatigue syndrome: Can the cognitive behavioural model provide the map? Psychological Medicine, 41(5), 1099–1107.
Nater, U. M., Wagner, D., Solomon, L., Jones, J. F., Unger, E. R., Papanicolaou, D. A., Reeves, W. C., & Heim, C. (2006). Coping styles in people with chronic fatigue syndrome identified from the general population of Wichita, KS. Journal of Psychosomatic Research, 60(6), 567–573.
Nater, U. M., Jones, J. F., Lin, J. M., Maloney, E., Reeves, W. C., & Heim, C. (2010). Personality features and personality disorders in chronic fatigue syndrome: A population-based study. Psychotherapy and Psychosomatics, 79(5), 312–318.
Nater, U. M., Maloney, E., Heim, C., & Reeves, W. C. (2011). Cumulative life stress in chronic fatigue syndrome. Psychiatry Research, 189(2), 318–320.
Ochi, M., Tominaga, K., Iketani, T., Kadouchi, K., Tanigawa, T., Shiba, M. et al. (2008). Perfectionism underlying psychological background correlated with the symptoms of functional dyspepsia. Journal of Gastroenterology, 43(9), 699–704.
Papadopoulos, A. S., & Cleare, A. J. (2011). Hypothalamic-pituitary-adrenal axis dysfunction in chronic fatigue syndrome. Nature Reviews Endocrinology, 3(1), 22–32.
Pemberton, S., & Cox, D. L. (2014). Experiences of daily activity in chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) and their implications for rehabilitation programmes. Disability and Rehabilitation, 36, 1790–1797.
Price, J. R., Mitchell, E., Tidy, E., & Hunot, V. (2008). Cognitive behaviour therapy for chronic fatigue syndrome in adults. Cochrane Database of Systematic Review, 16(3), CDD001027. doi:10.1002/14651858.CD001027.
Reynolds, K. J., Vernon, S. D., Bouchery, E., & Reeves, W. C. (2004). The economic impact of chronic fatigue syndrome. Cost Effectiveness and Resource Allocation, 2(1), 4.
Rimes, K. A., & Chalder, T. (2010). The Beliefs about Emotions Scale: Validity, reliability and sensitivity to change. Journal of Psychosomatic Research, 68(3), 285–292.
Riva, R., Mork, P. J., Westgaard, R. H., Ro, M., & Lundberg, U. (2010). Fibromyalgia syndrome is associated with hypocortisolism. International Journal of Behavioral Medicine, 17(3), 223–233.
Rudich, Z., Lerman, S. F., Gurevich, B., Weksler, N., & Shahar, G. (2008). Patients’ self-criticism is a stronger predictor of physician’s evaluation of prognosis than pain diagnosis or severity in chronic pain patients. Journal of Pain, 9(3), 210–216.
Shahar, G. (2013). An integrative psychotherapist’s account of his focus when treating self-critical patients. Psychotherapy, 50(3), 322–325.
Shahar, G., & Henrich, C. C. (2013). Axis of criticism model (ACRIM): An integrative conceptualization of person-context exchanges in vulnerability to adolescent psychopathology. Journal of Psychotherapy Integration, 23(3), 236–249.
Shahar, G., & Porcerelli, J. H. (2006). The action formulation: A proposed heuristic for clinical case formulation. Journal of Clinical Psychology, 62(9), 1115–1127.
Silverman, M. N., Heim, C. M., Nater, U. M., Marques, A. H., & Sternberg, E. M. (2010). Neuroendocrine and immune contributors to fatigue. PM & R, 2(5), 338–346.
Sirois, F. M., & Molnar, D. (2014). Perfectionism and maladaptive coping styles in chronic fatigue syndrome: A comparative analysis with well controls and individuals with irritable bowel syndrome, and fibromyalgia/arthritis. Psychotherapy and Psychosomatics, 83, 384–385.
Soenens, B., Vansteenkiste, M., & Luyten, P. (2010). Toward a domain-specific approach to the study of parental psychological control: Distinguishing between dependency-oriented and achievement-oriented psychological control. Journal of Personality, 78(1), 217–256.
Spence, M. J., & Moss-Morris, R. (2007). The cognitive behavioural model of irritable bowel syndrome: A prospective investigation of patients with gastroenteritis. Gut, 56(8), 1066–1071.
Stoeber, J., & Otto, K. (2006). Positive conceptions of perfectionism: Approaches, evidence, challenges. Personality and Social Psychology Review, 10(4), 295–319.
Surawy, C., Hackmann, A., Hawton, K., & Sharpe, M. (1995). Chronic fatigue syndrome: A cognitive approach. Behaviour Research and Therapy, 33(5), 535–544.
Tak, L. M., Cleare, A. J., Ormel, J., Manoharan, A., Kok, I. C., Wessely, S., & Rosmalen, J. G. (2011). Meta-analysis and meta-regression of hypothalamic-pituitary-adrenal axis activity in functional somatic disorders. Biological Psychology, 87(2), 183–194.
Uhrlass, D. J., & Gibb, B. E. (2007). Childhood emotional maltreatment and the stress generation model of depression. Journal of Social and Clinical Psychology, 26, 119–130.
Van Campen, E., Van Den Eede, F., Moorkens, G., Schotte, C., Schacht, R., Sabbe, B. G., Cosyns, P., & Claes, S. J. (2009). Use of the temperament and character inventory (TCI) for assessment of personality in chronic fatigue syndrome. Psychosomatics, 50(2), 147–154.
van Geelen, S. M., Sinnema, G., Hermans, H. J., & Kuis, W. (2007). Personality and chronic fatigue syndrome: Methodological and conceptual issues. Clinical Psychology Review, 27(8), 885–903.
Van Houdenhove, B., & Egle, U. T. (2004). Fibromyalgia: A stress disorder? Piecing the biopsychosocial puzzle together. Psychotherapy and Psychosomatics, 73(5), 267–275.
Van Houdenhove, B., & Luyten, P. (2006). Stress, depression and fibromyalgia. Acta Neurologica Belgica, 106(4), 149–156.
Van Houdenhove, B., & Luyten, P. (2008). Customizing treatment of chronic fatigue syndrome and fibromyalgia: The role of perpetuating factors. Psychosomatics, 49(6), 470–477.
Van Houdenhove, B., & Luyten, P. (2010). Chronic fatigue syndrome reflects loss of adaptability. Journal of Internal Medicine, 268(3), 249–251.
Van Houdenhove, B., Onghena, P., Neerinckx, E., & Hellin, J. (1995). Does high ‘action-proneness’ make people more vulnerable to chronic fatigue syndrome? A controlled psychometric study. Journal of Psychosomatic Research, 39(5), 633–640.
Van Houdenhove, B., Neerinckx, E., Lysens, R., Vertommen, H., Van Houdenhove, L., Onghena, P., et al. (2001). Victimization in chronic fatigue syndrome and fibromyalgia in tertiary care: A controlled study on prevalence and characteristics. Psychosomatics, 42(1), 21–28.
Van Houdenhove, B., Neerinckx, E., Onghena, P., Lysens, R., & Vertommen, H. (2001). Premorbid “overactive” lifestyle in chronic fatigue syndrome and fibromyalgia. An etiological factor or proof of good citizenship? Journal of Psychosomatic Research, 51(4), 571–576.
Van Houdenhove, B., Bruyninckx, K., & Luyten, P. (2006). In search of a new balance. Can high “action-proneness” in patients with chronic fatigue syndrome be changed by a multidisciplinary group treatment? Journal of Psychosomatic Research, 60(6), 623–625.
Van Houdenhove, B., Luyten, P., & Egle, U.T. (2009). The role of childhood trauma in chronic pain and fatigue. In V. J. E. V. L. Banyard & K. A. Kendall-Tackett (Eds.), Trauma and physical health. Understanding the effects of extreme stress and of psychological harm (pp. 37–64). London: Routledge.
Van Houdenhove, B., Van Den Eede, F., & Luyten, P. (2009). Does hypothalamic-pituitary-adrenal axis hypofunction in chronic fatigue syndrome reflect a ‘crash’ in the stress system? Medical Hypotheses, 72(6), 701–705.
Van Houdenhove, B., Van Hoof, E., Becq, K., Kempke, S., Luyten, P., & De Meirleir, K. (2009). A comparison of patients with chronic fatigue syndrome in two “ideologically” contrasting clinics. Journal of Nervous and Mental Disease, 197(5), 348–353.
Van Houdenhove, B., Kempke, S., & Luyten, P. (2010). Psychiatric aspects of chronic fatigue syndrome and fibromyalgia. Current Psychiatry Reports, 12(3), 208–214.
Van Houdenhove, B., Luyten, P., & Kempke, S. (2013). Chronic fatigue syndrome/fibromyalgia: A “stress-adaptation” model. Fatigue: Biomedicine, Health and Behavior, 1(3), 137–147.
Wessely, S., Hotopf, M., & Sharpe, M. (1998). Chronic fatigue and its syndromes. Oxford: Oxford University Press.
White, C., & Schweitzer, R. (2000). The role of personality in the development and perpetuation of chronic fatigue syndrome. Journal of Psychosomatic Research, 48(6), 515–524.
Wicksell, R. K., Kemani, M., Jensen, K., Kosek, E., Kadetoff, D., Sorjonen, K., Ingvar, M., & Olsson, G. L. (2013). Acceptance and commitment therapy for fibromyalgia: A randomized controlled trial. European Journal of Pain, 17(4), 599–611.
Wood, B., & Wessely, S. (1999). Personality and social attitudes in chronic fatigue syndrome. Journal of Psychosomatic Research, 47(4), 385–397.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Kempke, S., Van Houdenhove, B., Claes, S., Luyten, P. (2016). The Role of Perfectionism in Chronic Fatigue Syndrome. In: Sirois, F., Molnar, D. (eds) Perfectionism, Health, and Well-Being. Springer, Cham. https://doi.org/10.1007/978-3-319-18582-8_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-18582-8_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18581-1
Online ISBN: 978-3-319-18582-8
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)