Leisure Sickness: A Biopsychosocial Perspective

Leisure and vacation are generally associated with feelings of relaxation and well-being. However, there is also evidence suggesting that some people feel particularly ill and develop symptoms especially during weekends and vacations. The focal points of this article are the exploration of the antecedents and consequences of this phenomenon, pointing out the need of systematic research on its prevalence, phenomenology, background, and the putative mechanisms involved. The paper concludes with a discussion of some possible effective interventions

In search of personality and temperament predictors of chronic fatigue: a prospective study. Personality and Individual Differences

Abstract This prospective study examined the relationships between temperament and personality, on the one hand, and chronic fatigue, on the other hand. The temperament variables were the Five-Factor-Model dimensions Emotional stability and Extraversion as well as Pavlovian temperament traits. The personality variables were the Five-Factor-Model dimensions Agreeableness, Conscientiousness and Autonomy, plus hardiness and Type A behavior pattern. It was expected that these person characteristics were negatively linked to fatigue except for (1) Type A and (2) Conscientiousness and Autonomy, which were scrutinized in an exploratory way. Respondents (N=351), working at least 20 h per week, completed two surveys. The first survey contained the temperament and personality questionnaires and the fatigue scale, while the second one, 2 years later, included the fatigue scale. Results indicated that high scores on the Five-FactorModel dimensions Emotional Stability and Extraversion, the Pavlovian temperament variable Strength of Inhibition, and the hardiness component Commitment predicted lower fatigue scores. However, when in the analysis fatigue measured 2 years earlier was controlled for, only Extraversion and Strength of Inhibition appeared to be good predictors. Even so, these two predictors did not explain a large proportion of the variance. When men and women were examined separately, personality and temperament predicted almost nihil. In conclusion, when fatigue measured earlier is controlled for, the direct role of temperament and personality decreases enormously. # 2002 Elsevier Ltd. All rights reserved. Chronic fatigue is a common phenomenon which can have a far-reaching influence on a person's life. Mental and physical exertion caused by, for instance, work or sport activities, induce acute fatigue. This form of fatigue is characterized by task specificity and short-term reversibility 0191-8869/03/$ -see front matter

The WHOQOL-100 has good psychometric properties in breast cancer patients

OBJECTIVE: This prospective follow-up study examines the psychometric properties of the World Health Organization Quality of Life assessment instrument (WHOQOL-100) for assessing quality of life in women suspected of having breast cancer and disease-free breast cancer survivors. STUDY DESIGN AND SETTING: The WHOQOL-100 was tested at five points in time in women with a palpable lump in the breast or an abnormality on a screening mammography (N=356) and breast cancer survivors (N=140). Furthermore, all participants completed measures of anxiety (State Trait Anxiety Inventory) and depression (Center for Epidemiologic Studies Depression scale). Moreover, women who were diagnosed with breast cancer also completed the EORTC-QLQ-BR-23 at time points 2-5. Reliability (internal consistency; test-retest reliability) and construct validity were tested. RESULTS: Confirmatory factor analyses on the WHOQOL-100 items showed a good fit with models reflecting six factors (physical health, psychological health, level of independence, social relationships, environment, spirituality/religion/personal beliefs) or four factors (physical health, psychological health, social relationships, environment). Internal consistency was adequate. Test-retest correlations were high. The WHOQOL-100 correlated highly with related constructs and showed low correlations with unrelated constructs. CONCLUSION: The WHOQOL-100 is a reliable and valid instrument for measuring QOL in women suspected of having breast cancer and disease-free breast cancer survivor

Determinants of overall quality of life in women over the first year after surgery for early stage breast cancer

Scores on quality of life (QOL) domains and facets are probably subject to fluctuations across time due to the course of breast cancer treatment. Existing QOL studies have been cross-sectional. Therefore, this prospective follow-up study examined whether QOL domains (physical health, psychological health, social relationships, and environment) and QOL facets contributed differentially across time to overall QOL in women with early stage breast cancer. From the 608 participating women, 225 women had early stage breast cancer. Before diagnosis and 1, 3, 6, and 12 months after surgical treatment, women with early stage breast cancer were assessed on QOL (WHOQOL-100). Psychological Health and Social Relationships were the QOL domains that contributed to overall QOL most consistently at the various time points. Physical Health appeared to be a contributor at all time points except 1 month after surgery. Environment contributed to a lesser extent to overall QOL compared with Physical Health, Psychological Health, and Social Relationships. Different facets contribute to overall QOL-dependent of particular measurement points. However, the facets Positive Feelings and Personal Relationships were important factors at almost all time points of maintaining a good overall QOL. QOL domains and facets contributed differently to overall QOL at various time points across treatment in women with early stage breast cance