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Sick and Tired: Understanding and M
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Chapter Four. The Nature and Effect
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References ........................
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List of Tables Table 1. Participant
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Co-authored Works Although the stud
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Acknowledgments This thesis would n
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Intellectual Property Rights There
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Confidential Material No participan
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The role of sleep in FMS appears to
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little information was available as
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Psychophysiologic insomnia which is
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and are less able to inhibit the pa
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widely applied in clinical practice
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of fewer tender points; usually bet
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Current Management Strategies The t
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also likely to depend on a number o
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deep sleep (stages three and four)
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Although sleep moves through the sl
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Figure 3. The Integrative Model of
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However, conducting a blood test is
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As sleep is a complex process invol
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Sleep Diaries Sleep diaries are a k
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pain). Lentz et al (1999) revealed
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These results have also been suppor
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(McCracken & Iverson, 2002) which s
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Figure 4. Conceptual model of the d
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Clinical Implications Despite the p
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Chapter Three. Sleep in FMS As high
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& Penzien, 2003), although alpha wa
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pauses in breathing indicative of s
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Relationships between Sleep and Pai
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Managing Sleep Disturbance in FMS D
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may be possible to help patients im
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person to initiate an action (such
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and Nicassio et al (1995) only expl
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1) Poor sleep quality, defined by t
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elow 0.7 are acceptable. Therefore
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heart disease (Epstein et al., 1999
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In order to explore the links betwe
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questionnaire 78 (77.2%) of the par
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efficiency, suggesting that partici
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Older age and longer length of illn
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Table 2. Correlations between demog
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Logistic Regression As 97% of the s
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in bed, participants may have devel
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Relationship between Negative Affec
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participants, who may be less likel
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emotional problems, increased pain
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eactions are most likely to be detr
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It has been suggested that the auto
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For both groups, participants were
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with and without chronic medical co
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As previously described on page 61,
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Figure 7. Scree plot for the explor
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Figure 8. Scree plot for the explor
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Table 6. Participant characteristic
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Table 7. Measures of central tenden
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CON = DBAS-10 Dysfunctional beliefs
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The Exp (B) values revealed that hi
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has explored the use of napping on
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It became clear, through the analys
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interventions. With this in mind, t
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The philosophy of phenomenology was
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Methods Participants were given a w
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Table 11. Interview schedule for th
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Rigour The interview transcripts we
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“The main symptom is this overwhe
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Theme Two. Inter-relationship betwe
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where I live, so I don‟t know, I
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Participants also described how the
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“XXXX (name of person) planned a
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A strong theme that emerged in this
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conducted at several time points, w
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Chapter Seven. Investigating the Ef
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activities because they no longer f
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Therefore as this was a feasibility
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Self-reported sleep quality was ass
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The progressive muscle relaxation (
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Exploring the baseline data, there
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Consequently, univariate analysis w
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There was no significant correlatio
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people with FMS (Perlis, Giles, Men
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The aim of this study was to explor
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observed in perceived overall sleep
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elaborated on in Chapter Six, which
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Four) revealed that global sleep qu
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Modifications to the Call-Schmidt a
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MBSR programme in people with FMS (
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diagnostic criteria for these sleep
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comprehensive measures to look at t
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References Abad, V. C., Sarinas, P.
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Brand, S., Gerber, M., Beck, J., Ha
- Page 185 and 186: Crofford, L. J., & Demitrack, M. A.
- Page 187 and 188: Goldenberg, D. L., Kaplan, K. H., N
- Page 189 and 190: Johns, M. W. (2002). Sleep propensi
- Page 191 and 192: Leung, Y. Y., Ho, K. W., Zhu, T. Y.
- Page 193 and 194: Mease, P. J. (2005). Fibromyalgia s
- Page 195 and 196: symptoms in healthy subjects; Corre
- Page 197 and 198: approach with illustration to the h
- Page 199 and 200: Thomas, E. N., & Blotman, F. (2010)
- Page 201 and 202: Yunus, M. B., Masi, A. T., & Aldag,
- Page 203 and 204: Appendices Appendix A: Search Strat
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- Page 209 and 210: The following questions relate to y
- Page 211 and 212: There are lots of ways to try to de
- Page 213 and 214: 42. I try hard to prevent other thi
- Page 215 and 216: During the past month have you had
- Page 217 and 218: Appendix E: Published paper of Stud
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- Page 225 and 226: Sleep and Fibromyalgia Syndrome Con
- Page 227 and 228: Appendix H: Participant Questionnai
- Page 229 and 230: Below are 10 statements reflecting
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- Page 233 and 234: Appendix I. Published Paper for Stu
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- Page 241 and 242: Appendix K. Information Sheet and C
- Page 243 and 244: Sleep in Fibromyalgia Syndrome Cons
- Page 245 and 246: Appendix L: Letter of Ethical Appro
- Page 247 and 248: Appendix M. Letter to GPs for Study
- Page 249 and 250: What are the side effects of any tr
- Page 251 and 252: Appendix O: Poster Advertising Stud
- Page 253 and 254: Appendix Q: Participant Questionnai
- Page 255 and 256: HAD Scale Read each item and place
- Page 257 and 258: During the past month have you had
- Page 259 and 260: Appendix R. Letter from Dr Mark Cro
- Page 261 and 262: PUBLICATIONS Peer Reviewed Journal
- Page 263: and panic-like episodes, Faculty of