Njoku, Mary Gloria C, Jason, Leonard A, Torres-Harding, Susan R · Ethnicity & health · 2005 · DOI
This study looked at how people from different ethnic backgrounds (African Americans, Latinos, and European Americans) cope with ME/CFS and chronic fatigue. Researchers asked patients about their coping strategies—like turning to religion, staying active, accepting their illness, or focusing on their symptoms. The study found that different ethnic groups tend to use different coping strategies, and some approaches (like denial) seemed to be less helpful across all groups.
Understanding how different ethnic communities cope with ME/CFS is important because it reveals that one-size-fits-all treatment advice may not work equally well for all patients. This study highlights the need for culturally tailored healthcare approaches that respect patients' coping preferences while identifying strategies (like denial) that may undermine recovery across all groups.
This study does not establish whether particular coping strategies cause worse fatigue and disability, or whether they develop in response to more severe illness. The cross-sectional design means we cannot determine the direction of causality. Additionally, correlations between coping style and outcomes do not prove that changing coping strategies will improve health outcomes.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Njoku, Mary Gloria C, Jason, Leonard A, & Torres-Harding, Susan R (2005). The relationships among coping styles and fatigue in an ethnically diverse sample.. Ethnicity & health. https://doi.org/10.1080/13557850500138613
BibTeX
@article{mecfsatlas-njoku-2005-relationships-among,
author = {Njoku, Mary Gloria C and Jason, Leonard A and Torres-Harding, Susan R},
title = {The relationships among coping styles and fatigue in an ethnically diverse sample.},
journal = {Ethnicity & health},
year = {2005},
doi = {10.1080/13557850500138613},
note = {PubMed: 16191727},
url = {https://www.mecfsatlas.com/evidence/njoku-2005-relationships-among},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-28. https://www.mecfsatlas.com/evidence/njoku-2005-relationships-among
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