Chronic fatigue syndrome (CFS) is a poorly understood condition. Possible e
tiological factors include infectious agents, psychiatric disorders, and pe
rsonality characteristics. We examined personality dimensions in 30 nondepr
essed patients with CFS, 20 patients with major depressive disorder (MDD),
and 15 healthy controls. On the NEO-FFI, patients with CFS scored significa
ntly lower than healthy controls on the extroversion subscale. On the neuro
ticism dimension of the Eysenck Personality Questionnaire (EPQ), patients w
ith MDD scored higher than those with CFS, who in turn scored significantly
higher than the healthy controls. CFS patients rated themselves as higher
on neuroticism and less extroverted when ill than when they were well. Our
results suggest that high scores on neuroticism and low scores on extrovers
ion in CFS could be a reaction to chronic illness. (C) 1999 Elsevier Scienc
e Inc.