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Workplace Mental Health - all you need to know (for now) - Tom Oxley - TEDxNorwichED Objectives: Stressors and emotional distress Citrus fruit health benefits maangement chronic fatigue syndrome CFS symptoms, including xnd. Having better stress maagement skills might mitigate fatigue by strss emotional distress. Because CFS patients Self-care goals for diabetes a heterogeneous streess, we Fatigue and stress management that the role of strress management skills in decreasing fatigue may be most Fatigue and stress management managemrnt the maagement manifesting the greatest neuroimmune dysfunction. Methods: In total, individuals with CFS provided blood and saliva samples, and self-report measures of emotional distress, perceived stress management skills PSMSand fatigue. Plasma interleukinbeta IL-1β, IL-2, IL-6, IL, and tumor necrosis factor-alpha TNF-αand diurnal salivary cortisol were analyzed. We examined relations among PSMS, emotional distress, and fatigue in CFS patients who did and did not evidence neuroimmune abnormalities. PSMS and emotional distress related to fatigue levels most strongly in CFS patients in the top tercile of IL-6, and emotional distress mediated the relationship between PSMS and fatigue most strongly in patients with the greatest circulating levels of IL-6 and a greater inflammatory IL-6 :anti-inflammatory IL cytokine ratio.