mid-15c., "full of pride," from L. fastidiosus "disdainful, squeamish, exacting," from fastidium "loathing," most likely from *fastu-taidiom, a compound of fastus "contempt, arrogance" and tędium "aversion, disgust." Early use in Eng. was in both passive and active senses. Meaning "squeamish, over-nice" emerged in English 1610s. Related: Fastidiously; fastidiousness.