Document Detail


Telephone-based guided self-help for adolescents with chronic fatigue syndrome: A non-randomised cohort study.
MedLine Citation:
PMID:  22459729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to gain preliminary evidence about the efficacy of a new telephone-based guided self-help intervention, based on cognitive-behavioural principles, which aimed to reduce fatigue and improve school attendance in adolescents with chronic fatigue syndrome (CFS). A non-randomised cohort design was used, with a two-month baseline period. Sixty-three 11-18 year-old participants recruited from a specialist CFS unit received the intervention. Participants received six half-hour fortnightly telephone sessions and two follow-up sessions. Fatigue and school attendance were the main outcomes and the main time point for assessing outcome was 6 months post-treatment. Using multi-level modelling, a significant decrease in fatigue was found between pre-treatment and 6 month follow-up, treatment effect estimate = - 5.68 (-7.63, -3.72), a large effect size (Cohen's d = 0.79). The decrease in fatigue between pre and post-treatment was significantly larger than between baseline and pre-treatment. A significant increase in school attendance was found between pre-treatment and 6 month follow-up, effect estimate = 1.38 (0.76, 2.00), a medium effect size (d = -0.48). univariate logistic regression found baseline perfectionism to be associated with better [corrected] school attendance at six-month follow-up. In conclusion, telephone-based guided self-help is an acceptable minimal intervention which is efficacious in reducing fatigue in adolescents with CFS.
Authors:
Samantha Lloyd; Trudie Chalder; Hannah M Sallis; Katharine A Rimes
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-03-10
Journal Detail:
Title:  Behaviour research and therapy     Volume:  50     ISSN:  1873-622X     ISO Abbreviation:  Behav Res Ther     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-16     Completed Date:  2012-07-23     Revised Date:  2013-08-21    
Medline Journal Info:
Nlm Unique ID:  0372477     Medline TA:  Behav Res Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  304-12     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Psychological Medicine, Institute of Psychiatry, King's College London, Weston Education Centre, Cutcombe Road, London, UK. Samantha.lloyd@kcl.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Cognitive Therapy / methods*
Fatigue / prevention & control*
Fatigue Syndrome, Chronic / therapy*
Feasibility Studies
Female
Follow-Up Studies
Humans
Male
Parents / psychology
Patient Satisfaction
Risk Factors
Telephone*
Treatment Outcome
Grant Support
ID/Acronym/Agency:
//Department of Health
Comments/Corrections
Erratum In:
Behav Res Ther. 2013 Aug;51(8):518

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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