Document Detail


Is a full recovery possible after cognitive behavioural therapy for chronic fatigue syndrome?
MedLine Citation:
PMID:  17426416     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cognitive behavioural therapy (CBT) for chronic fatigue syndrome (CFS) leads to a decrease in symptoms and disabilities. There is controversy about the nature of the change following treatment; some suggest that patients improve by learning to adapt to a chronic condition, others think that recovery is possible. The objective of this study was to find out whether recovery from CFS is possible after CBT. METHODS: The outcome of a cohort of 96 patients treated for CFS with CBT was studied. The definition of recovery was based on the absence of the criteria for CFS set up by the Center for Disease Control (CDC), but also took into account the perception of the patients' fatigue and their own health. Data from healthy population norms were used in calculating conservative thresholds for recovery. RESULTS: After treatment, 69% of the patients no longer met the CDC criteria for CFS. The percentage of recovered patients depended on the criteria used for recovery. Using the most comprehensive definition of recovery, 23% of the patients fully recovered. Fewer patients with a co-morbid medical condition recovered. CONCLUSION: Significant improvement following CBT is probable and a full recovery is possible. Sharing this information with patients can raise the expectations of the treatment, which may enhance outcomes without raising false hopes.
Authors:
Hans Knoop; Gijs Bleijenberg; Marieke F M Gielissen; Jos W M van der Meer; Peter D White
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychotherapy and psychosomatics     Volume:  76     ISSN:  0033-3190     ISO Abbreviation:  Psychother Psychosom     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-11     Completed Date:  2007-07-16     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0024046     Medline TA:  Psychother Psychosom     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  171-6     Citation Subset:  IM    
Copyright Information:
Copyright 2007 S. Karger AG, Basel.
Affiliation:
Expert Centre Chronic Fatigue, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. j.knoop@nkcv.umcn.nl
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adult
Cognitive Therapy*
Cohort Studies
Comorbidity
Disability Evaluation
Fatigue Syndrome, Chronic / diagnosis,  psychology,  therapy*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Outcome Assessment (Health Care)*
Sick Role
Social Adjustment

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


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