Family-focused cognitive behaviour therapy versus psycho-education for adolescents with chronic fatigue syndrome: Long-term follow-up of an RCT

2012 ◽  
Vol 50 (11) ◽  
pp. 719-725 ◽  
Author(s):  
Samantha Lloyd ◽  
Trudie Chalder ◽  
Katharine A. Rimes
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Cognitive Behaviour Therapy ◽  
Chronic Fatigue ◽  
Behaviour Therapy ◽  
Fatigue Syndrome ◽  
Cognitive Behaviour ◽  
Long Term Follow Up

Long-term follow-up after cognitive behaviour therapy for chronic fatigue syndrome

2017 ◽  
Vol 97 ◽  
pp. 45-51 ◽  
Author(s):  
Anthonie Janse ◽  
Stephanie Nikolaus ◽  
Jan F. Wiborg ◽  
Marianne Heins ◽  
Jos W.M. van der Meer ◽  
...  
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Cognitive Behaviour Therapy ◽  
Chronic Fatigue ◽  
Behaviour Therapy ◽  
Fatigue Syndrome ◽  
Cognitive Behaviour ◽  
Long Term Follow Up

TELEPHONE COGNITIVE BEHAVIOUR THERAPY FOR CHRONIC FATIGUE SYNDROME IN SECONDARY CARE: A CASE SERIES

2001 ◽  
Vol 29 (4) ◽  
pp. 447-455 ◽  
Author(s):  
Mary Burgess ◽  
Trudie Chalder
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Cognitive Behaviour Therapy ◽  
Chronic Fatigue ◽  
Behaviour Therapy ◽  
Randomized Controlled ◽  
Fatigue Syndrome ◽  
Self Help ◽  
Cognitive Behaviour ◽  
At Home

Four randomized controlled trials have shown out-patient cognitive behaviour therapy reduces fatigue and disability in people suffering from chronic fatigue syndrome (CFS). However, some patients referred to Kings College Hospital, London are unable to attend regular appointments. We therefore developed a self-help treatment manual using cognitive-behavioural principles for patients to use at home with telephone contact with a therapist. Nine consecutive patients with a diagnosis of CFS who were unable to attend regular out-patient appointments used this self-help treatment approach at home. The therapist (MB) carried out a face-to-face assessment at the hospital. Subsequently, patients had fortnightly telephone appointments to discuss their progress, plan and discuss their homework and any problems. Outcome was evaluated using measures of functional impairment, fatigue, mood and general health before and after treatment and at 3 and 6-month follow-up. Eight patients completed treatment. Functional impairment, fatigue and general health improved at discharge and gains were maintained at 6-month follow-up. Self-treatment at home guided by a manual with fortnightly telephone sessions was helpful in the treatment of patients with chronic fatigue syndrome. A randomized controlled trial is underway to compare telephone cognitive behaviour therapy with out-patient cognitive behaviour therapy. Patients with other conditions such as chronic pain who are unable to travel for regular appointments may benefit from a home-based treatment package involving therapist contact by phone.

scholarly journals Family-focused cognitive behaviour therapy versus psycho-education for chronic fatigue syndrome in 11- to 18-year-olds: a randomized controlled treatment trial

2009 ◽  
Vol 40 (8) ◽  
pp. 1269-1279 ◽  
Author(s):  
T. Chalder ◽  
V. Deary ◽  
K. Husain ◽  
R. Walwyn
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Chronic Fatigue ◽  
Health Service Delivery ◽  
Behaviour Therapy ◽  
Randomized Controlled ◽  
Fatigue Syndrome ◽  
Cognitive Behaviour

BackgroundOnly one previous randomized controlled trial (RCT) has examined the efficacy of cognitive behaviour therapy (CBT) for chronic fatigue syndrome (CFS) in children. The aim of this study was to compare family-focused CBT with psycho-education for CFS in adolescents.MethodSixty-three 11- to 18-year-olds (43 girls, 20 boys) with CFS were randomly assigned to either family-focused CBT or psycho-education delivered over 6 months. School attendance was the main outcome, which was assessed at the end of treatment and at 3, 6 and 12 months follow-up.ResultsAt the main outcome point (the 6-month follow-up) both groups had improved similarly. However, although those who received family-focused CBT were attending school for longer than those who received psycho-education, at discharge from treatment and at 3 months follow-up, they improved less quickly across the follow-up period.ConclusionsAdolescents with CFS get back to school more quickly after family-focused CBT. This is important as they are at a crucial stage of their development. However, the finding that psycho-education was as effective as family-focused CBT at 6 and 12 months follow-up has important implications for health service delivery.

Chronic Fatigue Syndrome: An Evaluation of an Occupational Therapy Inpatient Intervention

2002 ◽  
Vol 65 (10) ◽  
pp. 461-468 ◽  
Author(s):  
Diane L Cox
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Occupational Therapy ◽  
Cognitive Behaviour Therapy ◽  
Comparison Group ◽  
Chronic Fatigue ◽  
Behaviour Therapy ◽  
Fatigue Syndrome ◽  
Cognitive Behaviour ◽  
Significant Difference ◽  
Inpatient Group

It has been stated that, although most chronic fatigue syndrome (CFS) patients can be treated in primary care and that cognitive behaviour therapy and prescribed, graded aerobic exercise appear to be promising in outpatient management, a minority of patients will require inpatient care (Royal Colleges of Physicians, General Practitioners and Psychiatrists 1996). To date, little has been written on the need for and impact of an inpatient approach for patients with CFS. This study builds on previous work to show how patients with complex CFS responded to a specifically designed occupational therapy inpatient programme, using the principles of cognitive behaviour therapy and graded activity. A quasi-experimental study was carried out using current inpatients with those on the waiting list as a comparison. At 6 months following discharge, a significant difference between the groups in terms of symptoms and level of ability was not demonstrated. However, a significant effect was shown in patients' perceived health, length of time tired and management of the illness. Thirty-one (72%) of the inpatient group, compared with 10 (53%) of the comparison group, stated that they felt better than the previous year. Thirty-one (72%) of the inpatient group, compared with 7 (37%) of the comparison group, indicated better management of their illness. These findings give some evidence of the need for an inpatient CFS management programme for specific patients with complex CFS.

scholarly journals Cognitive behaviour therapy for adolescents with chronic fatigue syndrome: randomised controlled trial

BMJ ◽  
2004 ◽  
Vol 330 (7481) ◽  
pp. 14 ◽  
Author(s):  
Maja Stulemeijer ◽  
Lieke W A M de Jong ◽  
Theo J W Fiselier ◽  
Sigrid W B Hoogveld ◽  
Gijs Bleijenberg
Keyword(s):  
Randomised Controlled Trial ◽  
Chronic Fatigue Syndrome ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Chronic Fatigue ◽  
Behaviour Therapy ◽  
Fatigue Syndrome ◽  
Cognitive Behaviour ◽  
Randomised Controlled
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