Implementing a minimal intervention for chronic fatigue syndrome in a mental health centre: a randomized controlled trial

Psychological Medicine
Marcia TummersGijs Bleijenberg

Abstract

Cognitive behaviour therapy (CBT) for chronic fatigue syndrome (CFS) is an effective but intensive treatment, requiring trained therapists. A minimal intervention based on CBT for CFS, guided self-instruction, was shown to be an effective treatment when delivered in a tertiary treatment centre. Implementing this intervention in a community-based mental health centre (MHC) will increase the treatment capacity for CFS patients. This study evaluated the effectiveness of guided self-instruction for CFS implemented in an MHC, delivered by nurses. One hundred and twenty-three patients were randomly assigned to either guided self-instruction (n=62) or a waiting list (n=61). Randomization was computer generated, with allocation by numbered sealed envelopes. Group allocation was open to all those involved. Patients fulfilled US Centers for Disease Control and Prevention (CDC) criteria for CFS. Primary outcome variables were fatigue severity and physical and social functioning, measured with the Checklist Individual Strength (CIS) and the Medical Outcomes Survey Short Form-36 (SF-36) respectively. After 6 months, patients who followed guided self-instruction reported a significantly larger decrease in fatigue compared to the waiting list...Continue Reading

References

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Citations

Apr 20, 2013·Journal of Psychosomatic Research·Marcia TummersGijs Bleijenberg
Dec 12, 2012·Clinical Psychology & Psychotherapy·Jan F WiborgGijs Bleijenberg
Mar 10, 2016·Clinical Endocrinology·Eline S van der ValkPierre M J Zelissen
Apr 27, 2017·The Cochrane Database of Systematic Reviews·Lillebeth LarunJonathan R Price
Mar 16, 2013·Annals of Biomedical Engineering·M S Bruzzi, J H Linehan
Oct 3, 2019·The Cochrane Database of Systematic Reviews·Lillebeth LarunJonathan R Price
May 18, 2016·Psychosomatic Medicine·Anne van GilsJudith G M Rosmalen
May 21, 2020·International Journal of Qualitative Studies on Health and Well-being·Anne Marit MengshoelElin Bolle Strand

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