Cognitive behaviour therapy for chronic fatigue syndrome: Differences in treatment outcome between a tertiary treatment centre in the United Kingdom and the Netherlands

Worm-Smeitink, Margreet; Nikolaus, Stephanie; Goldsmith, Kimberley; Wiborg, Jan F.; Ali, Sheila; Knoop, Hans; Chalder, Trudie

doi:10.1016/j.jpsychores.2016.06.006

Cited by 20 publications

(21 citation statements)

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“…These two cohort studies therefore provide further support for our finding that 22% of participants recovered after CBT, rather than the 7% reported by Wilshire et al [7,9]. Furthermore, the outcomes from CBT do vary between centres internationally, and it may be that UK outcomes could be improved [14].…”

Section: What Have Others Studies Found Regarding Recovery?supporting

confidence: 81%

Do more people recover from chronic fatigue syndrome with cognitive behaviour therapy or graded exercise therapy than with other treatments?

Sharpe

Chalder

Johnson

et al. 2017

Fatigue: Biomedicine, Health & Behavior

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2017). Do more people recover from chronic fatigue syndrome with cognitive behaviour therapy or graded exercise therapy than with other treatments? Fatigue: Biomedicine, Health & Behavior , 57-61. DOI: 10.1080/21641846.2017 Citing this paper Please note that where the full-text provided on King's Research Portal is the Author Accepted Manuscript or Post-Print version this may differ from the final Published version. If citing, it is advised that you check and use the publisher's definitive version for pagination, volume/issue, and date of publication details. And where the final published version is provided on the Research Portal, if citing you are again advised to check the publisher's website for any subsequent corrections. General rightsCopyright and moral rights for the publications made accessible in the Research Portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognize and abide by the legal requirements associated with these rights.•Users may download and print one copy of any publication from the Research Portal for the purpose of private study or research.•You may not further distribute the material or use it for any profit-making activity or commercial gain •You may freely distribute the URL identifying the publication in the Research Portal Take down policy If you believe that this document breaches copyright please contact librarypure@kcl.ac.uk providing details, and we will remove access to the work immediately and investigate your claim.

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Section: What Have Others Studies Found Regarding Recovery?supporting

confidence: 81%

Do more people recover from chronic fatigue syndrome with cognitive behaviour therapy or graded exercise therapy than with other treatments?

Sharpe

Chalder

Johnson

et al. 2017

Fatigue: Biomedicine, Health & Behavior

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“…This should ensure that the patients in our study have been diagnosed with CFS/ME according to the same criteria, namely persistent or recurrent debilitating fatigue of ≥4 months’ duration which is not lifelong, or the result of ongoing exertion, or alleviated by rest, or explained by other conditions, and which results in a substantial reduction in activity. We measured patient-reported outcomes using standardised questionnaires which are used routinely in clinical practice, and which have also been used widely in epidemiological research [16, 17]. …”

Section: Discussionmentioning

confidence: 99%

Specialist treatment of chronic fatigue syndrome/ME: a cohort study among adult patients in England

Collin

Crawley

2017

BMC Health Serv Res

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BackgroundNHS specialist chronic fatigue syndrome (CFS/ME) services in England treat approximately 8000 adult patients each year. Variation in therapy programmes and treatment outcomes across services has not been described.MethodsWe described treatments provided by 11 CFS/ME specialist services and we measured changes in patient-reported fatigue (Chalder, Checklist Individual Strength), function (SF-36 physical subscale, Work & Social Adjustment Scale), anxiety and depression (Hospital Anxiety & Depression Scale), pain (visual analogue rating), sleep (Epworth, Jenkins), and overall health (Clinical Global Impression) 1 year after the start of treatment, plus questions about impact of CFS/ME on employment, education/training and domestic tasks/unpaid work. A subset of these outcome measures was collected from former patients 2–5 years after assessment at 7 of the 11 specialist services.ResultsBaseline data at clinical assessment were available for 952 patients, of whom 440 (46.2%) provided 1-year follow-up data. Treatment data were available for 435/440 (98.9%) of these patients, of whom 175 (40.2%) had been discharged at time of follow-up. Therapy programmes varied substantially in mode of delivery (individual or group) and number of sessions. Overall change in health 1 year after first attending specialist services was ‘very much’ or ‘much better’ for 27.5% (115/418) of patients, ‘a little better’ for 36.6% (153/418), ‘no change’ for 15.8% (66/418), ‘a little worse’ for 12.2% (51/418), and ‘worse’ or ‘very much worse’ for 7.9% (33/418). Among former patients who provided 2- to 5-year follow-up (30.4% (385/1265)), these proportions were 30.4% (117/385), 27.5% (106/385), 11.4% (44/385), 13.5% (52/385), and 17.1% (66/385), respectively. 85.4% (327/383) of former patients responded “Yes” to “Do you think that you are still suffering from CFS/ME?” 8.9% (34/383) were “Uncertain”, and 5.7% (22/383) responded “No”.ConclusionsThis multi-centre NHS study has shown that, although one third of patients reported substantial overall improvement in their health, CFS/ME is a long term condition that persists for the majority of adult patients even after receiving specialist treatment.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2437-3) contains supplementary material, which is available to authorized users.

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“…The Dutch sample included in this study is representative of CFS patients presenting to services across the Netherlands and similar to CFS patients from UK treatment centers. Research comparing patients from the Radboud center to patients from UK CFS services found few differences between these populations in terms of demographics, symptom profile, or treatment outcomes [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…No study to date has assessed these cognitive processes in a CFS population from outside the UK. Given that self-report studies have identified Dutch and UK CFS participants have similar symptom profiles [ 17 ], illness beliefs, and responses to symptoms [ 18 ], it was hypothesised that they will also demonstrate similar cognitive biases. Research has also identified that Dutch and UK people with CFS respond similarly to treatments [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…Given that self-report studies have identified Dutch and UK CFS participants have similar symptom profiles [ 17 ], illness beliefs, and responses to symptoms [ 18 ], it was hypothesised that they will also demonstrate similar cognitive biases. Research has also identified that Dutch and UK people with CFS respond similarly to treatments [ 18 ]. Given that treatments are often used across cultures, we wanted to assess whether experimentally measured cognitive processes also apply across cultures.…”

Section: Introductionmentioning

confidence: 99%

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Cross-Cultural Study of Information Processing Biases in Chronic Fatigue Syndrome: Comparison of Dutch and UK Chronic Fatigue Patients

et al. 2017

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PurposeThis study aims to replicate a UK study, with a Dutch sample to explore whether attention and interpretation biases and general attentional control deficits in chronic fatigue syndrome (CFS) are similar across populations and cultures.MethodThirty eight Dutch CFS participants were compared to 52 CFS and 51 healthy participants recruited from the UK. Participants completed self-report measures of symptoms, functioning, and mood, as well as three experimental tasks (i) visual-probe task measuring attentional bias to illness (somatic symptoms and disability) versus neutral words, (ii) interpretive bias task measuring positive versus somatic interpretations of ambiguous information, and (iii) the Attention Network Test measuring general attentional control.ResultsCompared to controls, Dutch and UK participants with CFS showed a significant attentional bias for illness-related words and were significantly more likely to interpret ambiguous information in a somatic way. These effects were not moderated by attentional control. There were no significant differences between the Dutch and UK CFS groups on attentional bias, interpretation bias, or attentional control scores.ConclusionThis study replicated the main findings of the UK study, with a Dutch CFS population, indicating that across these two cultures, people with CFS demonstrate biases in how somatic information is attended to and interpreted. These illness-specific biases appear to be unrelated to general attentional control deficits.

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Cognitive behaviour therapy for chronic fatigue syndrome: Differences in treatment outcome between a tertiary treatment centre in the United Kingdom and the Netherlands

Abstract: Effectiveness of CBT differed between treatment centres. Differences in treatment protocols may explain this and should be investigated to help further improve outcomes.

Cited by 20 publications

References 38 publications

Do more people recover from chronic fatigue syndrome with cognitive behaviour therapy or graded exercise therapy than with other treatments?

Do more people recover from chronic fatigue syndrome with cognitive behaviour therapy or graded exercise therapy than with other treatments?

Specialist treatment of chronic fatigue syndrome/ME: a cohort study among adult patients in England

Cross-Cultural Study of Information Processing Biases in Chronic Fatigue Syndrome: Comparison of Dutch and UK Chronic Fatigue Patients

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