Does a decrease in avoidance behavior and focusing on fatigue mediate the effect of cognitive behavior therapy for chronic fatigue syndrome?

Wiborg, Jan F.; Knoop, Hans; Prins, Judith B.; Bleijenberg, Gijs

doi:10.1016/j.jpsychores.2010.12.011

Cited by 56 publications

(58 citation statements)

References 25 publications

(34 reference statements)

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“…The decrease in fatigue scores, confirming Hypothesis 3, is in accordance with findings from other studies of behavioral treatments for CFS, including fatigue amelioration in response to cognitive-behavioral therapy (Prins et al, 2001;White et al, 2011;Wiborg, Knoop, Prins, & Bleijenberg, 2011), graded exercise therapy (Wallman, Morton, Goodman, Grove, & Guilfoyle, 2004;White et al, 2011), and activity pacing (Goudsmit et al, 2009;Nijs et al, 2009). In addition, the finding that APSM was effective for participants with CFS adds to the findings from the PACE trial (White et al, 2011) showing that adaptive pacing alone was not effective in treating CFS.…”

Section: Discussionsupporting

confidence: 89%

Activity Pacing Self-Management in Chronic Fatigue Syndrome: A Randomized Controlled Trial

Kos

Eupen

Meirte

et al. 2015

The American Journal of Occupational Therapy

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OBJECTIVE. The objective of this study was to evaluate the effectiveness of an activity pacing self-management (APSM) intervention in improving performance of daily life activities in women with chronic fatigue syndrome (CFS). METHOD. A total of 33 women with CFS (age 41.1 ± 11.2 yr) were randomly allocated to APSM (experimental group; n = 16) or relaxation (control group; n = 17). Main outcome measures included the Canadian Occupational Performance Measure (COPM; primary) and Checklist Individual Strength (CIS). RESULTS. COPM scores changed significantly over time in both groups (p = .03). The change in Satisfaction scores showed a significant difference in favor only of APSM (effect size = 0.74 [0.11, 1.4]). CIS scores decreased significantly in the experimental group only (p < .01). CONCLUSION. APSM was found to be feasible and effective in optimizing participation in desired daily life activities in women with CFS. Replication in a larger sample with long-term follow-up is required.

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Section: Discussionsupporting

confidence: 89%

Activity Pacing Self-Management in Chronic Fatigue Syndrome: A Randomized Controlled Trial

Kos

Eupen

Meirte

et al. 2015

The American Journal of Occupational Therapy

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“…The reverse seems to be the case in our study. We suspect that several aspects of the treatment (structure of the programme, activity management, psycho-education on CFS and stress, and stressmanagement) effectively diminish a dominant focus on symptoms, extinguish avoidance, and also stimulate acceptance [12][13][14]. These findings are encouraging for therapists who work with this type of patients.…”

Section: Discussionmentioning

confidence: 92%

“…We chose a group CBT programme because of cost efficacy and the putative value of the peer support. CBT aimed at increasing functioning, and its objective and content are comparable with manuals of other CBT trials [9,12]. The treatment program consisted of twelve, 2-hour sessions, and a session was held every 2 weeks.…”

Section: Participantsmentioning

confidence: 99%

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Cognitive behavior therapy in patients with chronic fatigue syndrome: The role of illness acceptance and neuroticism

Poppe

Petrovic

Vogelaers

et al. 2013

Journal of Psychosomatic Research

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Number of words: 4560 Number of tables: 3Running head: CBT and chronic fatigue syndrome Key Words: chronic fatigue syndrome, cognitive behaviour therapy, acceptance, healthrelated quality of life, neuroticism. 2 AbstractObjective. Increasing the quality of life (QoL) of patients with chronic fatigue is challenging because recovery is seldom achieved. Therefore, it is important to identify processes that improve QoL. This study examined the extent of improvement related to cognitive behaviour group therapy (CBT), and whether improvement is affected by initial levels of acceptance and neuroticism.Methods. Eighty CFS patients followed CBT, and self-reported (pre-post design) on mental and physical QoL (MQoL and PQoL), fatigue, acceptance, neuroticism. The extent of improvement was analyzed using t-tests, effect sizes, and clinically significant change criteria.Whether acceptance and neuroticism at baseline predicted changes, was analyzed by means of correlation and regression analyses. Results. Significant improvement was found for all variables. The effect size for MQoL andPQoL was small; for acceptance and fatigue moderate. About 20% (MQoL) to 40% (fatigue) of the participants clinically improved.Pre-treatment level of acceptance was negatively correlated with changes in MQoL, not with PQoL changes. Neuroticism pre-treatment was positively related with MQoL changes.Regression analysis showed an effect of acceptance on changes in MQoL beyond the effect of neuroticism. Conclusions:Although CBT is an evidence-based treatment, the sizes of the effects are often small regarding QoL. Our study also revealed small effect sizes. Our study showed that patient characteristics at baseline were significantly associated with MQoL outcome; indicating that CFS patients with high neuroticism or with a low acceptance show more improvement in MQoL. We propose to specifically target acceptance and neuroticism before treatment in order to maximize clinical relevance.3

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“…Jahrhunderts, also zwei Generationen vor der MEEpidemie in London, ist dagegen weniger patientenzentriert (patient-centered), sondern erscheint heute als Abbild eines outcomes [White et al, 2011a [Wiborg et al, 2010] der Fall zu sein. Vielmehr konnten für beide Interventionen Veränderungen der Symptomfokussierung als Mediatoren für die beobachteten Symptomreduktionen nachgewiesen werden [Moss-Morris et al, 2005;Wiborg et al, 2011]. Darüber hinaus konnte in einer Reanalyse einer wirkungsäquivalenten Vergleichsstudie zwischen kognitiver Verhaltenstherapie und personenzentrierter Psychotherapie gezeigt werden [Ridsdale et al, 2001], dass die emotionale Prozessierung, verstanden als Ausdruck, Anerkennung und Akzeptanz von emotionalen Belastungen, der wichtigste Prädiktor für eine Reduktion der Erschöpfung war [Godfrey et al, 2007].…”

Section: Von Der äTiologie Zur Intervention: Raste Oder Roste?unclassified

Go West or Rest! Die Behandlung chronischer Erschöpfungssyndrome im Wandel der Zeiten

Gaab¹

2014

Verhaltenstherapie

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Die Behandlung chronischer Erschöpfungssyndrome wurde und wird kontrovers diskutiert, was trotz aller Eindeutigkeit der empirischen Faktenlage auf die divergierenden Annahmen zu den Ursachen der chronischen Erschöpfung und auf die Zielsetzungen der abgeleiteten therapeutischen Vorgehensweisen zurückzuführen ist. Interessanterweise lassen sich die wirksamen Behandlungen nicht durch die von ihnen postulierten Mechanismen erklären. Unter Berücksichtigung früherer und historischer Behandlungsansätze chronischer Erschöpfungssyndrome soll das Rational aktueller Vorgehensweisen kritisch hinterfragt und die Notwendigkeit weiterer Forschung zu den Veränderungsmechanismen hervorgehoben werden.

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Does a decrease in avoidance behavior and focusing on fatigue mediate the effect of cognitive behavior therapy for chronic fatigue syndrome?

Cited by 56 publications

References 25 publications

Activity Pacing Self-Management in Chronic Fatigue Syndrome: A Randomized Controlled Trial

Activity Pacing Self-Management in Chronic Fatigue Syndrome: A Randomized Controlled Trial

Cognitive behavior therapy in patients with chronic fatigue syndrome: The role of illness acceptance and neuroticism

Go West or Rest! Die Behandlung chronischer Erschöpfungssyndrome im Wandel der Zeiten

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