Myalgische Enzephalomyelitis/chronisches Fatigue-Syndrom: eine Übersicht zur aktuellen Evidenz

Ludwig, Birgit; Olbert, Elisabeth; Trimmel, Karin; Seidel, Stefan; Müller, Christian; Struhal, Walter; Berger, Thomas

doi:10.1007/s00115-022-01431-x

Cited by 7 publications

(2 citation statements)

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“…Nonetheless, there is still no clear single diagnostic biomarker for the disease and no scientific consensus on the underlying mechanisms of pathology. Additionally, currently, proponents of psychotherapy or psychosomatic rehabilitation as 'curers' for ME/CFS use this lack of clarity as an opportunity to privilege their own therapies [16,17]. In doing so, untested claims about the possibilities of psychotherapeuticpsychosomatic treatment are commonplace.…”

Section: The Psychotherapeutic Attitude When Working With Me/cfs Pati...mentioning

confidence: 99%

The Role of Psychotherapy in the Care of Patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Grande¹,

Grande²,

Gerner

et al. 2023

Medicina

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Myalgic encephalomyelitis/chronic fatigue (ME/CFS) is a post-infectious, chronic disease that can lead to severe impairment and, even, total disability. Although the disease has been known for a long time, and has been coded in the ICD since 1969 (G93.3), medical research has not yet been able to reach a consensus regarding its physiological basis and how best to treat it. Against the background of these shortcomings, psychosomatic disease models have been developed and psychotherapeutic treatments have been derived from them, but their empirical testing has led to sobering results. According to the current state of research, psychotherapy and psychosomatic rehabilitation have no curative effect in the treatment of ME/CFS. Nevertheless, we see numerous patients in practices and outpatient clinics who suffer severely as a result of their illness and whose mental well-being and coping strategies would benefit from psychotherapeutic help. In this article, we outline a psychotherapeutic approach that serves this need, taking into account two basic characteristics of ME/CFS: firstly, the fact that ME/CFS is a physical illness and that curative treatment must therefore be physical; and secondly, the fact that post exertional malaise (PEM) is a cardinal symptom of ME/CFS and thus warrants tailored psychotherapeutic attention.

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Section: The Psychotherapeutic Attitude When Working With Me/cfs Pati...mentioning

confidence: 99%

The Role of Psychotherapy in the Care of Patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Grande¹,

Grande²,

Gerner

et al. 2023

Medicina

View full text Add to dashboard Cite

show abstract

“…Zustimmen wird man auch der Aufforderung, Betroffene und ihre Beschwerden unbedingt ernst zu nehmen, um keine anderen (somatischen) Erkrankungen zu übersehen. Jedoch muss man konstatieren, dass bei vergleichbaren, vermeintlich postviral bedingten Erkrankungen, allen voran die viel zitierte ME/CFS, immunologische Therapieansätze bisher durchweg scheiterten [ 7 ]. Der Optimismus, mit dem diese Immuntherapien nun bei Post-COVID z. T. unkritisch propagiert werden, erstaunt vor diesem Hintergrund zumindest.…”

Section: Leserbrief Zuunclassified