Non-pharmacologic Interventions for CFS: A Randomized Trial

Jason, Leonard A.; Torres-Harding, Susan; Friedberg, Fred; Corradi, Katrina; Njoku, Mary Gloria C.; Donalek, Julie; Reynolds, Nadia; Brown, Molly; Weitner, Bing Bing; Rademaker, Alfred; Papernik, Morris

doi:10.1007/s10880-007-9090-7

Cited by 82 publications

(172 citation statements)

References 70 publications

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“…For instance, some individuals with CFS and FM exhibit relatively high-activity levels with respect to employment, family obligations, and other responsibilities. Recent studies of CFS (e.g., Friedberg & Sohl, 2009b;Jason et al, 2007) suggest a wide range of functioning. Because rates of employment and disability vary considerably in studies of CFS and FM (Reisine, Fifield, Walsh, & Feinn, 2003;Ross et al, 2004), generalizations may convey inaccurate impressions of functional status.…”

Section: Measuring Physical Functioningmentioning

confidence: 99%

Chronic fatigue syndrome, fibromyalgia, and related illnesses: a clinical model of assessment and intervention

Friedberg

2010

J Clin Psychol

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A clinically informative behavioral literature on chronic fatigue syndrome (CFS) and fibromyalgia (FM) has emerged over the past decade. The purpose of this article is to (a) define these conditions and their less severe counterparts, i.e., unexplained chronic fatigue (UCF) and chronic widespread pain; (b) briefly review the behavioral theory and intervention literature on CFS and FM; and (c) describe a user-friendly clinical model of assessment and intervention for these illnesses. The assessments described will facilitate understanding of the somewhat unusual and puzzling somatic presentations that characterize these patients. Using an individualized cognitive-behavioral approach the mental health clinician can offer significant help to these often stigmatized and medically underserved patients.

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Section: Measuring Physical Functioningmentioning

confidence: 99%

Chronic fatigue syndrome, fibromyalgia, and related illnesses: a clinical model of assessment and intervention

Friedberg

2010

J Clin Psychol

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“…Using both severity groupings, no significant differences were found between the participants in more severe and less severe categories based on age, gender, ethnicity, education level, and socioeconomic status (more information about the sample characteristics is reported elsewhere, [35]). There were 8 participants who were categorized as more severe and 63 were categorized as less severe by both methods; however, there were inconsistencies on categorization for 31 participants (17 categorized as less severe on actigraphy were categorized as more severe on self-report measures; 14 categorized as more severe on actigraphy were categorized as less severe on self-report measures), suggesting that these two criteria capture somewhat different subgroups.…”

Section: Resultsmentioning

confidence: 94%

Subgrouping in Chronic Fatigue Syndrome Based on Actigraphy and Illness Severity

Zaturenskaya¹,

Jason

Torres-Harding

et al. 2009

TOBIOJ

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Participants with chronic fatigue syndrome were categorized into subtypes based on actigraphy and illness selfreport symptom severity data. Each method identified two groups of patients, one with severe and one with less severe manifestations of the illness. For both subtypes, those in the more severe category had more physical functioning problems than those in the less severe categories. However, for the illness self-report symptom group, those in the more severe category had significantly more impairment in sleep, anxiety, depression, and pain, and more concurrent psychiatric status and Fibromyalgia than those in the less severe category. In contrast, those in the more severe actigraphy subtype group in comparison to the less severe group had more impairment in quality of life and cortisol readings. These findings suggest that CFS subtypes based on symptom severity and amount of activity identify different groups of patients with varying types of impairments.

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“…Jason et al (2007), who used a different design, failed to replicate the results obtained in the United Kingdom and the Netherlands (summarised in Bagnall et al, 2007, Table 1). There are also other factors, notably the selection of patients using broadcase definitions, which may explain the similar results reported in the United Kingdom and the Netherlands (Malouff et al, 2008).…”

Section: Responses To Criticisms and Possible Counter-argumentsmentioning

confidence: 98%

Bias, misleading information and lack of respect for alternative views have distorted perceptions of myalgic encephalomyelitis/chronic fatigue syndrome and its treatment

Goudsmit¹,

Howes²

2017

J Health Psychol

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The PACE trial is one of the most recent studies evaluating cognitive behavioural therapy and graded exercise therapy for myalgic encephalomyelitis/chronic fatigue syndrome. These interventions are based on a model which assumes that symptoms are perpetuated by factors such as misguided beliefs and a lack of activity. Our analysis indicates that the researchers have shown significant bias in their accounts of the literature and may also have overstated the effectiveness of the above treatments. We submit that their approach to criticisms undermines the scientific process and is inconsistent with best practice.

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Non-pharmacologic Interventions for CFS: A Randomized Trial

Cited by 82 publications

References 70 publications

Chronic fatigue syndrome, fibromyalgia, and related illnesses: a clinical model of assessment and intervention

Chronic fatigue syndrome, fibromyalgia, and related illnesses: a clinical model of assessment and intervention

Subgrouping in Chronic Fatigue Syndrome Based on Actigraphy and Illness Severity

Bias, misleading information and lack of respect for alternative views have distorted perceptions of myalgic encephalomyelitis/chronic fatigue syndrome and its treatment

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