The role of acceptance in chronic fatigue syndrome

Brooks, Samantha K; Rimes, Katharine A.; Chalder, Trudie

doi:10.1016/j.jpsychores.2011.08.001

Cited by 54 publications

(61 citation statements)

References 45 publications

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“…This study extends previous research exploring aspects of PF in a CFS/ME population and provides evidence for the relevance of PF in long term health conditions [10,34,39,40].…”

Section: Discussionsupporting

confidence: 82%

“…The CPVI wording was adapted to reflect the presence of fatigue as opposed to pain (recommended in the CPVI appendix). PF was also measured using a previously adapted version of the Chronic Pain Acceptance Questionnaire (CPAQ) [33], the Fatigue Acceptance Questionnaire (FAQ) that replaces the word 'pain' with 'fatigue' [34]. The FAQ is made up of two subscales:…”

Section: Psychological Flexibilitymentioning

confidence: 99%

“…It questions the ability of the CPVI to accurately capture complex PF processes and suggests the need for future research to attend more closely to the development of PF measurement tools. Based on findings from a recent study into the reliability and validity of the FAQ [34] the contributions of fatigue willingness and activity engagement are in need of further investigation. In this study, reliability of the fatigue willingness subscales ranged from poor to acceptable depending on assessment point.…”

Section: Limitationsmentioning

confidence: 99%

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Enhanced psychological flexibility and improved quality of life in chronic fatigue syndrome/myalgic encephalomyelitis

Densham

Williams

Johnson

et al. 2016

Journal of Psychosomatic Research

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Objective: Psychological Flexibility (PF) is a relatively new concept in physical health. It can be defined as an overarching process of being able to accept the presence of wanted/unwanted experiences, choosing whether to change or persist in behaviour in response to those experiences. Associations between processes of PF and quality of life (QoL) have been found in long-term health conditions such as chronic pain, PF has not yet been applied to Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME). Methods:Changes in PF, fatigue severity and QoL were examined in one hundred and sixtyfive patients with CFS/ME engaged in a six-week outpatient interdisciplinary group treatment programme. Participants were assessed using a series of self-report measures at the start of the start (T1) and end of a six-week programme (T2) and at six months follow up (T3).Results: Significant changes in PF and QoL were observed from pre-treatment (T1) to post treatment follow-up (T2 and T3); changes in fatigue severity were observed from T1 to T3 only. Controlling for fatigue severity, changes in the PF dimension of activity/occupational engagement were associated with improvement in QoL at six month follow up (T3) but not at six weeks post programme (T2). Conclusion:Findings indicate an interdisciplinary group treatment approach for people with CFS/ME may be associated with improved QoL, processes of PF and fatigue severity, supporting a link between PF and long term health conditions. Results highlight links Running head: Psychological flexibility in CFS/ME 3 between PF and patient QoL in CFS/ME and the value of interdisciplinary treatment approaches in this patient population. Keywords

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“…This study extends previous research exploring aspects of PF in a CFS/ME population and provides evidence for the relevance of PF in long term health conditions [10,34,39,40].…”

Section: Discussionsupporting

confidence: 82%

Section: Psychological Flexibilitymentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

See 1 more Smart Citation

Enhanced psychological flexibility and improved quality of life in chronic fatigue syndrome/myalgic encephalomyelitis

Densham

Williams

Johnson

et al. 2016

Journal of Psychosomatic Research

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“…As yet, research on the role of acceptance in CFS is limited. Only a few studies has examined acceptance as predictor of health-related quality of life, and one recent study emphasized the importance of acceptance within a treatment of CFS patients [15]. More research is required to provide therapists and researchers more insight into the role of acceptance in treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In line with this view, cross-sectional studies indicate that acceptance plays a role in adjustment to chronic illnesses, amongst which CFS and that acceptance has been found to be associated with a better mental health-related quality of life (MQoL) [17,27,[29][30][31]. Of further interest are the results of Brooks and colleagues, who found that CBT for CFS resulted in an increase of acceptance, and that lack of acceptance was associated with fatigue and physical functioning [15]. In our study, we are interested whether acceptance before the start of CBT predicts the effects of treatment regarding health-related quality of life and fatigue.…”

Section: Introductionmentioning

confidence: 92%

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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