Web-based cognitive behavioural therapy blended with face-to-face sessions for chronic fatigue in type 1 diabetes: a multicentre randomised controlled trial

Menting, Juliane; Tack, Cees J.; Bon, Arianne C. van; Jansen, Henry; Bergh, Joop van den; Mol, M.J.T.M.; Goedendorp, Martine M.; Donders, Rogier; Knoop, Hans

doi:10.1016/s2213-8587(17)30098-0

Cited by 40 publications

(66 citation statements)

References 26 publications

(44 reference statements)

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“…We therefore suggest that interventions should focus on both the somatic and psychosocial aspects of fatigue as, for example, in cognitive–behavioural therapy (CBT) 26. CBT has been proven to reduce fatigue in adolescents with CFS and in fatigued adults with various chronic diseases 26–28. Other promising interventions include education, exercise or relaxation or are designed to improve one’s self-efficacy or sleep pattern 4 29 30.…”

Section: Discussionmentioning

confidence: 99%

Fatigue in childhood chronic disease

et al. 2019

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Background and objectivesRecently, in adults, the incidence and severity of fatigue was found to exist rather independently from the somatic diagnosis. Since fatigue is distressing when growing up with a chronic disease, we aim to investigate: (1) the prevalence and extent of fatigue among various paediatric chronic diseases and (2) the effect of fatigue on health-related quality of life (HRQoL).Design and settingCross-sectional study in two children’s hospitals.PatientsChildren and adolescents 2–18 years of age with cystic fibrosis, an autoimmune disease or postcancer treatment visiting the outpatient clinic.Outcome measuresFatigue and HRQoL were assessed using the Pediatric Quality of Life Inventory (PedsQL) multidimensional fatigue scale (with lower scores indicating more fatigue) and PedsQL generic core scales, respectively. Linear regression analysis and analysis of covariance were used to compare fatigue scores across disease groups and against two control groups. The effect of fatigue on HRQoL was calculated. Data were adjusted for age, sex and reporting method.Results481 children and adolescents were assessed (60% participation rate, mean age 10.7±4.9, 42% men). Children and adolescents with chronic disease reported more fatigue than the general population (mean difference −6.6, 95% CI −8.9 to –4.3 (range 0–100)), with a prevalence of severe fatigue of 21.2%. Fatigue scores did not differ significantly between disease groups on any fatigue domain. Fatigue was associated with lower HRQoL on all domains.ConclusionsFatigue in childhood chronic disease is a common symptom that presents across disease, age and sex groups. Fatigue affects HRQoL. Our findings underscore the need to systematically assess fatigue. Future studies should determine possible biological and psychosocial treatment targets.

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Section: Discussionmentioning

confidence: 99%

Fatigue in childhood chronic disease

et al. 2019

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“…9,10 Cognitive behavioural therapy (CBT) has been found effective in relieving fatigue in chronic fatigue syndrome and type 1 diabetes. 11,12 In facioscapulohumeral muscular dystrophy, CBT reduced fatigue and increased objective activity (as measured with actometry) and social participation. 13 In addition, there is accumulating evidence supporting the beneficial effects of low-to-moderate-intensity strength and aerobic exercise training and an active lifestyle in neuromuscular diseases.…”

Section: Introductionmentioning

confidence: 99%

Cognitive behavioural therapy with optional graded exercise therapy in patients with severe fatigue with myotonic dystrophy type 1: a multicentre, single-blind, randomised trial

Okkersen¹,

Jimenez-Moreno²,

Wenninger³

et al. 2018

The Lancet Neurology

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106

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“…3 4 Evidence suggests a beneficial effect of cognitive-behavioural therapy (CBT) in adults 5 and adolescents 6 with CFS, as well as in CF from welldefined causes such as cancer 7 and diabetes. 8 Generally, harmful effects of CBT have never been consistently reported; however, effect sizes are usually moderate, and there is a need to establish more effective treatment programmes. Furthermore, it is still unclear to what extent different subgroups respond differently to CBT 9 ; in particular, no study has specifically explored the effect of CBT in postinfectious CF and CFS.…”

Section: Introductionmentioning

confidence: 99%

Cognitive–behavioural therapy combined with music therapy for chronic fatigue following Epstein-Barr virus infection in adolescents: a feasibility study

Malik

Asprusten

Pedersen

et al. 2020

bmjpo

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BackgroundCognitive–behavioural therapy (CBT) is effective in chronic fatigue syndrome. However, CBT has not been investigated in postinfectious chronic fatigue (CF), nor is it known whether addition of therapeutic elements from other disciplines might be feasible. We studied the feasibility of a combined CBT and music therapy intervention for CF following Epstein-Barr virus (EBV) infection in adolescents.MethodsAdolescents (12–20 years old) participating in a postinfectious cohort study who developed CF 6 months after an acute EBV infection were eligible for the present feasibility study. A combined CBT and music therapy programme (10 therapy sessions and related homework) was compared with care as usual in a randomised controlled design. Therapists and participants were blinded to outcome evaluation. Endpoints included physical activity (steps/day), symptom scores, recovery rate and possible harmful effects, but the study was underpowered regarding efficacy. Total follow-up time was 15 months.ResultsA total of 43 individuals with postinfectious CF were included (21 intervention group, 22 control group). Seven individuals left the study during the first 3 months, leaving 15 in the intervention group and 21 in the control group at 3 months’ follow-up. No harmful effects were recorded, and compliance with appointment was high. In intention-to-treat analyses, number of steps/day tended to decrease (difference=−1158, 95% CI −2642 to 325), whereas postexertional malaise tended to improve (difference=−0.4, 95% CI −0.9 to 0.1) in the intervention group at 3 months. At 15 months’ follow-up, there was a trend towards higher recovery rate in the intervention group (62% vs 37%).ConclusionAn intervention study of combined CBT and music therapy in postinfectious CF is feasible, and appears acceptable to the participants. The tendencies towards positive effects on patients’ symptoms and recovery might justify a full-scale clinical trial.Trial registration numberNCT02499302.

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Web-based cognitive behavioural therapy blended with face-to-face sessions for chronic fatigue in type 1 diabetes: a multicentre randomised controlled trial

Abstract: Dutch Diabetes Research Foundation (Diabetes Fonds).

Cited by 40 publications

References 26 publications

Fatigue in childhood chronic disease

Fatigue in childhood chronic disease

Cognitive behavioural therapy with optional graded exercise therapy in patients with severe fatigue with myotonic dystrophy type 1: a multicentre, single-blind, randomised trial

Cognitive–behavioural therapy combined with music therapy for chronic fatigue following Epstein-Barr virus infection in adolescents: a feasibility study

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