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Is a full recovery possible after cognitive behavioural therapy for Chronic Fatigue Syndrome?

  [ 475 votes ]   [ 1 Comment ]
By H Knoop, et al. • • April 19, 2007

Journal: Psychotherapy and Psychosomatics. 2007;76(3):171-176.

Authors and affiliation: Knoop H, Bleijenberg G, Gielissen MF, van der Meer JW, White PD. Expert Centre Chronic Fatigue, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. [E-mail: ]

PMID: 17426416

Background: Cognitive behavioral therapy (CBT) for Chronic Fatigue Syndrome (CFS) leads to a decrease in symptoms and disabilities. There is controversy about the nature of the change following treatment; some suggest that patients improve by learning to adapt to a chronic condition, others think that recovery is possible. The objective of this study was to find out whether recovery from CFS is possible after CBT.

Methods: The outcome of a cohort of 96 patients treated for CFS with CBT was studied. The definition of recovery was based on the absence of the criteria for CFS set up by the Centers for Disease Control (CDC), but also took into account the perception of the patients' fatigue and their own health. Data from healthy population norms were used in calculating conservative thresholds for recovery.

Results: After treatment, 69% of the patients no longer met the CDC criteria for CFS. The percentage of recovered patients depended on the criteria used for recovery. Using the most comprehensive definition of recovery, 23% of the patients fully recovered. Fewer patients with a co-morbid medical condition recovered.

Conclusion: Significant improvement following CBT is probable and a full recovery is possible. Sharing this information with patients can raise the expectations of the treatment, which may enhance outcomes without raising false hopes.

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Article Comments Post a Comment

Posted by: wander
Sep 10, 2007
How long was the study?..Of the patients you say were cured, how many are still cured? How long were they followed? I believe in cognitive therapy..I have used it in combination with other therapies and medications and suppliments. It helps one to learn to live in the live with and manage a chronic illness... It can help to change old and inappropriate or mistaken beliefs. Because others cannot always see the pain you may be in they do not understand. Cognitive therapy can help you to teach others to respect your right as a person with a chronic illness. There is no one magic bullit cure...what are you thinking??? Who are you trying to help??? Another venture to benefit R. Carlson....
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