ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

16 Tips from 16 Years Sick

Fibromyalgia Fare Fit for All Seasons

New Study Shows Artificial Sweeteners Lead to Diabetes

Essential Oils — An Effective and Healthy Option to Treat Headaches

Higher vitamin D levels associated with less severe disease in NAFLD patients

Krill Oil: Make This Omega-3 Supplement Part of Your Health Regimen

How zinc helps fight esophageal cancer

Low vitamin D levels predict ED in diabetics

The Cellular Enzyme That Promotes Longevity And Reduces Fat Storage

What Benefits Can You Get From High-Quality Whey Protein?

 
Print Page
Email Article

Inpatient rehabilitation measured

  [ 49 votes ]   [ Discuss This Article ]
By Essame, C.S., Phelan, S., Aggett, P., and White, P.D. • www.ProHealth.com • January 1, 1998


This paper reports the experiences of a group of 19 severely incapacitated CFS patients on a multi-faceted rehabilitation program administered at a London hospital. The program included a low-dose sedative antidepressant at night for sleep, an individualized, graded activity program, diet for weight loss, cognitive behavior therapy or occupational therapy, relaxation therapy, biofeedback, supportive counseling, and extensive family meetings and care planning before discharge. The researchers noted that previous trials supporting cognitive behavior therapy and graded exercise used patients without extreme disability. For this study, 13 of the patients were either bed-bound or wheelchair dependent outside their homes. Seventeen patients improved by discharge. The 14 who were followed up a year later all had maintained or exceeded their improvement. The two patients who did not improve by discharge were the same or worse a year later. The researchers report factors that appeared to influence outcome positively were strong “motivation to change” and a supportive network of caregivers/relatives. Treatments that seemed most useful were the graded exercise/activity program with negotiated weekly goal setting, pharmacological treatment of psychiatric disorders, and family/partner meetings. On the other hand, a “strong belief in the physical etiology of the illness” was among factors that hindered improvement. They note that a controlled trial is needed to confirm the efficacy of this treatment. The number of patients was small and the functional assessment was not blind. They also noted that no patients regarded themselves as cured.
The Chronicle asked Dr. Peter White, the corresponding author, to comment on a number of potential criticisms to this paper, which he described as essentially an “audit” of the hospital’s treatment experience with CFS. With regard to the references to “motivation to change” and the patients belief that the illness was physical, Dr. White noted those factors have been found to be significant in previous studies. “The motivation seemed to us to be related to willingness to explore the possibilities of trying new approaches and new life experiences and having an open mind to all possible ways of treatment, including the psychological treatments as much as the physical ones.” The Chronicle asked whether the study might have been inadvertently biased in favor of psychological treatments by selecting patients who actually had comorbid psychiatric conditions. Dr. White responded: “This is a fair criticism, although there is good evidence that the more ill you are with CFS, the more likely you are to suffer from psychiatric illnesses, which is hardly surprising given the nature of the illness and its consequent disability.” He noted that the Oxford criteria, which were used in diagnosing subjects in the study, do exclude people with severe psychiatric illness.

Essame, C.S., Phelan, S., Aggett, P., and White, P.D. (1998). Pilot study of a multidisciplinary inpatient rehabilitation of severely incapacitated patients with the chronic fatigue syndrome. Journal of Chronic Fatigue Syndrome, 4:2, 3–22.



Post a Comment

Featured Products From the ProHealth Store
Mitochondria Ignite™ with NT Factor® Ultra ATP+, Double Strength Ultra EPA  - Fish Oil


Article Comments



Be the first to comment on this article!

Post a Comment


 
Optimized Curcumin Longvida with Omega-3

Featured Products

Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Vitamin D3 Extreme™ Vitamin D3 Extreme™
50,000 IU Vitamin D3 - Prescription Strength
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium

Natural Remedies

A Hard-Working Molecule that May Help Ease Pain & Brighten Mood A Hard-Working Molecule that May Help Ease Pain & Brighten Mood
Olea25 Olive Hydroxytyrosol Hits Astonishing 68,000+ ORAC Antioxidant Value Olea25 Olive Hydroxytyrosol Hits Astonishing 68,000+ ORAC Antioxidant Value
Live Without Anxiety or Stress Live Without Anxiety or Stress
Enhance Eyelashes Naturally Enhance Eyelashes Naturally
Cocoa's Polyphenol Riches - All the Health Benefits without the Sugar, Calories or Guilt Cocoa's Polyphenol Riches - All the Health Benefits without the Sugar, Calories or Guilt

CONTACT US
ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
SHOP WITH CONFIDENCE
Credit Card Processing
SUBSCRIBE TO OUR NEWSLETTERS
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2017 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map