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Abstract: Cognitive behavior therapy for Chronic Fatigue Syndrome (CFS): a case study

  [ 46 votes ]   [ Discuss This Article ] • December 5, 1999

Source: J Behav Ther Exp Psychiatry. 1999 Dec;30(4):325-39.

Prins JB, Bleijenberg G.

Department of Medical Psychology, Hospital Nijmegen, The Netherlands.

The case of a 26-year old woman with Chronic Fatigue Syndrome
(CFS) is presented. Multidimensional assessment showing severe
debilitating fatigue and considerable psychological, social
and occupational impairment confirmed the diagnosis. Cognitive
behavior therapy (CBT) was based on a tested causal model of
CFS and individual behavioral analyses. Key elements in CBT
were process variables from the CFS model, like sense of
control, causal attributions, physical activity and focusing
on bodily functions. Goals were recovery from fatigue,
returning to work and relapse prevention. The course of
therapy is described in detail to illustrate difficulties in
treating CFS. Assessments were made five times, at baseline
and at 8, 14, 21 and 33 months. Comparison of the pretest,
post-test and follow-up scores of the outcome variables,
fatigue and functional impairment and of the process variables
showed clinically significant improvement from the range of
CFS patients to the range of healthy controls.

PMID: 10759328 [PubMed - indexed for MEDLINE]

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