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

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

Prins JB, Bleijenberg G.

Department of Medical Psychology, Hospital Nijmegen, The Netherlands. j.prins@cksmps.az.nl

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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