Cognitive behavior therapy for Chronic Fatigue Syndrome (CFS): efficacy & implications

Cognitive behavior therapy (CBT) is a form of

non-pharmacologic treatment. It is based on a model of chronic

fatigue syndrome (CFS) that hypothesizes that certain

cognitions and behavior may perpetuate symptoms and

disability–that is, act as obstacles to recovery. Treatment

emphasizes self-help and aims to help the patient to recover

by changing these unhelpful cognitions and behavior. There is

now good evidence from 2 independent randomized clinical

trials to support the efficacy of CBT in patients with CFS.

The treatment effect is substantial, although few patients are

cured. The urgent clinical need is to make this form of

treatment available to patients with CFS. One approach is to

incorporate the principles of CBT into routine clinical

practice. The preliminary evaluation of these simpler forms of

CBT are promising, although the results of controlled trials

are awaited. At present, intensive individual CBT administered

by a skilled therapist remains the treatment of choice for

patients with CFS.

1 Star2 Stars3 Stars4 Stars5 Stars (17 votes, average: 3.00 out of 5)

Leave a Reply