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Cognitive behaviour therapy and objective assessments in chronic fatigue syndrome

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By G. McPhee
 
Abstract
 
Most evaluations of cognitive behavioural therapy to treat people with chronic fatigue syndrome/myalgic encephalomyelitis rely exclusively on subjective self-report outcomes to evaluate whether treatment is effective. Few studies have used measures appropriate to assessing whether cognitive behavioural therapy changes in more objective measures. A review of studies incorporating objective measures suggests that there is a lack of evidence that cognitive behavioural therapy produces any improvement in a patient’s physical capabilities or other objective measures such as return to work. Future studies of chronic fatigue syndrome/myalgic encephalomyelitis should include some objective assessments as primary outcomes. If this is to include activity monitors, we first need a sound baseline dataset.

Source: McPhee G. Cognitive behaviour therapy and objective assessments in chronic fatigue syndrome. J Health Psychol. 2017 Aug;22(9):1181-1186. doi: 10.1177/1359105317707215. Epub 2017 Jun 19.

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