Journal: Ned Tijdschr Geneeskd. 2006 Sep 23;150(38):2067-8. Authors and Affiliation: Jonker K, van Hemert AM. Parnassiagroep-PsyQ, afd Somatiek en Psyche, Den Haag. PMID: 17036854
In the last few years, the Chronic-Fatigue Syndrome has been recognized as an important health problem. In a recent report, the Health Council of the Netherlands suggested that the capacity for treatment be increased. Cognitive behavioural therapy and graded exercise training are treatment options of first choice. A recently published, uncontrolled evaluation of a Dutch clinical rehabilitation programme based partly on these methods proved to be successful. Unfortunately, due to the uncontrolled character of the study, it remains unclear which elements in the treatment were responsible for the success. Which patients should be included in a costly clinical rehabilitation programme also remains unclear. More in general, there is room for empirical studies of treatment allocation, not in the least because of the frequently occurring comorbidity. Good progress has been made in the treatment of the Cronic-Ftigue Sndrome, but we are still far removed from evidence-based, stepped care, treatment programmes.