Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-10T08:43:30.416Z Has data issue: false hasContentIssue false

Competences Required for the Delivery of High and Low-Intensity Cognitive Behavioural Interventions for Chronic Fatigue, Chronic Fatigue Syndrome/ME and Irritable Bowel Syndrome

Published online by Cambridge University Press:  15 May 2014

Katharine A. Rimes*
Affiliation:
King's College London, Institute of Psychiatry, UK
Janet Wingrove
Affiliation:
South London and Maudsley NHS Foundation Hospital Trust, London, UK
Rona Moss-Morris
Affiliation:
King's College London, Institute of Psychiatry, UK
Trudie Chalder
Affiliation:
King's College London, Institute of Psychiatry, UK
*
Reprint requests to Katharine A. Rimes, King's College London, Institute of Psychiatry, Department of Psychology, De Crespigny Park, London SE5 8AF, UK. E-mail: katharine.rimes@kcl.ac.uk

Abstract

Background: Cognitive behavioural interventions are effective in the treatment of chronic fatigue, chronic fatigue syndrome (sometimes known as ME or CFS/ME) and irritable bowel syndrome (IBS). Such interventions are increasingly being provided not only in specialist settings but in primary care settings such as Improving Access to Psychological Therapies (IAPT) services. There are no existing competences for the delivery of “low-intensity” or “high-intensity” cognitive behavioural interventions for these conditions. Aims: To develop “high-intensity” and “low-intensity” competences for cognitive behavioural interventions for chronic fatigue, CFS/ME and IBS. Method: The initial draft drew on a variety of sources including treatment manuals and other information from randomized controlled trials. Therapists with experience in providing cognitive behavioural interventions for CF, CFS/ME and IBS in research and clinical settings were consulted on the initial draft competences and their suggestions for minor amendments were incorporated into the final versions. Results: Feedback from experienced therapists was positive. Therapists providing low intensity interventions reported that the competences were also helpful in highlighting training needs. Conclusions: These sets of competences should facilitate the training and supervision of therapists providing cognitive behavioural interventions for chronic fatigue, CFS/ME and IBS. The competences are available online (see table of contents for this issue: http://journals.cambridge.org/jid_BCP) or on request from the first author.

Type
Brief Clinical Report
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Burgess, M. and Chalder, T. (2005). Overcoming Chronic Fatigue. London: Constable Robinson.Google Scholar
Castell, B. D., Kazantzis, N. and Moss-Morris, R. E. (2011). Cognitive behavioral therapy and graded exercise for chronic fatigue syndrome: a meta-analysis. Clinical Psychology: Science and Practice, 18, 311324.Google Scholar
Chalder, T. (2003). Coping with Chronic Fatigue. London: Sheldon Press.Google Scholar
Kennedy, T., Jones, R., Darnley, S., Seed, P., Wessely, S. and Chalder, T. (2005). Cognitive behaviour therapy in addition to antispasmodic treatment for irritable bowel syndrome in primary care: randomised controlled trial. British Medical Journal, 331, 435.Google Scholar
Moss-Morris, R., McAlpine, L., Didsbury, L. P. and Spence, M. J. (2010). A randomized controlled trial of a cognitive behavioural therapy-based self-management intervention for irritable bowel syndrome in primary care. Psychological Medicine, 40, 8594.Google Scholar
National Institute for Health and Clinical Excellence (2007). Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (or encephalopathy): diagnosis and management of CFS/ME in adults and children. London: NICE. http://guidance.nice.org.uk/CG053.Google Scholar
Ridsdale, L., Godfrey, E., Chalder, T., Seed, P., King, M., Wallace, P., et al. (2001). Chronic fatigue in general practice: is counselling as good as cognitive behaviour therapy? A UK randomised trial. British Journal of General Practice, 51, 1924.Google Scholar
Roth, A. D. and Pilling, S. (2007). Competencies Required to Deliver Effective Cognitive and Behaviour Therapy for People with Depression and with Anxiety Disorders. London: HMSO, Department of Health.Google Scholar
Surawy, C., Hackmann, A., Hawton, K. and Sharpe, M. (1995). Chronic fatigue syndrome: a cognitive approach. Behaviour Research and Therapy, 33, 535544.Google Scholar
van Kessel, K., Moss-Morris, R., Willoughby, E., Chalder, T., Johnson, M. H. and Robinson, E. (2008). A randomized controlled trial of cognitive behavior therapy for multiple sclerosis fatigue. Psychosomatic Medicine, 70, 205213.CrossRefGoogle ScholarPubMed
Wessley, S., David, A., Butler, S. and Chalder, T. (1989). Management of chronic (post-viral) fatigue syndrome. Journal of the Royal College of General Practitioners, 39, 2629.Google Scholar
White, P., Goldsmith, K., Johnson, A., Potts, L., Walwyn, R., Decesare, J., et al. (2011). Comparison of Adaptive Pacing Therapy, Cognitive Behaviour Therapy, Graded Exercise Therapy, and Specialist Medical Care for Chronic Fatigue Syndrome (PACE): a randomised trial. Lancet, 377, 823836.Google Scholar
Supplementary material: PDF

Rimes Supplementary Material

Supplementary Material 1

Download Rimes Supplementary Material(PDF)
PDF 353.4 KB
Supplementary material: PDF

Rimes Supplementary Material

Supplementary Material 2

Download Rimes Supplementary Material(PDF)
PDF 336.5 KB
Supplementary material: PDF

Rimes Supplementary Material

Supplementary Material 3

Download Rimes Supplementary Material(PDF)
PDF 355 KB
Supplementary material: PDF

Rimes Supplementary Material

Supplementary Material 4

Download Rimes Supplementary Material(PDF)
PDF 341.8 KB
Submit a response

Comments

No Comments have been published for this article.