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In-Patient Treatment of Chronic Fatigue Syndrome

Published online by Cambridge University Press:  16 June 2009

Trudie Chalder ,
Sue Butler  and
Simon Wessely
Trudie Chalder
Affiliation:
Kings College Hospital, London
Sue Butler
Affiliation:
Guy's and St Thomas' Hospital Trust, London
Simon Wessely
Affiliation:
Kings College Hospital, London
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Extract

A cognitive behavioural model for the development of chronic fatigue syndrome (CFS) is outlined. Six patients with CFS are described who were treated as in-patients using cognitive behaviour therapy. Treatment consisted of graded consistent exposure to activity and cognitive restructuring. Substantial improvements were made in all but one patient up to three months after discharge.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 24 , Issue 4 , October 1996 , pp. 351 - 365
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1996

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References

Beck, A.T., Rush, J.A., Shaw, B.F. and Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.Google Scholar
Behan, P. and Behan, W. (1988). The post viral fatigue syndrome. CRC Critical Reviews in Neurobiology 42, 157–178.Google Scholar
Behan, W., More, I. and Behan, P. (1991). Mitochondrial abnormalities in the post viral fatigue syndrome. Acta Neuropathologica 83, 61–65.CrossRefGoogle Scholar
Butler, S., Chalder, T., Wessely, S. and Ron, M. (1991). Cognitive behaviour therapy in chronic fatigue syndrome. Journal of Neurology, Neurosurgery and Psychiatry 54, 153–158.CrossRefGoogle ScholarPubMed
Chalder, T., Berelowitz, M., Pawlikowska, T., Watts, L., Wessely, S. and Wright, D. (1993). The development of a fatigue scale. The Journal of Psychosomatic Research 37(2), 147–153.CrossRefGoogle ScholarPubMed
Chalder, T., Power, M.J. and Wessely, S. (1996). Chronic fatigue in the community: a question of attribution. Psychological Medicine 26, 791–800.CrossRefGoogle ScholarPubMed
Cott, A., Anchel, H., Goldsberg, W.M., Fabich, M. and Parkinson, W. (1990). Non-institutional treatment of chronic pain by field management: an outcome study with comparison group. Pain 40, 183–194.CrossRefGoogle ScholarPubMed
Fukada, K., Straus, S.E., Hickie, I., Sharpe, M., Dobbins, J.G., Komaroff, A. and the International Study Group (1994). The chronic fatigue syndrome: a comprehensive approach to its definition and study. Annals of Internal Medicine 121, 953–959.CrossRefGoogle Scholar
Helman, C. (1978). Feed a cold and starve a fever. Culture, Medicine and Psychiatry 7, 107–137.CrossRefGoogle Scholar
Holmes, G., Kaplan, J.E., Gantz, N.M. et al. (1988). Chronic fatigue syndrome: a working case definition. Annals of Internal Medicine 108, 387–389.CrossRefGoogle ScholarPubMed
Houdenhove, B.V., Onghena, P., Nweerinckx, E. and Hellin, J. (1995). Does high “action-proneness” make people more vulnerable to chronic fatigue syndrome? A controlled psychometric study. Journal of Psychosomatic Research 39, 633–640.CrossRefGoogle ScholarPubMed
Katon, W., Buchwald, D., Simon, G., Russo, J. and Mease, P. (1992). Psychiatric illness in patients with chronic fatigue and rheumatoid arthritis. Journal of General Internal Medicine 6, 277–285.CrossRefGoogle Scholar
Levin, P., Kreuger, G. and Straus, S. (1989). A post viral chronic fatigue syndrome. Journal of Infectious Diseases 160, 722–724.CrossRefGoogle Scholar
Lloyd, A., Hales, J. and Gandevia, S. (1989). Muscle strength, endurance and recovery in the post infectious fatigue syndrome. Journal of Neurology, Neurosurgery and Psychiatry 51, 1316–1322.CrossRefGoogle Scholar
Lloyd, A., Gandevia, S. and Hales, J. (1991). Muscle performance, voluntary activation twitch properties and perceived effort in normal subjects and patients with chronic fatigue syndrome. Brain 114, 85–98.Google ScholarPubMed
Marks, I.M. (1986). Maudsley pocket book of clinical management: behavioural psychotherapy. Bristol: Wright.Google Scholar
Marks, I.M. and Matthews, A.M. (1979). Brief standard self-rating for phobic patients. Behaviour Research and Therapy 17, 263–267.CrossRefGoogle ScholarPubMed
M.E. Action Campaign Factsheet (1990).Google Scholar
Powell, R., Dolan, R. and Wessely, S. (1990). Attributions and self esteem in depression and chronic fatigue syndrome. Journal of Psychosomatic Research 34(6), 665–673.CrossRefGoogle Scholar
Ray, C., Jefferies, S. and Weir, W.R.C. (1995). Coping with chronic fatigue: illness responses and their relationship with fatigue, functional impairment and emotional status. Psychological Medicine 25, 937–945.CrossRefGoogle ScholarPubMed
Rikard-Bell, C.J. and Waters, B.G.H. (1992). Psychosocial management of chronic fatigue syndrome in adolescence. Australian and New Zealand Journal of Psychiatry 26, 64–72.CrossRefGoogle Scholar
Riley, M., O'Brien, C., McCluskey, D., Bell, N. and Nicholls, D. (1990). Aerobic capacity in patients with chronic fatigue syndrome. British Medical Journal 301, 953–956.CrossRefGoogle ScholarPubMed
Salit, J.E. (1985). Sporadic postinfectious neuromyasthenia. Canadian Medical Association Journal 133, 659–663.Google ScholarPubMed
Sharpe, M., Archard, L., Banatvala, J. et al. (1991). Chronic fatigue syndrome: guidelines for research. Journal of the Royal Society of Medicine 84, 118–121.CrossRefGoogle ScholarPubMed
Sharpe, M., Hawton, K., Seagrott, V. and Pasvol, G. (1992). Fatigue: follow-up of referrals to an infectious diseases clinic. British Medical Journal 305, 147–152.CrossRefGoogle Scholar
Sharpe, M., Hawton, K., Simkin, S., Surawy, C., Hackmann, A., Klimes, I., Peto, T., Warrell, D. and Seagrott, V. (1996). Cognitive therapy for chronic fatigue syndrome: a randomized controlled trial. British Medical Journal 312, 22–26.CrossRefGoogle ScholarPubMed
Shaw, F. and Creed, F. (1992). The cost of somatization. Journal of Psychosomatic Research 35, 307–312.CrossRefGoogle Scholar
Spitzer, R.L., Endicott, J. and Robins, E. (1978). Research diagnostic criteria: rationale and reliability. Archives of General Psychiatry 35, 773–782.CrossRefGoogle ScholarPubMed
Stokes, M., Cooper, R. and Edwards, R. (1988). Normal strength and fatiguability in patients with effort syndrome. British Medical Syndrome 297, 1014–1018.CrossRefGoogle Scholar
Surawy, C., Hackmann, A., Hawton, K. and Sharpe, M. (1995). Chronic fatigue syndrome: a cognitive approach. Behaviour Research and Therapy 33, 535–544.CrossRefGoogle ScholarPubMed
Vereker, M.I. (1992). Chronic fatigue syndrome: a joint paediatric-psychiatric approach. Archives of Disease in Childhood 67, 550–555.CrossRefGoogle ScholarPubMed
Vercoulen, J.H.M.M., Swaninck, C.M.A., Fennis, J.F.M., Galama, J.M.D., van der Meer, J.W.M. and Bleijenberg, G. (1996). Prognosis in chronic fatigue syndrome: a prospective study on the natural course. Journal of Neurology, Neurosurgery and Psychiatry 60, 489–494.CrossRefGoogle ScholarPubMed
Ware, N.C. and Kleinman, A. (1992). Culture and somatic experience: the social course of illness in neurasthenia and chronic fatigue syndrome. Psychosomatic Medicine 54, 546–560.CrossRefGoogle ScholarPubMed
Warwick, H. and Salkovskis, P.M. (1985). Reassurance. British Medical Journal 290, 1028.CrossRefGoogle ScholarPubMed
Warwick, H.C. and Salkovskis, P.M. (1990). Hypochondriasis. In Scott, C., Williams, J.M.G. and Beck, A.T. (Eds), Cognitive therapy: a clinical casebook. London: Croom Helm.Google Scholar
Watts, F. (1982). Attributional aspects of medicine. In Antaki, C. and Brewin, C. (Eds). Attributions and psychological change (pp. 135–155). London: Academic Press.Google Scholar
Wessely, S. and Powell, R. (1989). Fatigue syndromes: a comparison of chronic “post-viral fatigue” with neuromuscular and affective disorders. Journal of Neurology, Neurosurgery and Psychiatry 52, 940–948.CrossRefGoogle Scholar
Wessely, S., Chalder, T., Hirsch, S., Palikowska, T., Wallace, P. and Wright, D.J.M. (1995). Post-infectious fatigue: prospective cohort study in primary care. Lancet 345, 1333–1338.CrossRefGoogle Scholar
White, P., Thomas, J., Amess, J., Grover, S., Kangro, H. and Clare, A. (1995). A fatigue syndrome following infectious mononucleosis 1: the existence of the syndrome. Psychological Medicine 25, 917–924.CrossRefGoogle Scholar
Wilson, A., Hickie, I., Lloyd, A., Hadzi-Pavlovic, D., Boughton, C., Dwyer, J. and Wakefield, D. (1994). Longitudinal study of outcome of chronic fatigue syndrome. British Medical Journal 308, 756–759.CrossRefGoogle ScholarPubMed
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