{"id":12295,"date":"2017-03-23T08:25:58","date_gmt":"2017-03-23T08:25:58","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=12295"},"modified":"2017-03-23T08:25:58","modified_gmt":"2017-03-23T08:25:58","slug":"do-graded-activity-therapies-cause-harm-in-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/do-graded-activity-therapies-cause-harm-in-cfs\/","title":{"rendered":"Do graded activity therapies cause harm in CFS?"},"content":{"rendered":"<h3><strong>Article\u00a0abstract:<\/strong><\/h3>\n<p>Reporting of harms was much better in the PACE (Pacing, graded Activity, and Cognitive behavioural therapy: a randomised Evaluation) trial than earlier chronic fatigue syndrome trials of graded exercise therapy and cognitive behavioural therapy.<\/p>\n<p>However, some issues remain.<\/p>\n<p>The trial\u2019s poor results on objective measures of fitness suggest a lack of adherence to the activity component of these therapies.<\/p>\n<p>Therefore, the safety findings may not apply in other clinical contexts.<\/p>\n<p>Outside of clinical trials, many patients report deterioration with cognitive behavioural therapy and particularly graded exercise therapy.<\/p>\n<p>Also, exercise physiology studies reveal abnormalities in chronic fatigue syndrome patients\u2019 responses to exertion.<\/p>\n<p>Given these considerations, one cannot conclude that these interventions are safe and risk-free.<\/p>\n<p><a href=\"http:\/\/journals.sagepub.com\/doi\/full\/10.1177\/1359105317697323\" target=\"_blank\">Do graded activity therapies cause harm in chronic fatigue syndrome?, <\/a>by Tom Kindlon in Journal of Health Psychology [First Published March 20, 2017] Full article is behind a paywall<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Article\u00a0abstract: Reporting of harms was much better in the PACE (Pacing, graded Activity, and Cognitive behavioural therapy: a randomised Evaluation) trial than earlier chronic fatigue syndrome trials of graded exercise therapy and cognitive behavioural therapy. However, some issues remain. The &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/do-graded-activity-therapies-cause-harm-in-cfs\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[426,481,2327,310,1495],"class_list":["post-12295","post","type-post","status-publish","format-standard","hentry","category-news","tag-cognitive-behavioural-therapy","tag-graded-exercise-therapy","tag-harms","tag-pace-trial","tag-tom-kindlon"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-3cj","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/12295","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=12295"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/12295\/revisions"}],"predecessor-version":[{"id":12332,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/12295\/revisions\/12332"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=12295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=12295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=12295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}