{"id":12470,"date":"2017-04-03T07:01:44","date_gmt":"2017-04-03T07:01:44","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=12470"},"modified":"2017-04-03T07:01:44","modified_gmt":"2017-04-03T07:01:44","slug":"long-term-follow-up-after-cbt-for-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/long-term-follow-up-after-cbt-for-cfs\/","title":{"rendered":"Long-term follow-up after CBT for CFS"},"content":{"rendered":"<h3><strong>Research abstract:<\/strong><\/h3>\n<p><a href=\"http:\/\/www.jpsychores.com\/article\/S0022-3999(17)30171-X\/abstract\" target=\"_blank\">Long-term follow-up after cognitive behaviour therapy for chronic\u00a0fatigue syndrome, <\/a>by\u00a0Anthonie Janse, Stephanie Nikolaus, Jan F. Wiborg,\u00a0Marianne Heins, Jos W.M. van der Meer, Gijs Bleijenberg,\u00a0Marcia Tummers, Jos Twisk, Hans Knoop <span style=\"text-decoration: underline;\">in<\/span>\u00a0<em>Journal of Psychosomatic Research<\/em> [Preprint 27 March 2017]<\/p>\n<p><strong>Highlights<\/strong><\/p>\n<ul>\n<li>Positive effects of CBT for CFS are partly maintained at long term follow-up, up to 10\u2005years post treatment.<\/li>\n<li>One out of two of all participants does not perceive themselves as a CFS patient.<\/li>\n<li>A subgroup of patients shows evidence of relapse and once again report severe fatigue and\/or compromised physical functioning<\/li>\n<\/ul>\n<p><strong>Objective:<\/strong><br \/>\nCognitive behaviour therapy (CBT) is an effective treatment for chronic\u00a0fatigue syndrome (CFS). Main aim was to determine whether treatment\u00a0effects were maintained up to 10 years after treatment.<\/p>\n<p><strong>Methods<\/strong><br \/>\nParticipants (n=583) of previously published studies on the effects of\u00a0CBT for CFS were contacted for a long-term follow-up assessment. They\u00a0completed questionnaires on main outcomes fatigue severity (CIS) and\u00a0physical functioning (SF-36). The course of these outcomes since\u00a0post-treatment assessment was examined using mixed model analyses.<\/p>\n<p><strong>Results<\/strong><br \/>\nBetween 21 and 125 months after finishing CBT, 511 persons (response\u00a0rate 88%) completed a follow-up assessment. At follow-up, mean fatigue\u00a0severity was significantly increased to 37.60 (SD=12.76) and mean\u00a0physical functioning significantly decreased to 73.16 (SD=23.56)\u00a0compared to post-treatment assessment. At follow-up still 37% of the<br \/>\nparticipants had fatigue scores in the normal range and 70% were not\u00a0impaired in physical functioning.<\/p>\n<p><strong>Conclusion<\/strong><br \/>\nPositive effects of CBT for CFS on fatigue and physical functioning were\u00a0partly sustained at long-term follow-up. However, a subgroup of patients\u00a0once again reported severe fatigue, and compromised physical\u00a0functioning. Further research should elucidate the reasons for this\u00a0deterioration to facilitate the development of treatment strategies for\u00a0relapse prevention.<\/p>\n<p><strong>Comment:<\/strong> A discussion of this paper at <a href=\"http:\/\/forums.phoenixrising.me\/index.php?threads\/long-term-follow-up-after-cognitive-behaviour-therapy-for-chronic-fatigue-syndrome.50394\/\" target=\"_blank\">Phoenix rising<\/a>\u00a0questions the\u00a0low level the Dutch\u00a0researchers have chosen for\u00a0&#8216;normal functioning&#8217; and comment that the results are still poor for many participants!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Research abstract: Long-term follow-up after cognitive behaviour therapy for chronic\u00a0fatigue syndrome, by\u00a0Anthonie Janse, Stephanie Nikolaus, Jan F. Wiborg,\u00a0Marianne Heins, Jos W.M. van der Meer, Gijs Bleijenberg,\u00a0Marcia Tummers, Jos Twisk, Hans Knoop in\u00a0Journal of Psychosomatic Research [Preprint 27 March 2017] Highlights &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/long-term-follow-up-after-cbt-for-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":[3665,11,426,3664,1939,429],"class_list":["post-12470","post","type-post","status-publish","format-standard","hentry","category-news","tag-anthonie-janse","tag-cbt","tag-cognitive-behavioural-therapy","tag-hans-knoop","tag-jwm-van-der-meer","tag-long-term-follow-up"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-3f8","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/12470","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=12470"}],"version-history":[{"count":5,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/12470\/revisions"}],"predecessor-version":[{"id":12482,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/12470\/revisions\/12482"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=12470"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=12470"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=12470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}