{"id":20328,"date":"2019-04-04T06:59:09","date_gmt":"2019-04-04T06:59:09","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=20328"},"modified":"2019-04-04T06:59:09","modified_gmt":"2019-04-04T06:59:09","slug":"challenging-claims-that-fearful-avoidance-beliefs-about-activity-in-me-cfs-can-be-targeted-with-cbt-get","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/challenging-claims-that-fearful-avoidance-beliefs-about-activity-in-me-cfs-can-be-targeted-with-cbt-get\/","title":{"rendered":"Challenging claims that fearful avoidance beliefs about activity in ME & CFS can be targeted with CBT\/GET."},"content":{"rendered":"

Cognitive-behavorial and graded exercise therapies for chronic fatigue (syndrome) are associated with lower levels of work\/school attendance,<\/a> by Frank N M Twisk in<\/span> J Behav Med<\/em> [Published online 28 March 2019]<\/h3>\n

\"\"<\/a>Psychological and demographic factors associated with fatigue and social adjustment in young people with severe chronic fatigue syndrome\/myalgic encephalomyelitis: a preliminary mixed-methods study<\/a>, Sheila Ali, Lucy Adamczyk, Mary Burgess, Trudie Chalder in<\/span> Journal of Behavioral Medicine <\/em>pp 1\u201313 [First Online: 25 January 2019]<\/p>\n

Twisk comments on the recent study by Ali and colleagues which reported that stronger fear avoidance beliefs at baseline were associated with higher fatigue approximately 5 months later (T2) and worse social adjustment at T1 and T2, and female gender and treatment were associated with lower work\/school attendance at T1 and T2.<\/p>\n

Ali et al. conclude: \u2018\u2018Fearful beliefs about activity could be targeted using cognitive-behavioural interventions\u2019\u2019.<\/p>\n

Twisk makes 3 challenges to the study results:<\/p>\n

    \n
  1. the patients investigated cannot be qualified as CFS patients, let alone ME patients –\u00a0the discredited Oxford criteria was used for selection<\/li>\n
  2. The results do not support the claim that CBT & GET are effective rehabilitative treatments as in most cases (25\/41) treatment was associated with lower work\/school attendance at baseline and after 5 months.<\/li>\n
  3. In spite of claiming their study \u2018\u2018did not allow for causal inferences to be made\u2019 they conclude that\u00a0fearful beliefs could have \u2018\u2018developed as a result of being so severely ill\u2019\u2019<\/li>\n<\/ol>\n

    Twisk believes the study actually shows that there is a need for accurate diagnosis (ME, CFS or CF) and that CBT and GET are neither effective nor safe.<\/p>\n

    Read the full article<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

    Cognitive-behavorial and graded exercise therapies for chronic fatigue (syndrome) are associated with lower levels of work\/school attendance, by Frank N M Twisk in J Behav Med [Published online 28 March 2019] Psychological and demographic factors associated with fatigue and social … Continue reading →<\/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":[11,257,426,1444,1043,10,481,4965,3855,3407,3646,212],"class_list":["post-20328","post","type-post","status-publish","format-standard","hentry","category-news","tag-cbt","tag-children","tag-cognitive-behavioural-therapy","tag-fear-avoidance","tag-frank-nm-twisk","tag-get","tag-graded-exercise-therapy","tag-lucy-adamczyk","tag-mary-burgess","tag-prof-trudie-chalder","tag-sheila-ali","tag-young-people"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-5hS","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/20328","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=20328"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/20328\/revisions"}],"predecessor-version":[{"id":20400,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/20328\/revisions\/20400"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=20328"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=20328"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=20328"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}