A pilot study of cognitive behavioral stress management effects on stress, quality of life, and symptoms in persons with chronic fatigue syndrome
Open accessAbstract
Objective The present pilot study was designed to test the effects of a 12-week group-based cognitive behavioral stress management (CBSM) intervention on stress, quality of life, and symptoms in chronic fatigue syndrome (CFS). We hypothesized that participants randomized to CBSM would report improvements in perceived stress, mood, quality of life, and CFS symptomatology from pre- to postintervention compared to those receiving a psychoeducational (PE) seminar control.Method We recruited 69 persons with a bona fide diagnosis of CFS and randomized 44 to CBSM and 25 to PE. Participants completed the Perceived Stress Scale (PSS), Profile of Mood States (POMS), Quality of Life Inventory (QOLI), and a Centers for Disease Control (CDC)-based CFS symptom checklist pre- and postintervention.Results Repeated measures analysis of variance revealed a significant Group×Time interaction for PSS, POMS-total mood disturbance (TMD), and QOLI scores, such that participants in CBSM evidenced greater improvements than those in PE. Participants in CBSM also reported decreases in severity of CFS symptoms vs. those in PE.Conclusions Results suggest that CBSM is beneficial for managing distress, improving quality of life, and alleviating CFS symptom severity.
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Quality of life improved in participants receiving Qigong exercise and cognitive-behavioral stress management compared to control.
“In comparison to the control group, quality of life improved in participants receiving Qigong exercise [41,70,71] and cognitive-behavioral stress management [45].”
From Systematic review of mind‐body interventions to treat myalgic encephalomyelitis/chronic fatigue syndrome (2021) · cites this paper as [45]
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References 39 · Cited by 71
Research works printed but not linked: 3
- [17]Antoni MH Ironson G Schneiderman N Stress Management for Persons with HIV Infection 2007 New York Oxford University Press
- [18]Penedo F Antoni MH Schneiderman N Stress Management for Prostate Cancer Recovery 2008 New York Oxford University Press
- [29]Frisch MB Quality of Life Inventory: Manual and treatment guide 1994 Minneapolis, MN NCS Pearson
- Authors
- Lopez, C., Antoni, M., Penedo, F., Weiss, D., Cruess, S., Segotas, M.-C., Helder, L., Siegel, S., Klimas, N., & Fletcher, M. A.
- Affiliations
- University of Miami (US)
- Corresponding author
- Antoni, Michael
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2011-04
- Volume
- 70
- Issue
- 4
- Pages
- 328-334
- ISSN
- 0022-3999 (ISSN-L)
- PMC
- PMC3073706
- OpenAlex
- W2070618700
- Cited by
- 71
- References
- 39
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 4 · 2023: 2 · 2022: 7 · 2021: 4 · 2020: 3 · 2019: 8 · 2018: 4 · 2017: 5 · 2016: 3 · 2015: 7 · 2014: 4 · 2013: 7 · 2012: 3
- FWCI
- 3.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- NSUWorks (Nova Southeastern University) (submittedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (1U01AI45940, U01AI045940)
- National Institute of Neurological Disorders and Stroke (R01NS072599, R01NS055672)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- chronic fatigue syndrome, cognitive-behavioral stress management, group intervention, perceived stress, mood disturbance, quality of life, psychoeducation, psychological distress
- MeSH terms
- Adult, Analysis of Variance, Depression, Female, Humans, Male, Middle Aged, Patient Education as Topic, Pilot Projects, Quality of Life, Severity of Illness Index, Stress, Psychological, Fatigue Syndrome, Chronic, Cognitive Behavioral Therapy, Treatment Outcome
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