The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.
Cognitive behaviour therapy in chronic fatigue syndrome.
Open accessAbstract
Fifty patients fulfilling operational criteria for the chronic fatigue syndrome (CFS), and who had been ill for a mean of five years, were offered cognitive behaviour therapy in an open trial. Those fulfilling operational criteria for depressive illness were also offered tricyclic antidepressants. The rationale was that a distinction be drawn between factors that precipitate the illness and those that perpetuate it. Among the latter are cognitive factors such as the belief that physical symptoms always imply tissue damage, and behavioural factors such as persistent avoidance of activities associated with an increase in symptoms. Therapy led to substantial improvements in overall disability, fatigue, somatic and psychiatric symptoms. The principal problems encountered were a high refusal rate and difficulties in treating affective disorders. Outcome depended more on the strength of the initial attribution of symptoms to exclusively physical causes, and was not influenced by length of illness. These results suggest that current views on both treatment and prognosis in CFS are unnecessarily pessimistic. It is also suggested that advice currently offered to chronic patients, to avoid physical and mental activity, is counterproductive.
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Cites
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Cited by
Development of a fatigue scale
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Self-citationDimensional assessment of chronic fatigue syndrome
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Metadata
- Authors
- Butler, S., Chalder, T., Ron, M., & Wessely, S.
- Venue
- Journal of Neurology, Neurosurgery & Psychiatry
- Publisher
- BMJ
- Published
- 1991-02-01
- Volume
- 54
- Issue
- 2
- Pages
- 153-158
- ISSN
- 0022-3050 (ISSN-L)
- OpenAlex
- W2068101775
- Cited by
- 276
- References
- 35
- FWCI
- 15.03
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Butler, S., Chalder, T., Ron, M., & Wessely, S. (1991). Cognitive behaviour therapy in chronic fatigue syndrome. Journal of Neurology, Neurosurgery & Psychiatry. https://doi.org/10.1136/jnnp.54.2.153
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
