Is a full recovery possible after cognitive behavioural therapy for chronic fatigue syndrome?
Abstract
BACKGROUND: Cognitive behavioural therapy (CBT) for chronic fatigue syndrome (CFS) leads to a decrease in symptoms and disabilities. There is controversy about the nature of the change following treatment; some suggest that patients improve by learning to adapt to a chronic condition, others think that recovery is possible. The objective of this study was to find out whether recovery from CFS is possible after CBT. METHODS: The outcome of a cohort of 96 patients treated for CFS with CBT was studied. The definition of recovery was based on the absence of the criteria for CFS set up by the Center for Disease Control (CDC), but also took into account the perception of the patients' fatigue and their own health. Data from healthy population norms were used in calculating conservative thresholds for recovery. RESULTS: After treatment, 69% of the patients no longer met the CDC criteria for CFS. The percentage of recovered patients depended on the criteria used for recovery. Using the most comprehensive definition of recovery, 23% of the patients fully recovered. Fewer patients with a co-morbid medical condition recovered. CONCLUSION: Significant improvement following CBT is probable and a full recovery is possible. Sharing this information with patients can raise the expectations of the treatment, which may enhance outcomes without raising false hopes.
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Only 16.3% of the patients could be classified as recovered according to the study's criteria.
“Only 16,3% of the patients could be classified as recovered according to our criteria, which is in line with previous research [55].”
From Cognitive behavior therapy in patients with chronic fatigue syndrome: The role of illness acceptance and neuroticism. (2013) · cites this paper as [55]
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Prediction of long-term outcome after cognitive behavioral therapy for chronic fatigue syndrome
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Self-citationMcDermott, C., Lynch, J., & Leydon, G. (2011) · Family Practice · doi:10.1093/fampra/cmr016 · Cited by 19 · see citing works
Janse, A., Wiborg, J. F., Bleijenberg, G., Tummers, M., & Knoop, H. (2016) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000085 · Cited by 18 · see citing works
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Self-citationTwisk, F. (2015) · Current Medical Research and Opinion · doi:10.1185/03007995.2015.1045472 · Cited by 18 · see citing works
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Moore, Y., Serafimova, T., Anderson, N., King, H., Richards, A., Brigden, A., Sinai, P., Higgins, J. P. T., Ascough, C., Clery, P., et al. (2021) · Archives of Disease in Childhood · doi:10.1136/archdischild-2020-320196 · Cited by 16 · see citing works
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The experiences of counselling for persons with ME
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The Biopolitics of Chronic Fatigue Syndrome
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van der Schaaf, M. E., Geerligs, L., Toni, I., Knoop, H., & Oosterman, J. M. (2024) · Psychological Medicine · doi:10.1017/s0033291723003690 · Cited by 10 · see citing works
Self-citationvan der Schaaf, M. E., Schmits, I. C., Roerink, M. E., Geurts, D. E. M., Toni, I., Roelofs, K., de Lange, F. P., Nater, U. M., van der Meer, J. W. M., & Knoop, H. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0515-9 · Cited by 10 · see citing works
Self-citation
- Authors
- Knoop, H., Bleijenberg, G., Gielissen, M. F. M., van der Meer, J. W. M., & White, P. D.
- Affiliations
- Radboud University Medical Center (NL)
- Queen Mary University of London (GB)
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2007
- Volume
- 76
- Issue
- 3
- Pages
- 171-176
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2172279241
- Cited by
- 151
- References
- 25
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 8 · 2019: 8 · 2018: 8 · 2017: 16 · 2016: 10 · 2015: 11 · 2014: 9 · 2013: 8 · 2012: 5
- FWCI
- 6.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- 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 › Epidemiology › Traumatic Brain Injury Research
- Keywords
- chronic fatigue syndrome, cognitive behavioral therapy, recovery, treatment outcomes, CDC diagnostic criteria, comorbidities, treatment expectations
- MeSH terms
- Adaptation, Psychological, Adult, Disability Evaluation, Female, Follow-Up Studies, Humans, Male, Middle Aged, Sick Role, Social Adjustment, Cohort Studies, Fatigue Syndrome, Chronic, Comorbidity, Cognitive Behavioral Therapy, Outcome Assessment, Health Care
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