Tom Kindlon
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[The recovery claims continue. Trudie Chalder was one of the principal
investigators in the PACE Trial where one could have normal physical
functioning with a SF-36 score of 60 i.e. disimprove on the measure
and be counted as recovered! This sounds like it may use a similar
threshold. I would be very interested in seeing a full copy. Tom]
http://www.sciencedirect.com/science/article/pii/S0005796714001429
investigators in the PACE Trial where one could have normal physical
functioning with a SF-36 score of 60 i.e. disimprove on the measure
and be counted as recovered! This sounds like it may use a similar
threshold. I would be very interested in seeing a full copy. Tom]
http://www.sciencedirect.com/science/article/pii/S0005796714001429
Behaviour Research and Therapy
Available online 26 August 2014
In Press, Accepted Manuscript — Note to users
Prevalence and predictors of recovery from chronic fatigue syndrome in a routine clinical practice
Elisabeth Floa, b
Trudie Chalderc
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DOI: 10.1016/j.brat.2014.08.013Get rights and content
________________________________
Highlights
• This study investigates recovery from CFS in a routine practice.
• Approximately 18% of people with CFS recover after CBT.
• The study of CBT in routine practice demonstrated recovery rates akin to RCTs.
________________________________
Abstract
Cognitive behavioural therapy (CBT) is one of the treatments of choice
for patients with chronic fatigue syndrome (CFS). However, the factors
that predict recovery are unknown.
The objective of this study was to ascertain the recovery rate among
CFS patients receiving CBT in routine practice and to explore possible
predictors of recovery.
Recovery was defined as no longer meeting Oxford or CDC criteria for
CFS measured at 6 months follow-up. A composite score representing
full recovery additionally included the perception of improvement, and
normal population levels of fatigue and of physical functioning.
Logistic regression was used to examine predictors of recovery.
Predictors included age, gender, cognitive and behavioural responses
to symptoms, work and social adjustment, beliefs about emotions,
perfectionism, anxiety and depression at baseline.
At 6 months follow-up 37.5% of the patients no longer met either the
Oxford or the CDC criteria for CFS while 18.3% were fully recovered.
Multivariate analyses showed that worse scores on the work and social
adjustment scale, unhelpful beliefs about emotions, high levels of
depression and older age were associated with reduced odds for
recovery.
Recovery rates in this routine practice were comparable to previous
RCTs. There was a wide spectrum of significant predictors for
recovery.
Keywords
Chronic fatigue syndrome;
recovery;
Cognitive behavioural therapy;
follow-up;
longitudinal
Corresponding author. Norwegian Competence Center for Sleep Disorders,
Haukeland Universitetssjukehus, Jonas Lies vei 65, 5021 Bergen. Tel.:
+47 55 97 07 86; fax: +47 55 97 46 10.