For those without the brain power to look right now, here is what MRT is:
A collaborating team from multiple disciplines examines and analyses patients’ functions, activities and level of participation, social environment and personal factors to develop an individual rationale for the development and persistence of fatigue. Following this individual rationale, CBT and elements such as gradual reactivation, pacing, mindfulness, body awareness therapy, normalization of sleep/wake rhythm and social reintegration are combined in a treatment programme.
...
It is hypothesized that a different combination of factors is responsible for the persistence of fatigue in each patient.
Other fun facts from the paper:
On recruitment: An interview with a psychologist was scheduled if the consultant suspected another psychiatric illness
or motivational problem.
Reasons for withdrawing:
increase in complaints (1 CBT, 1 MRT)
no improvement (3 CBT,)
unwillingness to change behaviour (2 CBT, 2 MRT)
problems combining treatment with work and home (2 CBT)
unable to set treatment goals (1 CBT)
other (6)
And this gem:
On the finding that only those with
low education showed the expected treatment effect, they say "Patients with a lower level of education might be less willing to accept that CFS may respond to a solely psychological treatment such as CBT and be more willing to believe that physical therapy and occupational therapy are necessary"
Final Discussion:
"...
increasing patients’ insight into the relation and reciprocity between the mind and body, might cause a change in behaviour and influence sensitization processes in the central nervous system"