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Chronic Fatigue Self-Management in Primary Care: A Randomized Trial

Discussion in 'Latest ME/CFS Research' started by Bob, Aug 13, 2013.

  1. Bob

    Bob

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  2. Bob

    Bob

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    I haven't read the full paper, but judging only by the results in the abstract, the study seems to suggest that "fatigue self-management" (FSM) is at least as effective as CBT/GET were found to be in the PACE trial. And more effective by some measures. And it seems "fatigue self-management" would be significantly cheaper to implement than CBT/GET as it only involves a 'brief' intervention.

    But that's only judging by the abstract, so take it with a pinch of salt, until the methodology and analysis is scrutinised.

    I'm trying to find out what exactly "fatigue self-management" involves.

    Dr. Friedberg, lead author, is President of the International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (IACFS/ME.)


    (Edited)
  3. Little Bluestem

    Little Bluestem Senescent on the Illinois prairie, USA

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    Notice that is says "Chronic Fatigue", not "Chronic Fatigue Syndrome".
  4. Valentijn

    Valentijn Activity Level: 3

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    The first sentence of the abstract says this:
    So basically they're equating CF with CFS.
  5. Little Bluestem

    Little Bluestem Senescent on the Illinois prairie, USA

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    So basically this is useless.
    Valentijn and slayadragon like this.
  6. Bob

    Bob

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    Actually, I think they've used the term 'chronic fatigue' to refer to both unexplained chronic fatigue (UCF) and CFS. They just seem to have used an unhelpful sloppy short-hand for a 'catchy' title.

    Conclusion:
    "A brief self-management intervention for patients with UCF or CFS seemed to be clinically effective for reducing the impact of fatigue on functioning."

    But, I agree, 'Chronic Fatigue' isn't a helpful term, and neither is the name of the intervention: "fatigue self-management', which is suggestive that CFS patients simply suffer from ordinary fatigue.
    Valentijn likes this.
  7. Bob

    Bob

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    I'm trying to find out what exactly "fatigue self-management" involves.

    I haven't got access to the full paper, and I'm trying to understand the exact nature of "fatigue self-management" (FSM).
    I don't know much about Dr Friedberg (lead author of the study & president of the IACFS/ME), but I had always thought that he and the IACFS/ME were not supportive of the cognitive-behavioural model of CFS/ME.

    However, I think that "fatigue self-management" is actually based on CBT. I can't find exact details, but I've found some details about 'brief self-management', which I think might be the same or similar (my emphasis added):

    Looking at Dr Friedberg's "7 steps" plan for CFS & FM, which the following website describes as a 'treatment' for CFS & FM, I'm really not impressed with the way he associates emotional problems with CFS/ME symptoms:
    http://www.cfidsselfhelp.org/library/fred-friedberg%25E2%2580%2599s-seven-step-protocol-treating-cfs-fm

    Dr Friedberg is a psychologist, which is news to me:
    http://phoenixrising.me/interviews-...with-dr-fred-friedberg-by-cort-johnson-part-i

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