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New paper from the Netherlands: the treatment of CFS

Discussion in 'Latest ME/CFS Research' started by Countrygirl, Mar 7, 2015.

  1. Countrygirl

    Countrygirl ME is not MUS

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    http://www.ncbi.nlm.nih.gov/pubmed/25732090


    If I haven’t become lost in the double negatives, I believe the take-home message of this stunning piece of research is: the more damage a therapist can inflict on a patient’s marriage the more likely the patient will recover. It is a novel approach.:rolleyes:


    The role of the partner and relationship satisfaction on treatment outcome in patients with chronic fatigue syndrome.
    Verspaandonk J1, Coenders M2, Bleijenberg G1, Lobbestael J3, Knoop H1.
    Author information

    Abstract
    BACKGROUND:
    Cognitive behaviour therapy (CBT) for chronic fatigue syndrome (CFS) leads to a significant decrease in CFS-related symptoms and disability. The primary objective of this study was to explore whether partners' solicitous responses and patients' and partners' perceived relationship satisfaction had an effect on treatment outcome.

    METHOD:
    The treatment outcome of a cohort of 204 consecutively referred patients treated with CBT was analysed. At baseline, CFS patients completed the Maudsley Marital Questionnaire. The Checklist Individual Strength subscale Fatigue and the Sickness Impact Profile total scores completed by CFS patients post-treatment were used as measures of clinically significant improvement. Partners completed the Family Response Questionnaire, the Maudsley Marital Questionnaire, the Brief Illness Perception Questionnaire, and the Causal Attribution List. Logistic regression analyses were performed with clinically significant improvement in fatigue and disability as dependent variables and scores on questionnaires at baseline as predictors.

    RESULTS:
    Solicitous responses of the partner were associated with less clinically significant improvement in fatigue and disability. Partners more often reported solicitous responses when they perceived CFS as a severe condition. Patients' relationship dissatisfaction was negatively associated with clinically significant improvement in fatigue.

    CONCLUSIONS:
    Partners' solicitous responses and illness perceptions at the start of the therapy can negatively affect the outcome of CBT for CFS. We emphasize the importance of addressing this in therapy.

    KEYWORDS:
    social support
     
    Dolphin, oceiv, GracieJ and 9 others like this.
  2. JBB

    JBB Senior Member

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    Perhaps, if we cross reference some of this information with Lipkin / Mady Hornigs study we will find some correlation...due to all our "mis-perceptions" at the start of marriage our cytokines are raised. As we come to terms with the disappointment of marriage our cytokines then drop. Unfortunately I must be in a different subset of CFS as I am not married. How disappointing. ;)
     
    Kyla, zzz, taniaaust1 and 14 others like this.
  3. Countrygirl

    Countrygirl ME is not MUS

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    Yes, I wonder how they would treat those of us who are single? Who could they blame? Oh, what a silly question! The answer is obvious of course: us, the patients. :bang-head:
     
    zzz, Debbie23, oceiv and 6 others like this.
  4. lansbergen

    lansbergen Senior Member

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    Blame the spouse
     
  5. beaker

    beaker ME/cfs 1986

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    My cat ?
     
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  6. jimells

    jimells Senior Member

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    If I understand this correctly, the study asserts that emotional abuse 'cures' CFS?

    The 'Keywords' section is missing one: Bogus

    Maybe the research paper should include a Black Box Warning: "Therapists who believe this study may be dangerous to your health"
     
    Dolphin, Kyla, Mel9 and 7 others like this.
  7. alex3619

    alex3619 Senior Member

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    I don't have a cat. Can I blame your cat too? ;)
     
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  8. alex3619

    alex3619 Senior Member

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    I sense a good slogan in there somewhere. I like that warning, though I think it needs tweaking.
     
    oceiv, *GG*, Never Give Up and 3 others like this.
  9. beaker

    beaker ME/cfs 1986

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    I have 2 cats , so sure, pick one !
     
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  10. Roy S

    Roy S former DC ME/CFS lobbyist

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    Are they married?
     
    Snow Leopard, JaimeS, zzz and 10 others like this.
  11. Sean

    Sean Senior Member

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    We will need more cats. :cat:
     
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  12. alex3619

    alex3619 Senior Member

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    Never Give Up likes this.
  13. Countrygirl

    Countrygirl ME is not MUS

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    I haven't got one. Perhaps that is my problem. (Reminds me of how a bank clerk described me on paper when I opened an account: Spinster schoolmistress! How damning is that?) Perhaps there are some volunteers here who would remedy the problem for me? :D
     
    JaimeS, oceiv, luludji and 2 others like this.
  14. alex3619

    alex3619 Senior Member

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    Translation: partners of patients who are really really sick treat them better and they are less likely to recover.

    Comment: So what?

    PS Good on the partners of these patients!
     
    Last edited: Mar 7, 2015
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  15. Countrygirl

    Countrygirl ME is not MUS

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    Last edited: Mar 7, 2015
  16. Countrygirl

    Countrygirl ME is not MUS

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    No! Too cruel, especially as I donate every month to the RSPCA. Now, my neighbour's cat is a different kettle of fish.
     
    Snow Leopard, oceiv and Never Give Up like this.
  17. alex3619

    alex3619 Senior Member

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    Oooh, did the little devil appear on your right or left shoulder?
     
    JaimeS, Never Give Up and Countrygirl like this.
  18. Countrygirl

    Countrygirl ME is not MUS

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    It whispered in my right ear. No worries though. I soon sent it packing.:).............with reasons given.
     
  19. maple

    maple

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    I think this calls for Schrodinger's cat.
     
    Snow Leopard, SDSue, oceiv and 3 others like this.
  20. Valentijn

    Valentijn The Diabolic Logic

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    Oh dear, it looks like they forgot to use any objective outcome measurements again :rolleyes:
     
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