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Participant attributions for global change ratings in unexplained chronic fatigue and chronic fatigu

Discussion in 'Latest ME/CFS Research' started by Bob, Jun 11, 2014.

  1. Bob

    Bob

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    Another paper from Friedberg.

    Participant attributions for global change ratings in unexplained chronic fatigue and chronic fatigue syndrome
    Friedberg F, Coronel J, Seva V, Adamowicz JL, Napoli A.
    8 Jun 2014
    J Health Psychol.
    pii: 1359105314535458. [Epub ahead of print]
    http://hpq.sagepub.com/content/early/2014/05/29/1359105314535458.abstract

     
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  2. biophile

    biophile Places I'd rather be.

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    It gives the sole impression that improvement is a direct result of behavioural changes. Maybe it is for some patients with chronic fatigue, but still I'm skeptical about the overall value of this study.
     
    Last edited: Jun 13, 2014
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  3. A.B.

    A.B. Senior Member

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    It can also be interpreted in this way:

    Patients interpret changes in illness severity according to their beliefs. In this study, patients were taught to attribute changes in illness to behaviour. Unsurprisingly, they did indeed interpret changes in illness severity in terms of behaviour.

    Of course this is a bit premature because the abstract is vague and the paper not available. Behaviour could mean many different things, but I'm guessing it means "catastrophizing" and "positive thinking" and the usual.
     
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  4. WillowJ

    WillowJ Senior Member

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    alternately, the 'behavior' discussed could be overdoing things (depending on one's life circumstances this can sometimes be inevitable).

    Depending on what kind of intervention they had. Some CBT/similar seem to teach acceptance of illness and learning to work with it: modifying things to make them more ergonomic, doing things in smaller bits, deciding what might be unnecessary and could be left undone, as well as sleep hygeine and positive reframing.
     
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  5. xchocoholic

    xchocoholic Senior Member

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    I recently saw a doctor who concluded that since I'd learned that being supine made me feel better (treating OI) that somehow my problems were solved. I assured him that laying on the couch isn't the lifestyle I want.

    His conclusion seemed completely irrational to me. But seems to fall in line with what was concluded here.

    Tc ... x
     
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  6. lnester7

    lnester7 Seven

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    Petition for a puke(throw up) emotion Icon.
     
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  7. Valentijn

    Valentijn Activity Level: 3

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    :vomit: - That one's called "vomit", though he's holding it in instead of spewing :p
     
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  8. Dolphin

    Dolphin Senior Member

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  9. Dolphin

    Dolphin Senior Member

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    Yes, Fred Friedberg's interventions are more like that.

    It's the COG intervention in this trial: http://www.cfids-cab.org/cfs-inform/CFStreatment/jason.etal07.pdf

    COG is based on pacing and did a little better than King's College London-type CBT (i.e. Chalder-/Wessely-type CBT).



    Here's a description of COG which Friedberg et al. said was a basis for this trial:

    Jason et al 2007 Table 1 part 1 larger.png
    Jason et al 2007 Table 1 part 2 larger.png
     
  10. Dolphin

    Dolphin Senior Member

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  11. Dolphin

    Dolphin Senior Member

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    I actually found some of this paper quite interesting e.g.

     
  12. Dolphin

    Dolphin Senior Member

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    I thought this was good to see:
     
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  13. Dolphin

    Dolphin Senior Member

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    The authors briefly discuss recovery claims:

     
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