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"The Process of Change in Pain During Cognitive Behavior Therapy for Chronic Fatigue Syndrome"-Bloot

Discussion in 'Latest ME/CFS Research' started by Dolphin, Jan 17, 2015.

  1. Dolphin

    Dolphin Senior Member

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    Abstract: http://journals.lww.com/clinicalpai...of_Change_in_Pain_During_Cognitive.99354.aspx

    (note that physical functioning is measured by a questionnaire, the SF-36 physical functioning subscale)
     
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  2. Dolphin

    Dolphin Senior Member

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    Note that physical functioning is a questionnaire asking about limitations, not an objective measure. Physical activity was measured by an actometer.

    Also:
    Also

    It is not clear whether there was an increase in physical activity or not in the cohort as a whole (as opposed to whether changes in physical activity were related to changes in pain reported). The study involves 78% (those with pain) from Heins et al. (2013) (free at: http://www.jpsychores.com/article/S0022-3999(13)00266-3/pdf). There was little change in physical activity in that (see Figure 3).
     
    Last edited: Jan 17, 2015
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  3. Dolphin

    Dolphin Senior Member

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    Discussion of earlier results:
     
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  4. Dolphin

    Dolphin Senior Member

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  5. Dolphin

    Dolphin Senior Member

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    Extract from a description of the intervention:
     
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  6. Dolphin

    Dolphin Senior Member

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    Here are the main results:
     
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  7. Dolphin

    Dolphin Senior Member

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    From the discussion:
    This is spin in my mind. There is no suggestion that I have seen that patients should only temporarily increase their physical activity levels.
     
  8. Dolphin

    Dolphin Senior Member

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    An alternative hypothesis is that decreased focusing on symptoms is leading to a biased response.
     
    Last edited: Jan 18, 2015
  9. Esther12

    Esther12 Senior Member

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    This 2012 cancer-fatigue CBT study from the same group used actometers and had them trying out different implausible excuses. Looks like they've settled on one.

    http://forums.phoenixrising.me/inde...fatigue-cbt-actometers-bleijenberg-etc.24838/
     
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