GET/CBT is often counterproductive in ME and CFS

[Ember]

http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2362.2012.02718.x/abstract
Graded Exercise therapy (GET) / Cognitive Behavioural Therapy (CBT) is often counterproductive in Myalgic Encephalomyelitis (ME) and Chronic Fatigue Syndrome (CFS)

1. Frank N.M. Twisk1,
2. Rob J.W. Arnoldus2

Accepted manuscript online: 14 AUG 2012 10:35AM EST

We would like to comment on Van Cauwenbergh et al. [1] in which the authors outline guidelines for graded exercise therapy (GET) and cognitive behavioural therapy (CBT) for ME/CFS. In this context it is essential to make a distinction between ME [2], CFS and chronic fatigue (CF). While post-exertional malaise, a long-lasting increase in symptoms, like pain and cognitive impairment, after a minor exertion is mandatory for ME, it is not obligatory for the diagnosis CFS. Van Cauwenbergh et al. [1] stipulate that the rationale for CBT and GET is kinesiophobia, resulting into avoidance behaviour and deconditioning.

The Van Cauwenbergh et al. study has been discussed here.

 

[justinreilly]

God bless Twisk!!

 

[Firestormm]

Thanks Ember. It seems that Frank has posted here: http://www.mecfsforums.com/index.php/topic,12461.msg140593.html#new Will try and get hold of the full paper.