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Cognitive behaviour therapy for chronic fatigue syndrome.

15 Aug
Prins, Bleijenberg et al from the University Medical Center, Nijmegen, The Netherlands, compared the effects of cognitive-behavioral therapy (relaxation, guided imagery, and other self-regulatory techniques) to professionally facilitated support groups and a control group of standard care in the treatment of CFS (chronic fatigue syndrome). Of 278 patients diagnosed with CFS, 93 were randomly assigned to CBT, 94 to support groups and 91 to the control condition. Evaluations were done at the start, after 8 months, and after 14 months, to assess the severity of fatigue and degree of functional impairment. At 14 months, CBT was found to be significantly more effective than the other 2 conditions for fatigue and for functional impairment. Support groups were no more effective than the control condition.

Citation: Prins JB, Bleijenberg G, Bazelmans E, Elving LD, de Boo TM, Severens JL, van de Wilt GJ, Spinhoven P, van der Meer JW. Cognitive Behaviour Therapy for Chronic Fatigue Syndrome: A Multicentre randomised controlled trial. Lancet 2001 Mar 17;357(9259):841-847
Belleruth Naparstek

Psychotherapist, author and guided imagery pioneer Belleruth Naparstek is the creator of the popular Health Journeys guided imagery audio series. Her latest book on imagery and posttraumatic stress, Invisible Heroes: Survivors of Trauma and How They Heal (Bantam Dell), won the Spirituality & Health Top 50 Books Award