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Web Based Self-Management for Chronic Fatigue

08 Feb

Investigators from the Chronic Fatigue Center at Radboud University Nijmegen Medical Centre in The Netherlands tested the usefulness of a minimal, cognitive behavioral intervention consisting of guided self-instructions combined with email contact on 171 chronic fatigue patients in a randomized, controlled trial.

Eighty-five were randomized to the intervention condition, and 86 to a wait list control condition.  All subjects . met the Centers for Disease Control and Prevention criteria for chronic fatigue syndrome.

An intention-to-treat analysis showed a significant decrease in fatigue and disability after self-instruction.  The level of disability was negatively correlated with treatment outcome.   

The researchers conclude that guided self-instruction is an effective treatment for patients with mild to moderate chronic fatigue syndrome.

Citation:  Knoop H, van der Meer JW, Bleijenberg G.  Guided self-instructions for people with chronic fatigue syndrome: randomised controlled trial   British Journal of Psychiatry. 2008 Oct; 193 (4): pages 340-1. This email address is being protected from spambots. You need JavaScript enabled to view it.

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