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Cognitive behavioural therapy in the treatment of chronic fatigue syndrome: A narrative review on efficacy and informed consent.

Authors
  • Geraghty, Keith J1
  • Blease, Charlotte2
  • 1 1 University of Manchester, UK.
  • 2 2 University of Leeds, UK.
Type
Published Article
Journal
Journal of health psychology
Publication Date
Jan 01, 2018
Volume
23
Issue
1
Pages
127–138
Identifiers
DOI: 10.1177/1359105316667798
PMID: 27634687
Source
Medline
Keywords
License
Unknown

Abstract

Cognitive behavioural therapy is increasingly promoted as a treatment for chronic fatigue syndrome. There is limited research on informed consent using cognitive behavioural therapy in chronic fatigue syndrome. We undertook a narrative review to explore efficacy and to identify the salient information that should be disclosed to patients. We found a complex theoretical model underlying the rationale for psychotherapy in chronic fatigue syndrome. Cognitive behavioural therapy may bring about changes in self-reported fatigue for some patients in the short term, however there is a lack of evidence for long-term benefit or for improving physical function and cognitive behavioural therapy may cause distress if inappropriately prescribed. Therapist effects and placebo effects are important outcome factors.

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