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Multidisciplinary rehabilitation treatment is not effective for myalgic encephalomyelitis/chronic fatigue syndrome: A review of the FatiGo trial.

Authors
  • Vink, Mark1
  • Vink-Niese, Alexandra2
  • 1 Soerabaja Research Center, The Netherlands. , (Netherlands)
  • 2 Independent Researcher, Germany. , (Germany)
Type
Published Article
Journal
Health psychology open
Publication Date
Jan 01, 2018
Volume
5
Issue
2
Identifiers
DOI: 10.1177/2055102918792648
PMID: 30094055
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The FatiGo trial concluded that multidisciplinary rehabilitation treatment is more effective for chronic fatigue syndrome/myalgic encephalomyelitis in the long term than cognitive behaviour therapy and that multidisciplinary rehabilitation treatment is more cost-effective for fatigue and cognitive behaviour therapy for quality of life. However, FatiGo suffered from a number of serious methodological flaws. Moreover, it ignored the results of the activity metre, its only objective outcome. This jeopardizes the validity of FatiGo. Its analysis shows that there was no statistically significant difference between multidisciplinary rehabilitation treatment and cognitive behaviour therapy and neither are (cost-)effective. FatiGo's claims of efficacy of multidisciplinary rehabilitation treatment and cognitive behaviour therapy for chronic fatigue syndrome/myalgic encephalomyelitis are misleading and not justified by their results.

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