Met zulke vrienden heb je, wat mij betreft, geen vijanden meer nodig...
Volgens een studie van Nancy Klimas, Marry-Ann Fletcher en enkele anderen
heeft CGT een positief effect op de symptomen van ME/CVS, zoals post-exertionele "malaise".
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Nancy Klimas,
The New York Times, 15 oktober 2009
My H.I.V. patients for the most part are hale and hearty
thanks to three decades of intense and
excellent research and billions of dollars invested.
Many of my C.F.S. patients, on the other hand, are terribly ill and
unable to work or participate in the care of their families.
[I]f I had to choose between the two illnesses (in 2009)
I would rather have H.I.V.
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Telephone-administered versus live group cognitive behavioral stress management
for adults with CFS.
Hall DL, Lattie EG, Milrad SF, Czaja S, Fletcher MA, Klimas N, Perdomo D, Antoni MH.
J Psychosom Res. 2017 Feb. 93: 41-47. doi: 10.1016/j.jpsychores.2016.12.004.
Abstract
Objective
Chronic Fatigue Syndrome (CFS) symptoms have been shown to be
exacerbated by stress and
ameliorated by group-based psychosocial interventions
such as cognitive behavioral stress management (CBSM).
Still, patients may have difficulty attending face-to-face groups.
This study compared the effects of
a telephone-delivered (T-CBSM) vs a live (L-CBSM) group
on perceived stress and symptomology in adults with CFS.
Methods
Intervention data from 100 patients with CFS (mean age 50 years; 90% female)
participating in T-CBSM (N = 56) or L-CBSM (N = 44)
in previously conducted randomized clinical trials were obtained.
Perceived Stress Scale (PSS) and
the Centers for Disease Control and Prevention symptom checklist scores were compared with
repeated measures analyses of variance in adjusted and unadjusted analyses.
Results
Participants across groups showed
no differences in most demographic and illness variables at study entry and
had similar session attendance.
Both conditions showed significant reductions in PSS scores,
with L-CBSM showing a large effect (partial ε2 = 0.16) and
T-CBSM a medium effect (partial ε2 = 0.095).
For CFS symptom frequency and severity scores,
L-CBSM reported large effect size improvements (partial ε2 = 0.19 – 0.23),
while T-CBSM showed no significant changes over time.
Conclusions
Two different formats for delivering group-based CBSM - live and telephone -
showed reductions in perceived stress among patients with CFS.
However, only the live format was associated with physical symptom improvements,
with specific effects on post-exertional malaise, chills, fever, and restful sleep.
The added value of the live group format is discussed,
along with implications for future technology-facilitated group interventions in this population.
Keywords:
CFS, Perceived stress, Cognitive behavioral stress management,
Symptoms, Post-exertional malaise, Telehealth
Highlights
http://www.sciencedirect.com/science/article/pii/S0022399916305669
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