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Metabolische afwijkingen

 impliceren problemen

met de energie-aanmaak,

vooral in vrouwen

 

 

 

 


 

 

 

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".

 

 

 

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.

 

 

 


 

 

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