|CRDAMC Homepage | CRDAMC Library Phone #: (254) 288-8366 | CRDAMC Library Fax #: (254) 288-8368|
Cognitive Therapy and Graded Exercise May Decrease Fatigue and Improve Function in Patients with Chronic Fatigue Syndrome
by Pamela Jones, MA
Chronic fatigue syndrome (CFS) is a long-lasting, debilitating fatigue that is not relieved by rest. The fatigue can be increased by physical or mental activities and can interfere with daily activities from basic daily tasks to job functions. Since there is no cure for CFS, treatment focuses on reducing the symptoms of CFS, reducing anxiety, and decreasing the impact on daily life. Treatment approaches may include medical care, mental health support, and lifestyle changes.
Researchers from London examined the benefits of cognitive and physical therapies for patients with CFS. The study, published in Lancet, found that exercise therapy and cognitive behavioral therapy can help reduce fatigue when added to standard medical treatment.
About the Study TOP
The randomized trial included 641 adults with CFS. All of the participants received specialist medical care including information leaflets, advice, and medication to help manage symptoms. They were then randomized to one of four treatment groups:
Participants that had graded exercise therapy or cognitive behavior therapy had greater improvement in fatigue and physical function compared to adaptive pacing therapy or specialist medical care alone. Adaptive pacing therapy alone did not show greater improvements compared to specialist medical care alone.
How Does This Affect You? TOP
The quality of a study can help to determine the reliability of the results. In this case, the design of the study and the methods used to complete the study are of high quality. This means the results are very reliable and cognitive behavior therapy and graded exercise should be considered for people with CFS.
The exact impact of CFS can vary from person to person, as well as your reaction to treatment. A gradually-increasing exercise program can help improve your physical stamina and health to lessen the impact of CFS, while the behavioral therapy can help you develop coping strategies to manage current fatigue. Work with your doctor or therapists to tackle the symptoms that are most troublesome, and adapt your therapy as your symptoms change.
Centers for Disease Control and Prevention
Chronic Fatigue and Immune Dysfunction Syndrome Association of America
White PD, Goldsmith KA, Johnson AL, et al. Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial. Lancet. 2011;377(9768):823-836.
Last reviewed March 2011 by Brian P. Randall, MD
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.