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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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doi
open access

Published: 12 April 2019

Can the Improvements Reported by Individuals with Chronic Fatigue Syndrome Following Multi-Convergent Therapy Be Sustained in the Longer-Term: A Three-Year Follow-Up Study

Marie Thomas, Andrew P. Smith

Bath Spa University, Cardiff University (UK)

journal of social and political sciences
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doi

10.31014/aior.1994.02.02.29

Pages: 122-130

Keywords: Chronic Fatigue Syndrome (CFS), Multi-convergent therapy (MCT), Long-term efficacy, Myalgic Encephalomyelitis (ME)

Abstract

Results from a small study into the efficacy of a Multi-Convergent Therapy intervention for patients with Chronic Fatigue Syndrome (CFS) had proved encouraging at the post-therapy and six-month follow-up time points. It was, however, important to re-evaluate these findings over a longer period. Eleven patients who had completed the original therapy trial responded to a follow-up call (91.7% response rate). Subjective data was returned by between 9 and 11 of the participants and 7 completed the objective measures. Participants in the current study completed a similar set of outcome measures as those used to assess treatment success previously. These data suggested that patients attending the therapy continued to show improvements in functioning, had lower levels of fatigue and disability, improved sleep quality and levels of activity and lower symptom scores at a three-year follow-up. The long-term efficacy for this treatment is suggested by these results. Multi-convergent therapy is indicated as a promising approach to the rehabilitation of CFS patients.

References

  1. Afari, N. & Buchwald, D. (2003).  Chronic fatigue syndrome: a review.  American Journal of Psychiatry, 160, 221-36.

  2. Andersen, MM., Permin, IH. & Albrecht F. (2004). Illness and disability in Danish chronic fatigue syndrome patients at diagnosis and 5-year follow up.  Journal of Psychosomatic Research, 56, 217-29.

  3. Bowling, A., Bond, M., Jenkinson, C. & Lamping, D. (1999). Short Form 36 (SF-36) Health Survey Questionnaire: which normative data should be used? Comparisons between the norms provided by the Omnibus Survey in Britain, the Health Survey for England and the Oxford Healthy Life Survey. Journal of Public Health Medicine, 21, 255–270.

  4. Carlson, L., Speca, M., Patel, K. & Goodey, E. (2004).  Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydro epiandro sterone sulfate (DHEAS) andmelatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology, 29, 448–474.

  5. CFS/ME Working Group (2002).  Report to the Chief Medical Officer of an independent working group.  London: Department of Health.

  6. Chalder, T., Berelowitz, G, Hirsch, S., Pawlikowska, T., Wallace, P. & Wessely, S. (1993). Development of a fatigue scale. Journal of Psychosomatic Research, 37, 147–153.

  7. Deale, A., Chalder, T., Marks, I. & Wessely, S. (1997).  Cognitive Behaviour Therapy for chronic fatigue syndrome: a randomized controlled trial.  American Journal of Psychiatry, 154, 408-14.

  8. Fukuda, K., Straus, S., Hickie, I., Sharpe, MC., Dobbins, JG., Komaroff A, International Chronic Fatigue Syndrome Study Group. (1994). The Chronic Fatigue Syndrome: a comprehensive approach to its definition and study. Annals Internal Medicine, 121, 953-59.

  9. Fulcher, K.Y. & White, P.D. (1997).   Randomised Controlled trial of graded exercise in patients with the chronic fatigue syndrome.  British Medical Journal, 314, 1647-52.

  10. Grossman, P., Niemann, L., Schmidt, S. & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57, 35–43.

  11. Kabat-Zinn, J., Lipworth, L. & Burney, R. (1985).  The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioural Medicine, 8, 163–190.

  12. Karnofsky, D.A., Abelmann, W.H., Craver, L.F. & Burchenal, J.H. (1948).  The use of the nitrogen mustards in the palliative treatment of carcinoma.  Cancer 1, 634-56.

  13. Mason, O. & Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. British Journal of Medical Psychology,74, 197–212.

  14. National Institute for Health and Care Excellence (NICE). www.nice.org.uk Accessed August 2018.

  15. Nijhof, S., Bleijenberg, G., Uiterwaal, C., Kimpen, J. & van de Putte, E. (2012). Effectiveness of internet-based cognitive behavioural treatment for adolescents with chronic fatigue syndrome (FITNET): a randomised controlled trial. Lancet, 379, 1412–1418.

  16. Noakes, T., St Clair Gibson, A. & Lambert, E. (2005).  From catastrophe to complexity: a novel model of integrative central neural regulation of effort and fatigue during exercise in humans: summary and conclusions. British Journal of Sports Medicine, 39, 120–124.

  17. Ost L. (1987).  Applied relaxation: description of a coping technique and review of controlled studies. Behaviour Research Therapy, 25, 397–409.

  18. Reyes, M., Dobbins, J.G., Nisenbaum, R., Subedar, NS., et al. (1999).   CFS progression and self-defined recovery: Evidence from the CDC surveillance system.  Journal of Chronic Fatigue Syndrome, 5, 17-27.

  19. Reynolds, K.J., Vernon, S.D., Bouchery, E. & Reeves, W.C. (2004).  The economic impact of Chronic Fatigue Syndrome.  Cost Effectiveness and Resource Allocation: 2.  http://www.resource-allocation.com

  20. Royal Colleges of Physicians, Psychiatrists and General Practitioners (1996).  Chronic Fatigue Syndrome. Report of a joint working group.  London.

  21. Sadlier, M.J., Evans, J.R., Phillips, C. & Broad, A. (2000).   A preliminary study into the effectiveness of multi-convergent therapy in the treatment of heterogeneous patients with CFS.  Journal of Chronic Fatigue Syndrome, 7, 93-100.

  22. Sadlier, M. & Stephens, D. (1995).  An approach to the audit of tinnitus management. Journal of Laryngology and Otology, 109, 826-829.

  23. Sharpe, M., Hawton, K.E., Simkin, S., et al. (1996).  Cognitive behaviour therapy for the chronic fatigue syndrome: a randomized controlled trial. British Medical Journal, 312, 22–26.

  24. Shaw, G., Srivastava, E.D., Sadlier, M., Swann, P., James, J.Y. & Rhodes, J. (1991).  Stress management for Irritable Bowel Syndrome: A Controlled trial.  Digestion, 50, 36-42.

  25. Smith, A., Thomas, M., & Sadlier, M. (2009). Multi-convergent therapy: A possible intervention to aid return to work. Occupational Health at Work, 6.

  26. Thomas, M (2018).  Tired all the time: Persistent fatigue and Healthcare. Palgrave Macmillan. IBSN: 978-3-319-93913-1

  27. Thomas, M., Sadlier, M., & Smith, A. (2006).  The effect of multi convergent therapy on the psychopathology, mood, and performance of chronic fatigue syndrome patients: a preliminary study.  Counselling and Psychotherapy Research, 6, 91-99.

  28. Thomas, MA, Sadlier MJ, & Smith, AP. (2008). A multi-convergent approach to the rehabilitation of patients with Chronic Fatigue Syndrome: a comparative study. Physiotherapy 94, 35-42. doi:10.1016/j.physio.2007.04.013

  29. Thomas, M., & Smith, A. (2006). An investigation of the long-term benefits of antidepressant medication in the recovery of patients with chronic fatigue syndrome. Human Psychopharmacology: Clinical and Experimental, 21(8), 503-509.

  30. Thomas, M., & Smith, A. (2009). An investigation into the cognitive deficits associated with chronic fatigue syndrome. The Open Neurology Journal, 3, 13-23.

  31. White, P., Goldsmith, K., Johnson, A., Chalder, T. & Sharpe, M.; PACE Trial Management Group. (2013). Recovery from chronic fatigue syndrome after treatments given in the PACE trial. Psychological Medicine, 43, 2227–2235.

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