A 4-Day Mindfulness-Based Cognitive Behavioral Intervention Program for CFS/ME. An Open Study, With 1-Year Follow-Up
Bibliographic Data
| ID | 15528650 |
|---|---|
| Authors | Bjarte Stubhaug (Nordland Hospital Trust, corresponding author), Haldis Økland Lier (0000-0002-6116-5090, Nordland Hospital Trust), Haldis O Lier, Jörg Assmus (0000-0002-1688-8556, Haukeland University Hospital), Arvid Rongve (0000-0002-0476-4134, Fonna Hospital Trust), Gerd Kvale (0000-0001-5449-2344, Haukeland University Hospital) |
| Year | 2018 |
| Volume | 9 |
| Pages | 720-720 |
| Publication date | 2018-12-20 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2018.00720 |
| PMID | 30618889 |
| OpenAlex | W2905789727 |
| Language | EN |
| References cited | 51 |
Background: Chronic Fatigue Syndrome/Myalgic Encephalopathy (CFS/ME) is an incapacitating illness in which single treatment interventions seem to have variable effects. Based on an earlier study we have conducted a new study with a concentrated intervention program. The aims of this study were to: (1) explore the clinical course for patients with CFS/ME who participated in a treatment program delivered during four consecutive days, and (2) evaluate their satisfaction with this program. Methods: 305 patients diagnosed with CFS/ME (Oxford criteria), recruited from a clinical population referred to a specialist outpatient clinic, participated in an open uncontrolled study of the clinical course through 1 year. The study group participated in a 4-day group intervention program, comprised by education, cognitive group therapy sessions, mindfulness sessions, physical activity and writing sessions, within a context of cognitive behavioral therapy, mindfulness, acceptance and commitment model. Assessments were done by self-reports prior to the first consultation, 1 week before and 1 week after the intervention program, and at 3 months and 1 year after the intervention. SPSS 23 and R 3.3 were used for statistical analyses. The associations between case definitions and the outcome measures (Chalder Fatigue Scale (FS), Short Form 36 (SF-36) physical functioning scale) were assessed by a linear mixed effects model (LME). Results: Results showed statistically significant clinical changes for 80% of the patients after the intervention, changes being sustained through 1 year after the program. For both Fatigue Scale (FS) and the SF-36 there were statistically significant effects of time from baseline to all time points with a statistically significant drop in scores, applying the linear mixed effects model. A subgroup fulfilling the inclusion criteria from the PACE study (Chalder Fatigue Scale >6/11, SF-36 Physical functioning p Conclusion: Clinical changes observed from pre-treatment to 1 year follow-up could represent effects of the 4-day concentrated intervention program, and should be further explored in a controlled study
Cognition · Context (archaeology · Intervention (counseling · Mindfulness · Physical therapy · Population · Psychiatry · Psychological intervention · Clinical Psychology · Fibromyalgia and Chronic Fatigue Syndrome Research · Health, psychology, and well-being · Medicine · Psychology · Psychosomatic Disorders and Their Treatments
Methods to Explain the Clinical Significance of Health Status Measures
Development of a fatigue scale
Mechanisms of mindfulness training
The Chronic Fatigue Syndrome
The cognitive activation theory of stress
Mindfulness-based stress reduction and health benefits
A systematic review of the use of Acceptance and Commitment Therapy (ACT) in chronic disease and long-term conditions
The clinical use of mindfulness meditation for the self-regulation of chronic pain
The client satisfaction questionnaire
Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (Pace)
An Acceptance and Commitment Therapy (ACT) intervention for Chronic Fatigue Syndrome (CFS)
Rethinking the treatment of chronic fatigue syndrome—a reanalysis and evaluation of findings from a recent major trial of graded exercise and CBT
An inventory for measuring clinical anxiety
| Citation velocity | historical |
|---|---|
| Highly cited | No |