Long-term outcome of cognitive behavior therapy versus relaxation therapy for chronic fatigue syndrome: a 5-year follow-up study.

  title={Long-term outcome of cognitive behavior therapy versus relaxation therapy for chronic fatigue syndrome: a 5-year follow-up study.},
  author={A Deale and K Husain and Trudie Chalder and Simon Wessely},
  journal={The American journal of psychiatry},
  volume={158 12},
OBJECTIVE This study evaluated the long-term outcome of cognitive behavior therapy versus relaxation therapy for patients with chronic fatigue syndrome. METHOD Sixty patients who participated in a randomized controlled trial of cognitive behavior therapy versus relaxation therapy for chronic fatigue syndrome were invited to complete self-rated measures and participate in a 5-year follow-up interview with an assessor who was blind to treatment type. RESULTS Fifty-three patients (88… 

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Though most patients with the chronic fatigue syndrome improve, a substantial proportion remain functionally impaired and psychological factors such as illness attitudes and coping style seem more important predictors of long term outcome than immunological or demographic variables.

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A systematic review of all studies to determine the proportion of individuals with the conditions who recovered at follow-up, the risk of developing alternative physical diagnoses, and the risk factors for poor prognosis found that older age, more chronic illness, having a comorbid psychiatric disorder and holding a belief that the illness is due to physical causes are consistent.

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The treatment of chronic fatigue syndrome: science and speculation.

Development of a fatigue scale.