OTCATS: Occupational Therapy Critically Appraised Topics
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There is level 1a evidence that for every two adults with chronic fatigue syndrome treated with cognitive behaviour therapy one additional person will avoid a decrease in physical function.

Prepared by:

Reiny Rensen

4th year undergraduate occupational therapy student, UWS

rrensen@iimetro.com.au

Date:

May 2005

Review Date:

May 2007

Clinical Question:

Does cognitive behaviour therapy (I) improve physical function (O) in people with chronic fatigue syndrome (P) compared to no cognitive behaviour therapy (C)?

Clinical Scenario:

Chronic fatigue syndrome (CFS) is a disabling illness that affects the individual's ability to engage in everyday activities.  Cognitive behaviour therapy (CBT) is a rehabilitation approach that combines a graded increase in activity with a psychological approach.  The overall aim is to change thoughts and beliefs about CFS, which may impair recovery.  CBT has been widely used in the treatment of CFS.  What is the effectiveness of CBT for reducing the negative effects of CFS and improving function?

Clinical Bottom Line:

People with chronic fatigue syndrome who receive CBT are more likely to experience improved physical functioning, 3.8 times more likely than those receiving routine relaxation therapy, and 2.8 times more likely than those receiving routine medical care.

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