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Treatment Outcome and Metacognitive Change in CBT and GET for Chronic Fatigue Syndrome

Published online by Cambridge University Press:  21 April 2015

Bruce A. Fernie ,
Gabrielle Murphy ,
Adrian Wells ,
Ana V. Nikčević  and
Marcantonio M. Spada
Bruce A. Fernie
Affiliation:
King's College London, Institute of Psychiatry, Psychology and Neuroscience, and Cascaid, South London and Maudsley NHS Foundation Trust, UK
Gabrielle Murphy
Affiliation:
Royal Free Hampstead NHS Foundation Trust, London, UK
Adrian Wells
Affiliation:
University of Manchester, UK
Ana V. Nikčević
Affiliation:
Kingston University, Kingston upon Thames, UK
Marcantonio M. Spada*
Affiliation:
London South Bank University, UK
*
Reprint requests to Marcantonio M. Spada, School of Applied Sciences, London South Bank University, 103 Borough Road, London SE1 0AA, UK. E-mail: spadam@lsbu.ac.uk
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Abstract

Background: Studies have reported that Cognitive Behavioural Therapy (CBT) and Graded Exercise Therapy (GET) are effective treatments for Chronic Fatigue Syndrome (CFS). Method: One hundred and seventy-one patients undertook a course of either CBT (n = 116) or GET (n = 55) and were assessed on a variety of self-report measures at pre- and posttreatment and follow-up. Aims: In this paper we present analyses on treatment outcomes for CBT and GET in routine clinical practice and evaluate whether changes on subscales of the Metacognitions Questionnaire-30 (MCQ-30) predict fatigue severity independently of changes in other covariates, and across the two treatment modalities. Results: Both CBT and GET were equally effective at decreasing fatigue, anxiety, and depression, and at increasing physical functioning. Changes on the subscales of the MCQ-30 were also found to have a significant effect on fatigue severity independently of changes in other covariates and across treatment modalities. Conclusion: The findings from the current study suggest that CFS treatment protocols for CBT and GET, based on those from the PACE trial, achieve similar to poorer outcomes in routine clinical practice as in a RCT.

Keywords

Cognitive behavioural therapychronic fatigue syndromegraded exercise therapymetacognitionsmetacognitive changeoutcomes evaluation
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 4 , July 2016 , pp. 397 - 409
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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