Evidence-based care for people with chronic fatigue syndrome and myalgic encephalomyelitis
Chronic fatigue syndrome (CFS), sometimes referred to as myalgic encephalomyelitis (ME) and often as CFS/ME, is an illness characterized by disabling fatigue and other symptoms, typically worsened by activity. The main evidence-based treatments are rehabilitative in nature and include specific types...
| Main Authors: | , , |
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| Format: | Journal article |
| Language: | English |
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Springer
2021
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| _version_ | 1797108199888781312 |
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| author | Sharpe, M Chalder, T White, PD |
| author_facet | Sharpe, M Chalder, T White, PD |
| author_sort | Sharpe, M |
| collection | OXFORD |
| description | Chronic fatigue syndrome (CFS), sometimes referred to as myalgic encephalomyelitis (ME) and often as CFS/ME, is an illness characterized by disabling fatigue and other symptoms, typically worsened by activity. The main evidence-based treatments are rehabilitative in nature and include specific types of cognitive behavior therapy (CBT) and graded exercise therapy (GET). In this article, we briefly review the evidence for their safety and effectiveness and propose that much of the controversy about them arises from misunderstandings about their nature and delivery. In particular, we emphasize that successful rehabilitation from CFS/ME does not indicate that the illness is not real. We recommend that rehabilitative treatment always be preceded by a thorough clinical assessment and delivered by appropriately trained therapists working in close collaboration with the patient. We conclude that properly applied rehabilitative treatments offer the best hope of safely improving fatigue and function for patients with CFS/ME. However, we also recognize the need for more research into the treatment of this neglected condition, especially for those most severely disabled by it. |
| first_indexed | 2024-03-07T07:26:05Z |
| format | Journal article |
| id | oxford-uuid:b78ab402-ed4c-4b17-ae0e-57fa02443dcf |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T07:26:05Z |
| publishDate | 2021 |
| publisher | Springer |
| record_format | dspace |
| spelling | oxford-uuid:b78ab402-ed4c-4b17-ae0e-57fa02443dcf2022-11-17T10:20:08ZEvidence-based care for people with chronic fatigue syndrome and myalgic encephalomyelitisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b78ab402-ed4c-4b17-ae0e-57fa02443dcfEnglishSymplectic ElementsSpringer2021Sharpe, MChalder, TWhite, PDChronic fatigue syndrome (CFS), sometimes referred to as myalgic encephalomyelitis (ME) and often as CFS/ME, is an illness characterized by disabling fatigue and other symptoms, typically worsened by activity. The main evidence-based treatments are rehabilitative in nature and include specific types of cognitive behavior therapy (CBT) and graded exercise therapy (GET). In this article, we briefly review the evidence for their safety and effectiveness and propose that much of the controversy about them arises from misunderstandings about their nature and delivery. In particular, we emphasize that successful rehabilitation from CFS/ME does not indicate that the illness is not real. We recommend that rehabilitative treatment always be preceded by a thorough clinical assessment and delivered by appropriately trained therapists working in close collaboration with the patient. We conclude that properly applied rehabilitative treatments offer the best hope of safely improving fatigue and function for patients with CFS/ME. However, we also recognize the need for more research into the treatment of this neglected condition, especially for those most severely disabled by it. |
| spellingShingle | Sharpe, M Chalder, T White, PD Evidence-based care for people with chronic fatigue syndrome and myalgic encephalomyelitis |
| title | Evidence-based care for people with chronic fatigue syndrome and myalgic encephalomyelitis |
| title_full | Evidence-based care for people with chronic fatigue syndrome and myalgic encephalomyelitis |
| title_fullStr | Evidence-based care for people with chronic fatigue syndrome and myalgic encephalomyelitis |
| title_full_unstemmed | Evidence-based care for people with chronic fatigue syndrome and myalgic encephalomyelitis |
| title_short | Evidence-based care for people with chronic fatigue syndrome and myalgic encephalomyelitis |
| title_sort | evidence based care for people with chronic fatigue syndrome and myalgic encephalomyelitis |
| work_keys_str_mv | AT sharpem evidencebasedcareforpeoplewithchronicfatiguesyndromeandmyalgicencephalomyelitis AT chaldert evidencebasedcareforpeoplewithchronicfatiguesyndromeandmyalgicencephalomyelitis AT whitepd evidencebasedcareforpeoplewithchronicfatiguesyndromeandmyalgicencephalomyelitis |