Journal
PATIENT EDUCATION AND COUNSELING
Volume 77, Issue 2, Pages 237-241Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2009.02.015
Keywords
Chronic fatigue syndrome; Myalgic encephalomyelitis; Myalgic encephalopathy; Energy
Funding
- NIAID [Al 49720]
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Objective: The energy envelope postulates that patients with Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) will improve functioning when maintaining expended energy levels at the same level as available energy level. Methods: Estimated weekly Energy Quotients were established by dividing expended energy level by perceived energy level and multiplying by 100. Two groups of patients were identified following participation in a non-pharmacologic intervention trial. Some were able to keep expended energy close to available energy and others were not successful at this task. Results: Those who were able to stay within their energy envelope had significant improvements in physical functioning and fatigue severity. Conclusion: Findings suggest that helping patients with ME/CFS maintain appropriate energy expenditures in coordination with available energy reserves can help improve functioning over time. Practice implications: Health care professionals that treat patients with ME/CFS might incorporate strategies that help patients self-monitor and self-regulate energy expenditures. (c) 2009 Elsevier Ireland Ltd. All rights reserved.
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