Journal
JOURNAL OF HEALTH PSYCHOLOGY
Volume 10, Issue 2, Pages 245-259Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/1359105305049774
Keywords
chronic fatigue syndrome (CFS); cognitive behavioural model; deconditioning; graded exercise therapy; illness perceptions; randomized controlled trial; symptom focusing
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The aim of this study was to investigate the potential mechanisms underlying the efficacy of graded exercise therapy for chronic fatigue syndrome (CFS). Forty-nine CFS patients were randomized to a 12-week graded exercise programme or to standard medical care. At the end of treatment the exercise group rated themselves as significantly more improved and less fatigued than the control group. A decrease in symptom focusing rather than an increase in fitness mediated the treatment effect. Graded exercise appears to be an effective treatment for CFS and it operates in part by reducing the degree to which patients focus on their symptoms.
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