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2008 Knoop "Recovery of CFS was possible, even if the physical activity level of the patient remained low."

Discussion in 'PsychoSocial ME/CFS Research' started by Esther12, Nov 7, 2017.

  1. Esther12

    Esther12 Senior Member (Voting Rights)

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    As we've got a new forum, now when I come across an old annoying thing I thought I might post them up for newcomers' pleasure.

    There's been a lot of discussion recently of how treatments like CBT can encourage patients to fill in questionnaires more positively, even if more objective measures of their ill health fail to improve. So how do those claiming CBT can lead to full recovery from CFS justify their position?

    There's a nice one sentence summary from Knoop's 2008 PhD which explains this:

    "Recovery of CFS was possible, even if the physical activity level of the patient remained low."

    From p 104 here: https://www.academia.edu/3382407/Is...avioural_therapy_for_chronic_fatigue_syndrome

    There you go people. Recovery with CBT is possible, just don't expect it to look like you'd want it to.

    Edit: I should add that Knoop was a co-author of the meta-analysis which found that CBT was associated with patients answering questionnaires more positively, but not with an improvement in objectively measured levels of activity: https://www.ncbi.nlm.nih.gov/pubmed/20047707

    Their interpretation of this result seemed to be that CBT was so wonderful it could successfully treat patients symptoms without patients even needing to increase their activity levels.
    Last edited: Nov 8, 2017
    MEMarge, sea, Snow Leopard and 25 others like this.
  2. Luther Blissett

    Luther Blissett Senior Member (Voting Rights)

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    Thanks Esther, I suppose you could use the same quote about death. How 'interesting'.
    MEMarge, Nancy Blackett, Mij and 12 others like this.
  3. Sid

    Sid Established Member

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    Wow. CBT = theater of the absurd
  4. Little Bluestem

    Little Bluestem Senior Member (Voting Rights)

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    Because a low physical activity recovery is what we are all looking for. :banghead: :dead:
    NelliePledge, MEMarge, Woolie and 9 others like this.
  5. Sean

    Sean Senior Member (Voting Rights)

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    Once again:

    "in the later stages of treatment patients are encouraged to increase their activity (which must ultimately be the aim of any treatment)"

    Wessely, David, Butler, & Chalder.

    Cheshire, Woolie, Dolphin and 8 others like this.
  6. Grigor

    Grigor Established Member (Voting Rights)

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    Here's a link to the study so you don't have to download it. I've never read anything as weird as that statement.

    It makes total sense why the study of Leonard Jason was so important.


    "Physicians viewed recovery as complete symptom remission and a return to premorbid functioning (adjusted for with age)."
    MEMarge, sea, Solstice and 12 others like this.

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