The effectiveness of an online cognitive behavioral therapy (FitNet), for CFS in adolescents, in routine clinical practice, 2019, Morée

Dolphin · May 13, 2020

https://dspace.library.uu.nl/handle/1874/396223

The effectiveness of an online cognitive behavioral therapy (FitNet), for chronic fatigue syndrome in adolescents, in routine clinical practice

Morée, A.F. de
(2019) Faculty of Social and Behavioural Sciences Theses
(Master thesis)

Abstract

When sleep problems in adolescents ascent in severe disabling fatigue, which lasts for at least six months and is not alleviated by rest, they can be diagnosed with chronic fatigue syndrome (CFS).

FitNet is an online cognitive behavioral therapy for adolescents with CFS.

Because of the promising results on effectiveness in a randomized controlled trial, FitNet was implemented in routine clinical practice.

The goal of this thesis was to investigate the effectiveness of FitNet after implementation in routine clinical practice.

First, the effects of FitNet (N = 241, age 12-18) on Fatigue Severity, Physical Functioning and School Attendance was compared with the results of the previous randomized controlled trial by using a benchmark comparison.

Second, the effect of FitNet on Fatigue Severity, Physical Functioning and School Attendance was compared with Face-to-Face cognitive behavioral therapy (CBT) (N = 84, age 11-18).
FitNet was expected to have a greater decrease in CFS symptoms than Face-to-Face CBT

Third, it was investigated whether anxiety has a negative impact on the effectiveness of FitNet.

The benchmark comparison showed that the confidence interval of the percentage recovered patients in the present study overlapped with the interval of the randomized controlled trial.

These findings suggest that FitNet is equally effective after implementation in clinical routine practice as during the randomized controlled trial.

The comparison with the Face-to-Face CBT found that, on average, participants showed a significant decrease in all three CFS symptoms, but there was no difference between the Faceto-Face group or the FitNet group.

Furthermore, anxiety did not negatively influence the effects of FitNet.

Together, these findings suggest that FitNet is an effective treatment for reducing symptoms in CFS patients.

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Invisible Woman · May 13, 2020

When sleep problems in adolescents ascent in severe disabling fatigue, which lasts for at least six months and is not alleviated by rest, they can be diagnosed with chronic fatigue syndrome (CFS).
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Er.....what?

Is it me or is ascent a peculiar word to use here?

Sure, yeah, it's just a sleep issue......

rvallee · May 13, 2020

When sleep problems in adolescents ascent in severe disabling fatigue, which lasts for at least six months and is not alleviated by rest, they can be diagnosed with chronic fatigue syndrome (CFS).
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Uh... what? How does anyone actually manage to fail a thesis on the very first damn sentence? What is this gibberish? Much confusion, Batman.

Because of the promising results on effectiveness in a randomized controlled trial, FitNet was implemented in routine clinical practice.
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While the second sentence managed to remain somewhat factual, right back to fantasy on the third. No controlled trials have ever been run of this, only heavily biased psychological experiments with lots of tinkering and methodology so weak their conclusions are nothing but opinions.

FitNet was expected to have a greater decrease in CFS symptoms than Face-to-Face CBT
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I have to say that I am genuinely curious at how this logic can be proposed. Especially given all the hoopla given to the training of CBT specialists and how PACE made a big pretend show about how their therapists were super highly trained and there's the fantasy over the high-intensity vs low-intensity, which is totally a real thing. But somehow a self-managed online program is supposed to give better results. So is all that training just a big con, then? The therapist's involvement is basically superfluous? Interesting twisted logic in the fundamentals of the belief system.

These findings suggest that FitNet is equally effective after implementation in clinical routine practice as during the randomized controlled trial.
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Math checks out. 0 = 0. This is actually correct. I am shocked.

significant decrease in all three CFS symptoms
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Oh, the whole 3 symptoms? Including the symptom of school attendance? Wow. Impressive.

Really starting to think that the entire field of clinical psychology is a giant scam. What is this weak nonsense? Good grief the mediocrity is just off the charts.

Amw66 · May 15, 2020

If only

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