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4. Does the effect of cognitive behavior therapy for chronic fatigue syndrome (ME/CFS) vary by patient characteristics? A systematic review and individual patient data meta-analysis.

Author

Kuut, T. A., Buffart, L. M., Braamse, A. M. J., Csorba, I., Bleijenberg, G., Nieuwkerk, P., Moss-Morris, R., Müller, F., and Knoop, H.

Subjects
CHRONIC fatigue syndrome treatment, SELF-efficacy, FATIGUE (Physiology), TREATMENT effectiveness, META-analysis, FUNCTIONAL status, SYSTEMATIC reviews, COGNITIVE therapy, CONFIDENCE intervals, COMPARATIVE studies
Abstract

Debate is ongoing on the efficacy of cognitive behavior therapy (CBT) for myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS). With an individual patient data (IPD) meta-analysis we investigated whether the effect of CBT varied by patient characteristics. These included post-exertional malaise (PEM), a central feature of ME/CFS according to many. We searched for randomized controlled trials similar with respect to comparison condition, outcomes and treatment-protocol. Moderation on fatigue severity (Checklist Individual Strength, subscale fatigue severity), functional impairment (Sickness Impact Profile-8) and physical functioning (Short Form-36, subscale physical functioning) was investigated using linear mixed model analyses and interaction tests. PROSPERO (CRD42022358245). Data from eight trials (n = 1298 patients) were pooled. CBT showed beneficial effects on fatigue severity (β = −11.46, 95% CI −15.13 to −7.79); p < 0.001, functional impairment (β = −448.40, 95% CI −625.58 to −271.23); p < 0.001; and physical functioning (β = 9.64, 95% CI 3.30 to 15.98); p < 0.001. The effect of CBT on fatigue severity varied by age (p interaction = 0.003), functional impairment (p interaction = 0.045) and physical activity pattern (p interaction = 0.027). Patients who were younger, reported less functional impairments and had a fluctuating activity pattern benefitted more. The effect on physical functioning varied by self-efficacy (p interaction = 0.025), with patients with higher self-efficacy benefitting most. No other moderators were found. It can be concluded from this study that CBT for ME/CFS can lead to significant reductions of fatigue, functional impairment, and physical limitations. There is no indication patients meeting different case definitions or reporting additional symptoms benefit less from CBT. Our findings do not support recent guidelines in which evidence from studies not mandating PEM was downgraded. [ABSTRACT FROM AUTHOR]

Published
2024
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5. Real-Time Assessment of Fatigue in Patients With Multiple Sclerosis: How Does It Relate to Commonly Used Self-Report Fatigue Questionnaires?

Author

de Groot, V., Beckerman, H., Malekzadeh, A., van den Akker, L.E., Looijmans, M., Sanches, S.A., Dekker, J., Collette, E.H., van Oosten, B.W., Teunissen, C.E., Blankenstein, M.A., Eijssen, I.C.J.M., Rietberg, M., Heine, M., Verschuren, O., Kwakkel, G., Visser-Meily, J.M.A., van de Port, I.G.L., Lindeman, E., Blikman, L.J.M., van Meeteren, J., Bussmann, J.B.J., Stam, H.J., Hintzen, R.Q., Hacking, H.G.A., Hoogervorst, E.L., Frequin, S.T.F.M., Knoop, H., de Jong, B.A., Bleijenberg, G., de Laat, F.A.J., Verhulsdonck, M.C., van Munster, E.Th.L., Oosterwijk, C.J., Aarts, G.J., Heine, Martin, van den Akker, Lizanne Eva, Blikman, Lyan, Hoekstra, Trynke, van Munster, Erik, Verschuren, Olaf, Visser-Meily, Anne, and Kwakkel, Gert

Published
2016
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6. Chronisch-vermoeidheidssyndroom

Author

Bleijenberg, G., de Jong, L. W. A., Knoop, H., van Aalderen, W. M. C., Albers, M. J. I. J., de Blécourt, A. C. E., Bleijenberg, G., Boxma, H., Braet, C., Brouwer, O. F., Derkx, B., van Drie, H. J. Y., van Dijk, M., van Furth, A. M., van Gemert, T. M., HiraSing, R. A., Hofland, H. W. Chr., Houdijk, E. C. A. M., de Jong, L. W. A., de Jonge, R. C. J., Kalverdijk, L. J., Kieboom, J. K. W., Kluft, C., Kneepkens, C. M. F., Knoop, H., van Leerdam, F. J. M., Lub, M. M. H., de Meij, T. G. J., Peeters, E. A. J., Scholten, S., Sprikkelman, A. B., Tibboel, D., ter Waarbeek, H. L. G., Walstra, J., and Wijnberg-Williams, B.

Published
2009
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26. Short fatigue questionnaire: Screening for severe fatigue.

Author

Penson, A., Deuren, S van, Worm-Smeitink, M.G.M., Bronkhorst, E.M., Hoogen, F.H.J. van den, Engelen, B.G.M. van, Peters, M.E.W.J., Bleijenberg, G., Vercoulen, J.H., Blijlevens, N.M.A., Loonen, J.J., Knoop, H., Penson, A., Deuren, S van, Worm-Smeitink, M.G.M., Bronkhorst, E.M., Hoogen, F.H.J. van den, Engelen, B.G.M. van, Peters, M.E.W.J., Bleijenberg, G., Vercoulen, J.H., Blijlevens, N.M.A., Loonen, J.J., and Knoop, H.

Abstract

Contains fulltext : 226147.pdf (Publisher’s version ) (Open Access)

Published
2020

29. Experienced fatigue in facioscapulohumeral dystrophy, myotonic dystrophy, and HMSN-1

Author

Kalkman, J.S., Schillings, M.L., van der Werf, S.P., Padberg, G.W., Zwarts, M.J., van Engelen, B.G.M., and Bleijenberg, G.

Subjects
Fatigue -- Research, Muscular dystrophy -- Physiological aspects, Myotonic dystrophy -- Physiological aspects, Neuropathies, Hereditary motor and sensory -- Physiological aspects, Health, Psychology and mental health
Published
2005

36. Somatische problemen

Author

van Aalderen, W. M. C., primary, Albers, M. J. I. J., additional, de Blécourt, A. C. E., additional, Bleijenberg, G., additional, Boxma, H., additional, Braet, C., additional, Brouwer, O. F., additional, Derkx, B., additional, van Drie, H. J. Y., additional, van Dijk, M., additional, van Furth, A. M., additional, van Gemert, T. M., additional, HiraSing, R. A., additional, Hofland, H. W. Chr., additional, Houdijk, E. C. A. M., additional, de Jong, L. W. A., additional, de Jonge, R. C. J., additional, Kalverdijk, L. J., additional, Kieboom, J. K. W., additional, Kluft, C., additional, Kneepkens, C. M. F., additional, Knoop, H., additional, van Leerdam, F. J. M., additional, Lub, M. M. H., additional, de Meij, T. G. J., additional, Peeters, E. A. J., additional, Scholten, S., additional, Sprikkelman, A. B., additional, Tibboel, D., additional, ter Waarbeek, H. L. G., additional, Walstra, J., additional, and Wijnberg-Williams, B., additional

Published
2009
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39. 9 Somatoforme stoornissen

Author

Hoogduin, C.A.L., primary, Spinhoven, Ph., additional, Hagenaars, M.A., additional, Bleijenberg, G., additional, and Knoop, H., additional

Published
2008
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50. Three distinct physical behavior types in fatigued patients with multiple sclerosis

Author

Braakhuis, H. E. M., Berger, M. A. M., van der Stok, G. A., van Meeteren, J., de Groot, V., Beckerman, H., Bussmann, J. B. J., Malekzadeh, A., van den Akker, L. E., Looijmans, M., Sanches, S. A., Dekker, J., Collette, E. H., van Oosten, B. W., Teunissen, C. E., Blankenstein, M. A., Eijssen, I. C. J. M., Rietberg, M., Heine, M., Verschuren, O., Kwakkel, G., Visser-Meily, J. M. A., van de Port, I. G. L., Lindeman, E., Blikman, L. J. M., Stam, H. J., Hintzen, R. Q., Hacking, H. G. A., Hoogervorst, E. L., Frequin, S. T. F. M., Knoop, H., de Jong, B. A., Bleijenberg, G., de Laat, F. A. J., Verhulsdonck, M. C., van Munster, E. Th L., Oosterwijk, C. J., Aarts, G. J., Academic Medical Center, Rehabilitation Medicine, Neurology, Pediatrics, Urology, Immunology, Gastroenterology & Hepatology, Erasmus School of Health Policy & Management, APH - Societal Participation & Health, APH - Methodology, APH - Mental Health, APH - Aging & Later Life, AMS - Rehabilitation & Development, MOVE Research Institute, Amsterdam Movement Sciences - Restoration and Development, APH - Quality of Care, and APH - Health Behaviors & Chronic Diseases

Subjects
Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Neurology, Evening, Multiple Sclerosis, Adolescent, medicine.medical_treatment, Psychological intervention, Health Informatics, multiple sclerose, hoofdcomponentenanalyse, lcsh:RC321-571, 03 medical and health sciences, clusteranalyse, Young Adult, Cluster analysis, Accelerometry, medicine, Humans, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Fatigue, Aged, Behavior, Principal Component Analysis, Rehabilitation, business.industry, Multiple sclerosis, Research, Middle Aged, medicine.disease, Checklist, Clinical trial, Cross-Sectional Studies, Ambulatory, Physical therapy, lichamelijk gedrag, Female, 0305 other medical science, business, Physical behavior
Abstract

Background Multiple sclerosis often leads to fatigue and changes in physical behavior (PB). Changes in PB are often assumed as a consequence of fatigue, but effects of interventions that aim to reduce fatigue by improving PB are not sufficient. Since the heterogeneous nature of MS related symptoms, levels of PB of fatigued patients at the start of interventions might vary substantially. Better understanding of the variability by identification of PB subtypes in fatigued patients may help to develop more effective personalized rehabilitation programs in the future. This study aimed to identify PB subtypes in fatigued patients with multiple sclerosis based on multidimensional PB outcome measures. Methods Baseline accelerometer (Actigraph) data, demographics and clinical characteristics of the TREFAMS-ACE participants (n = 212) were used for secondary analysis. All patients were ambulatory and diagnosed with severe fatigue based on a score of ≥35 on the fatigue subscale of the Checklist Individual Strength (CIS20r). Fifteen PB measures were used derived from 7 day measurements with an accelerometer. Principal component analysis was performed to define key outcome measures for PB and two-step cluster analysis was used to identify PB types. Results Analysis revealed five key outcome measures: percentage sedentary behavior, total time in prolonged moderate-to-vigorous physical activity, number of sedentary bouts, and two types of change scores between day parts (morning, afternoon and evening). Based on these outcomes three valid PB clusters were derived. Conclusions Patients with severe MS-related fatigue show three distinct and homogeneous PB subtypes. These PB subtypes, based on a unique set of PB outcome measures, may offer an opportunity to design more individually-tailored interventions in rehabilitation. Trial registration Clinical trial registration no ISRCTN 82353628, ISRCTN 69520623 and ISRCTN 58583714. Electronic supplementary material The online version of this article (10.1186/s12984-019-0573-1) contains supplementary material, which is available to authorized users.

Published
2019
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