Telephone-based guided self-help for adolescents with chronic fatigue syndrome: A non-randomised cohort study

Samantha Lloyd, Trudie Chalder, Hannah M Sallis, Katharine A Rimes

Research output: Contribution to journalArticle (Academic Journal)peer-review

24 Citations (Scopus)

Abstract

The aim of this study was to gain preliminary evidence about the efficacy of a new telephone-based guided self-help intervention, based on cognitive-behavioural principles, which aimed to reduce fatigue and improve school attendance in adolescents with chronic fatigue syndrome (CFS). A non-randomised cohort design was used, with a two-month baseline period. Sixty-three 11-18 year-old participants recruited from a specialist CFS unit received the intervention. Participants received six half-hour fortnightly telephone sessions and two follow-up sessions. Fatigue and school attendance were the main outcomes and the main time point for assessing outcome was 6 months post-treatment. Using multi-level modelling, a significant decrease in fatigue was found between pre-treatment and 6 month follow-up, treatment effect estimate = - 5.68 (-7.63, -3.72), a large effect size (Cohen's d = 0.79). The decrease in fatigue between pre and post-treatment was significantly larger than between baseline and pre-treatment. A significant increase in school attendance was found between pre-treatment and 6 month follow-up, effect estimate = 1.38 (0.76, 2.00), a medium effect size (d = -0.48). univariate logistic regression found baseline perfectionism to be associated with better [corrected] school attendance at six-month follow-up. In conclusion, telephone-based guided self-help is an acceptable minimal intervention which is efficacious in reducing fatigue in adolescents with CFS.

Original languageEnglish
Pages (from-to)304-12
Number of pages9
JournalBehaviour Research and Therapy
Volume50
Issue number5
DOIs
Publication statusPublished - May 2012

Bibliographical note

Copyright © 2012 Elsevier Ltd. All rights reserved.

Keywords

  • Adolescent
  • Child
  • Cognitive Therapy
  • Fatigue
  • Fatigue Syndrome, Chronic
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Parents
  • Patient Satisfaction
  • Risk Factors
  • Telephone
  • Treatment Outcome

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