Differential effects of behavioral interventions with a graded physical activity component in patients suffering from Chronic Fatigue (Syndrome): An updated systematic review and meta-analysis

Marques, Marta M.; Gucht, Véronique De; Gouveia, Maria João; Leal, Isabel; Maes, Stan

doi:10.1016/j.cpr.2015.05.009

Cited by 49 publications

(34 citation statements)

References 77 publications

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“…In face of this and considering that our main goal was the identification of pretreatment predictors of success in weight loss/maintenance, independent of the type of intervention received, we used data from all groups combined. When several measures were reported for the same predictor (e.g., cognitive eating restraint), we chose the measure most commonly used across the studies included, as done in previous systematic reviews and meta-analyses [9] .…”

Section: Data Extractionmentioning

confidence: 99%

Psychosocial Pretreatment Predictors of Weight Control: A Systematic Review Update

et al. 2018

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Objective: Systematically identifying pretreatment characteristics that predict successful weight management is important to improve intervention efficacy and clinical practice. This study provides a comprehensive update of a 2005 review on pretreatment predictors of successful weight management. Methods: Results of 37 recent original studies from peer-reviewed journals were merged with the results from the 2005 review. A critical appraisal of the 66 studies included was provided, and meta-analyses were performed when feasible. Results: Fewer previous weight loss attempts were the most consistent pretreatment predictor of successful weight management, although with a small effect size. Importantly, several variables were identified as non-significant predictors of weight loss, showing trivial effects (e.g., eating self-efficacy). Many psychosocial factors remain too little studied to allow reliable conclusions regarding their predictive value. Conclusion: Previous dieting attempts were identified as the soundest predictor of successful weight management. Several factors, previously considered barriers to successful weight management and now identified as non-predictors, require more investigation given the limitations identified in this review. Importantly, due to a comparably thin empirical basis for many predictors, further research is essential to move the field forward. Implications of the current state of research and necessary steps to improve intervention efficacy and clinical practice are discussed

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Section: Data Extractionmentioning

confidence: 99%

Psychosocial Pretreatment Predictors of Weight Control: A Systematic Review Update

et al. 2018

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“…Trial outcomes included not just efficacy but also specific harms measures and the protocol included systems to track possible adverse events. This was a significant improvement over previous trials of CBT and GET, where the reporting of harms has been described as poor (Chambers et al, 2006;Marques et al, 2015;Price et al, 2008;Smith et al, 2015). Consequently, virtually, all the evidence we have about the harms associated with CBT and GET is derived from the PACE trial.…”

mentioning

confidence: 75%

Do graded activity therapies cause harm in chronic fatigue syndrome?

Kindlon¹

2017

J Health Psychol

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Reporting of harms was much better in the PACE (Pacing, graded Activity, and Cognitive behavioural therapy: a randomised Evaluation) trial than earlier chronic fatigue syndrome trials of graded exercise therapy and cognitive behavioural therapy. However, some issues remain. The trial's poor results on objective measures of fitness suggest a lack of adherence to the activity component of these therapies. Therefore, the safety findings may not apply in other clinical contexts. Outside of clinical trials, many patients report deterioration with cognitive behavioural therapy and particularly graded exercise therapy. Also, exercise physiology studies reveal abnormalities in chronic fatigue syndrome patients' responses to exertion. Given these considerations, one cannot conclude that these interventions are safe and risk-free.

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“…Management of CFS aims to relieve symptoms and may involve medication for specific symptoms; some previously published recommendations include cognitive behavior therapy, graded exercise therapy and occupational rehabilitation [6, 10, 37]. Although not universally helpful, cognitive behavioral therapy (CBT) and graded exercise have been shown to result in some reduction (moderate effect sizes) in symptom severity and disability in 33 to 70% of the patients (for an overview see e. g. [9, 25, 26, 32]). The underlying mechanisms, however, remain largely unclear [22].…”

Section: Introductionmentioning

confidence: 99%

Patterns of control beliefs in chronic fatigue syndrome: results of a population-based survey

et al. 2017

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BackgroundChronic fatigue syndrome (CFS) represents a unique clinical challenge for patients and health care providers due to unclear etiology and lack of specific treatment. Characteristic patterns of behavior and cognitions might be related to how CFS patients respond to management strategies.MethodsThis study investigates control beliefs in a population-based sample of 113 CFS patients, 264 individuals with insufficient symptoms or fatigue for CFS diagnosis (ISF), and 124 well individuals.ResultsControlling for personality and coping, individuals with low confidence in their problem-solving capacity were almost 8 times more likely to be classified as ISF and 5 times more likely to be classified as CFS compared to being classified as well. However there was a wide distribution within groups and individuals with “low confidence” scores were found in 31.7% of Well individuals. Individuals with low levels of anxiety and who were more outgoing were less likely to be classified as ISF or CFS.ConclusionsThese findings suggest that fostering control beliefs could be an important focus for developing behavioral management strategies in CFS and other chronic conditions.

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Differential effects of behavioral interventions with a graded physical activity component in patients suffering from Chronic Fatigue (Syndrome): An updated systematic review and meta-analysis

Cited by 49 publications

References 77 publications

Psychosocial Pretreatment Predictors of Weight Control: A Systematic Review Update

Psychosocial Pretreatment Predictors of Weight Control: A Systematic Review Update

Do graded activity therapies cause harm in chronic fatigue syndrome?

Patterns of control beliefs in chronic fatigue syndrome: results of a population-based survey

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