Family interventions in general practice: a case of chronic fatigue

Graham, Hilary

doi:10.1046/j..1991.00423.x

Cited by 14 publications

(8 citation statements)

References 1 publication

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“…The findings of this study are in keeping with research which shows that cognitive-behavioural therapy can lead to reduced fatigue and improved functioning in adolescents with CFS (Chalder et al, 2010;Chalder, Tong, & Deary, 2002;Lloyd et al, 2012;Stulemeijer et al, 2005) and that improvements can be maintained at follow-up (Knoop, Stulemeijer, de Long, Fiselier, & Bleijenberg, 2008;Lloyd et al, 2012). The results also support the findings of case reports which have shown that family focused cognitive-behavioural treatments can help to improve fatigue and/ or functioning in adolescents with severe chronic fatigue or CFS (Burgess & Chalder, 2011;Graham, 1990;Wachsmuth & MacMillan, 1991).…”

Section: Discussionsupporting

confidence: 88%

Home-based family focused rehabilitation for adolescents with severe Chronic Fatigue Syndrome

Burgess

Lievesley

Ali

et al. 2018

Clin Child Psychol Psychiatry

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Severely affected adolescents with CFS showed improved physical functioning and social adjustment after a home-based rehabilitative approach. Although several patients showed improvements in physical functioning, they did not all show substantial improvements in fatigue. At this crucial stage of development, it is important to offer young people and their parents hope by stating that improvement is possible.

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Section: Discussionsupporting

confidence: 88%

Home-based family focused rehabilitation for adolescents with severe Chronic Fatigue Syndrome

Burgess

Lievesley

Ali

et al. 2018

Clin Child Psychol Psychiatry

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“…For cognitive-behavioural psychotherapy to succeed it is necessary to explore other family members' beliefs about symptoms and illness when treating young patients (Fry, & Martin, 1996). Graham (1990) has described family interventions as part of the management of patients with CFS within a general practice setting. She argued that family doctors have a particular authority because of their longstanding relationships with patients, which can facilitate processes such as 'reframing of illness' and the 'creation of optimism'.…”

Section: Specific Treatment Approachesmentioning

confidence: 99%

Chronic Fatigue Syndrome in Children and Adolescents: A Review Article

Richards

2000

Clin Child Psychol Psychiatry

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Clinicians have been describing individuals with chronic fatigue states for over 100 years, although chronic fatigue syndrome is often regarded as a modern disease. The aetiology of chronic fatigue syndrome is uncertain. For young individuals with chronic fatigue syndrome there are neither reliable prevalence figures nor scientific evidence concerning the effectiveness of treatments. Information obtained from research into adult individuals with chronic fatigue syndrome may be helpful but is not necessarily directly applicable to children and adolescents. Developmental factors and the influence of other family members on the course of the disorder in young sufferers should be considered. The uncertainties surrounding chronic fatigue syndrome should not deter child and adolescent mental health workers from becoming involved in the assessment and management of individual patients. The mainstay of treatment is rehabilitation with an emphasis on gradually increasing activities. Considerable attention will need to be given to engaging the young people and their families and working effectively with a multidisciplinary team. If mental health workers do not become involved in treating young people with chronic fatigue syndrome there is a risk that psychological factors will not be addressed and that chronic functional impairment will ensue.

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“…83-85 The process is most effective when the re-evaluation of the illness beliefs is carried out in close collaboration with the patient and their family 6280 86 These approaches can be developed within a family context80 with consideration of transgenerational issues 62. The importance of this process of collaboration has been reaffirmed in published work with adults 85.…”

Section: Managementmentioning

confidence: 99%