Investigating neural mechanisms of change of cognitive behavioural therapy for chronic fatigue syndrome: a randomized controlled trial

Chronic fatigue syndrome (CFS) is characterized by profound and disabling fatigue with no known somatic explanation. Cognitive behavioral therapy (CBT) has proven to be a successful intervention leading to a reduction in fatigue and disability. Based on previous neuroimaging findings, it has been su...

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Veröffentlicht in:BMC psychiatry 2015-07, Vol.15 (1), p.144-144, Article 144
Hauptverfasser: van Der Schaaf, Marieke E, Schmits, Iris C, Roerink, Megan, Geurts, Dirk E M, Toni, Ivan, Roelofs, Karin, De Lange, Floris P, Nater, Urs M, van der Meer, Jos W M, Knoop, Hans
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container_title BMC psychiatry
container_volume 15
creator van Der Schaaf, Marieke E
Schmits, Iris C
Roerink, Megan
Geurts, Dirk E M
Toni, Ivan
Roelofs, Karin
De Lange, Floris P
Nater, Urs M
van der Meer, Jos W M
Knoop, Hans
description Chronic fatigue syndrome (CFS) is characterized by profound and disabling fatigue with no known somatic explanation. Cognitive behavioral therapy (CBT) has proven to be a successful intervention leading to a reduction in fatigue and disability. Based on previous neuroimaging findings, it has been suggested that central neural mechanisms may underlie CFS symptoms and play a role in the change brought on by CBT. In this randomized controlled trial we aim to further investigate the neural mechanisms that underlie fatigue in CFS and their change by CBT. We will conduct a randomized controlled trial in which we collect anatomical and functional magnetic resonance imaging (MRI) measures from female CFS patients before and after CBT (N = 60) or waiting list (N = 30) and compare these with measures from age and education matched healthy controls (N = 30). By including a large treatment group we will also be able to compare patients that benefit from CBT with those that do not. In addition, to further investigate the role of endocrine and immune biomarkers in CFS, we will determine cortisol and cytokine concentrations in blood, hair and/or saliva. This project creates an unique opportunity to enhance our understanding of CFS symptoms and its change by CBT in terms of neuroanatomical, neurofunctional, endocrinological and immunological mechanisms and can help to further improve future treatments strategies. Dutch Trial Register #15852. Registered 9 December 2013 ( http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4311 ).
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In addition, to further investigate the role of endocrine and immune biomarkers in CFS, we will determine cortisol and cytokine concentrations in blood, hair and/or saliva. This project creates an unique opportunity to enhance our understanding of CFS symptoms and its change by CBT in terms of neuroanatomical, neurofunctional, endocrinological and immunological mechanisms and can help to further improve future treatments strategies. Dutch Trial Register #15852. 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subjects Adult
Anniversaries
Behavior
Biomarkers - analysis
Care and treatment
Chronic fatigue syndrome
Chronic pain
Clinical Protocols
Clinical trials
Cognitive Behavioral Therapy - methods
Cognitive therapy
Fatigue Syndrome, Chronic - diagnosis
Fatigue Syndrome, Chronic - metabolism
Fatigue Syndrome, Chronic - psychology
Fatigue Syndrome, Chronic - therapy
Female
Humans
Investigations
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Mediation
Medical imaging
Middle Aged
Monitoring, Physiologic - methods
Neuroimaging
Outcome Assessment (Health Care)
Patients
Physiological aspects
Psychiatry
Research Design
Spectrum analysis
Study Protocol
title Investigating neural mechanisms of change of cognitive behavioural therapy for chronic fatigue syndrome: a randomized controlled trial
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