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The ‘cognitive behavioural model’ of chronic fatigue syndrome: Critique of a flawed model

Chronic fatigue syndrome/myalgic encephalomyelitis is a debilitating illness that greatly impacts the lives of sufferers. A cognitive behavioural model attempts to explain illness onset and continuance with a hypothesis that the illness is perpetuated by patients’ irrational beliefs and avoidance be...

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Autores principales: Geraghty, Keith, Jason, Leonard, Sunnquist, Madison, Tuller, David, Blease, Charlotte, Adeniji, Charles
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482658/
https://www.ncbi.nlm.nih.gov/pubmed/31041108
http://dx.doi.org/10.1177/2055102919838907
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author Geraghty, Keith
Jason, Leonard
Sunnquist, Madison
Tuller, David
Blease, Charlotte
Adeniji, Charles
author_facet Geraghty, Keith
Jason, Leonard
Sunnquist, Madison
Tuller, David
Blease, Charlotte
Adeniji, Charles
author_sort Geraghty, Keith
collection PubMed
description Chronic fatigue syndrome/myalgic encephalomyelitis is a debilitating illness that greatly impacts the lives of sufferers. A cognitive behavioural model attempts to explain illness onset and continuance with a hypothesis that the illness is perpetuated by patients’ irrational beliefs and avoidance behaviours. This theory underpins the promotion of cognitive behavioural therapy, a treatment that aims to change beliefs and behaviours. This article reports on a detailed review of the cognitive behavioural model. Our review finds that the model lacks high-quality evidential support, conflicts with accounts given by most patients and fails to account for accumulating biological evidence of pathological and physiological abnormalities found in patients. There is little scientific credibility in the claim that psycho-behavioural therapies are a primary treatment for this illness.
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spelling pubmed-64826582019-04-30 The ‘cognitive behavioural model’ of chronic fatigue syndrome: Critique of a flawed model Geraghty, Keith Jason, Leonard Sunnquist, Madison Tuller, David Blease, Charlotte Adeniji, Charles Health Psychol Open Theoretical Contribution/Commentary Chronic fatigue syndrome/myalgic encephalomyelitis is a debilitating illness that greatly impacts the lives of sufferers. A cognitive behavioural model attempts to explain illness onset and continuance with a hypothesis that the illness is perpetuated by patients’ irrational beliefs and avoidance behaviours. This theory underpins the promotion of cognitive behavioural therapy, a treatment that aims to change beliefs and behaviours. This article reports on a detailed review of the cognitive behavioural model. Our review finds that the model lacks high-quality evidential support, conflicts with accounts given by most patients and fails to account for accumulating biological evidence of pathological and physiological abnormalities found in patients. There is little scientific credibility in the claim that psycho-behavioural therapies are a primary treatment for this illness. SAGE Publications 2019-04-23 /pmc/articles/PMC6482658/ /pubmed/31041108 http://dx.doi.org/10.1177/2055102919838907 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Theoretical Contribution/Commentary
Geraghty, Keith
Jason, Leonard
Sunnquist, Madison
Tuller, David
Blease, Charlotte
Adeniji, Charles
The ‘cognitive behavioural model’ of chronic fatigue syndrome: Critique of a flawed model
title The ‘cognitive behavioural model’ of chronic fatigue syndrome: Critique of a flawed model
title_full The ‘cognitive behavioural model’ of chronic fatigue syndrome: Critique of a flawed model
title_fullStr The ‘cognitive behavioural model’ of chronic fatigue syndrome: Critique of a flawed model
title_full_unstemmed The ‘cognitive behavioural model’ of chronic fatigue syndrome: Critique of a flawed model
title_short The ‘cognitive behavioural model’ of chronic fatigue syndrome: Critique of a flawed model
title_sort ‘cognitive behavioural model’ of chronic fatigue syndrome: critique of a flawed model
topic Theoretical Contribution/Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482658/
https://www.ncbi.nlm.nih.gov/pubmed/31041108
http://dx.doi.org/10.1177/2055102919838907
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