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After inclusion in the study, patients are allocated randomly to the graded exercise therapy programme or to usual care.
It found that patients showed more improvement – and a small minority recovered completely – after cognitive behaviour therapy (CBT), one of the so-called psychological "talking therapies", or graded exercise therapy (GET), where the patient is encouraged gradually to become more active, walking further and increasing the amount they do in a day.
Although the numbers who recovered were small, Trudie Chalder, professor of cognitive behavioural psychotherapy at King's College, London, said that "twice as many people on graded exercise therapy and cognitive behaviour therapy got back to normal" compared with those in the other two treatment groups.
In the largest randomized trial comparing treatments for chronic fatigue syndrome, British researchers have found that graded exercise therapy and cognitive behavioral therapy (CBT) — when added to medical care from chronic fatigue specialists — are each better than specialist medical care alone at reducing fatigue and improving physical function.
Dr Charles Shepherd says graded exercise therapy (GET) can actually be harmful to some people.
Some children received cognitive behavioural therapy, while others received graded exercise therapy.
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The inpatient interdisciplinary program of 4 weeks consisted of: physiotherapy individually and in small groups, medical training therapy (MTT, graded exercise), passive therapy modules, occupational therapy, creative therapy, neuropsychological treatment with group information about pain, individualized cognitive behavioral therapy and a test psychological setting.
This analysis also found that, compared to BUC, those treated with graded exercise or counselling therapies were more satisfied at 1 year.
Change in depressive symptoms was associated with change in pain intensity, while change in pain catastrophizing was associated with change in disability.Physical therapy supplemented with graded exercise or graded exposure resulted in equivalent clinical outcomes for pain intensity and disability.
In our view, however, you underestimate the benefits of current treatments: namely, graded exercise and cognitive behaviour therapy (CBT).
The authors suggest that this is because the people in the ineffective groups later decided to seek out graded exercise and cognitive behavior therapy.
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