Long-term efficacy of cognitive-behavioral therapy by general practitioners for fatigue: A 4-year follow-up study

S.S. Leone; M.J.H. Huibers; IJ. Kant; L.G.P.M. van Amelsvoort; C.P. van Schayck; G. Bleijenberg; J.A. Knottnerus

doi:10.1016/j.jpsychores.2006.04.010

Long-term efficacy of cognitive-behavioral therapy by general practitioners for fatigue: A 4-year follow-up study

S.S. Leone^*, M.J.H. Huibers, IJ. Kant, L.G.P.M. van Amelsvoort, C.P. van Schayck, G. Bleijenberg, J.A. Knottnerus

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective: In an earlier study, we found that cognitive-behavioral therapy (CBT) delivered by general practitioners (GPs) for fatigue among employees on sick leave was not effective after 12 months. In this study we aim to assess the long-term efficacy of CBT by GPs for fatigue. It was hypothesized that the intervention could prevent deterioration as well as relapse of fatigue complaints and relapse into absenteeism in the long term.

Methods: Patients who participated in the original randomized controlled trial were followed up 4 years later. Fatigue and absenteeism were the main outcomes.

Results: Fatigue and absenteeism were high in the intervention and control groups at the 4-year follow-up. There was no significant difference between the intervention group and the control group on fatigue and absenteeism. The intervention group however tended toward less-favorable outcomes as compared with the control group.

Conclusions: Like that of chronic fatigue syndrome, the prognosis of less-advanced fatigue is rather poor. CBT delivered by GPs is not effective in the long term.

Original language	English
Pages (from-to)	601-607
Journal	Journal of Psychosomatic Research
Volume	61
Issue number	5
DOIs	https://doi.org/10.1016/j.jpsychores.2006.04.010
Publication status	Published - 2006
Externally published	Yes

Bibliographical note

Funding Information:
This study was funded by the Health Research and Development Council through Grant No. 21000104 (ZonMw, The Netherlands).

Funding

This study was funded by the Health Research and Development Council through Grant No. 21000104 (ZonMw, The Netherlands).

Keywords

CBT
Fatigue
Follow-up study
Primary care
Trial

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jpsychores.2006.04.010

Cite this

@article{8e67e0e9fc584a64a1ebc44b2e263065,

title = "Long-term efficacy of cognitive-behavioral therapy by general practitioners for fatigue: A 4-year follow-up study",

abstract = "Objective: In an earlier study, we found that cognitive-behavioral therapy (CBT) delivered by general practitioners (GPs) for fatigue among employees on sick leave was not effective after 12 months. In this study we aim to assess the long-term efficacy of CBT by GPs for fatigue. It was hypothesized that the intervention could prevent deterioration as well as relapse of fatigue complaints and relapse into absenteeism in the long term. Methods: Patients who participated in the original randomized controlled trial were followed up 4 years later. Fatigue and absenteeism were the main outcomes. Results: Fatigue and absenteeism were high in the intervention and control groups at the 4-year follow-up. There was no significant difference between the intervention group and the control group on fatigue and absenteeism. The intervention group however tended toward less-favorable outcomes as compared with the control group. Conclusions: Like that of chronic fatigue syndrome, the prognosis of less-advanced fatigue is rather poor. CBT delivered by GPs is not effective in the long term.",

keywords = "CBT, Fatigue, Follow-up study, Primary care, Trial",

author = "S.S. Leone and M.J.H. Huibers and IJ. Kant and {van Amelsvoort}, L.G.P.M. and {van Schayck}, C.P. and G. Bleijenberg and J.A. Knottnerus",

note = "Funding Information: This study was funded by the Health Research and Development Council through Grant No. 21000104 (ZonMw, The Netherlands).",

year = "2006",

doi = "10.1016/j.jpsychores.2006.04.010",

language = "English",

volume = "61",

pages = "601--607",

journal = "Journal of Psychosomatic Research",

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}

TY - JOUR

T1 - Long-term efficacy of cognitive-behavioral therapy by general practitioners for fatigue

T2 - A 4-year follow-up study

AU - Leone, S.S.

AU - Huibers, M.J.H.

AU - Kant, IJ.

AU - van Amelsvoort, L.G.P.M.

AU - van Schayck, C.P.

AU - Bleijenberg, G.

AU - Knottnerus, J.A.

N1 - Funding Information: This study was funded by the Health Research and Development Council through Grant No. 21000104 (ZonMw, The Netherlands).

PY - 2006

Y1 - 2006

N2 - Objective: In an earlier study, we found that cognitive-behavioral therapy (CBT) delivered by general practitioners (GPs) for fatigue among employees on sick leave was not effective after 12 months. In this study we aim to assess the long-term efficacy of CBT by GPs for fatigue. It was hypothesized that the intervention could prevent deterioration as well as relapse of fatigue complaints and relapse into absenteeism in the long term. Methods: Patients who participated in the original randomized controlled trial were followed up 4 years later. Fatigue and absenteeism were the main outcomes. Results: Fatigue and absenteeism were high in the intervention and control groups at the 4-year follow-up. There was no significant difference between the intervention group and the control group on fatigue and absenteeism. The intervention group however tended toward less-favorable outcomes as compared with the control group. Conclusions: Like that of chronic fatigue syndrome, the prognosis of less-advanced fatigue is rather poor. CBT delivered by GPs is not effective in the long term.

AB - Objective: In an earlier study, we found that cognitive-behavioral therapy (CBT) delivered by general practitioners (GPs) for fatigue among employees on sick leave was not effective after 12 months. In this study we aim to assess the long-term efficacy of CBT by GPs for fatigue. It was hypothesized that the intervention could prevent deterioration as well as relapse of fatigue complaints and relapse into absenteeism in the long term. Methods: Patients who participated in the original randomized controlled trial were followed up 4 years later. Fatigue and absenteeism were the main outcomes. Results: Fatigue and absenteeism were high in the intervention and control groups at the 4-year follow-up. There was no significant difference between the intervention group and the control group on fatigue and absenteeism. The intervention group however tended toward less-favorable outcomes as compared with the control group. Conclusions: Like that of chronic fatigue syndrome, the prognosis of less-advanced fatigue is rather poor. CBT delivered by GPs is not effective in the long term.

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KW - Fatigue

KW - Follow-up study

KW - Primary care

KW - Trial

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EP - 607

JO - Journal of Psychosomatic Research

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ER -

Long-term efficacy of cognitive-behavioral therapy by general practitioners for fatigue: A 4-year follow-up study

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

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