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Effect of psychiatric disorders on outcome of cognitive-behavioural therapy for chronic fatigue syndrome

Department of Psychology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

GIJS BLEIJENBERG, PhD

Expert Centre for Chronic Fatigue, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

EUFRIDE KLEIN ROUWELER

Department of Medical Psychology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

JOS van der MEER, MD, PhD

Department of Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

Correspondence: Dr Judith Prins, University Medical Centre Nijmegen, 118 Medical Psychology, PO Box 9101, 6500 HB Nijmegen, The Netherlands. E-mail: j.prins{at}mps.umcn.nl

Declaration of interest None. Funding detailed in Acknowledgement.

Psychiatric disorders have been associated with poor outcome in individuals with chronic fatigue syndrome (CFS). This study examines the impact of psychiatric disorders on outcome of cognitive-behavioural therapy (CBT). Psychiatric diagnoses were assessed with a structured psychiatric interview in a CBT trial of 270 people with CFS. Lifetime and current psychiatric disorders were found in 50 and 32% respectively. No significant differences in fatigue severity and functional impairment following treatment were found between participants with and without psychiatric diagnoses.

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