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The central role of cognitive processes in the perpetuation of chronic fatigue syndrome.
J Psychosom Res. 2010 May; 68(5):489-94.JP

Abstract

OBJECTIVE

Chronic fatigue syndrome (CFS) is considered to be one of the functional somatic syndromes (FSS). Cognitions and behavior are thought to perpetuate the symptoms of CFS. Behavioral interventions based on the existing models of perpetuating factors are quite successful in reducing fatigue and disabilities. The evidence is reviewed that cognitive processes, particularly those that determine the perception of fatigue and its effect on behavior, play a central role in the maintenance of symptoms.

METHOD

Narrative review.

RESULTS

Findings from treatment studies suggest that cognitive factors mediate the positive effect of behavioral interventions on fatigue. Increased fitness or increased physical activity does not seem to mediate the treatment response. Additional evidence for the role of cognitive processes is found in studies comparing the subjective beliefs patients have of their functioning with their actual performance and in neurobiological research.

CONCLUSION

Three different cognitive processes may play a role in the perpetuation of CFS symptoms. The first is a general cognitive representation in which fatigue is perceived as something negative and aversive and CFS is seen as an illness that is difficult to influence. The second process involved is the focusing on fatigue. The third element is formed by specific dysfunctional beliefs about activity and fatigue.

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Authors+Show Affiliations

Knoop H
Expert Centre Chronic Fatigue, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands. j.knoop@nkcv.umcn.nl
Prins JB
No affiliation info available
Moss-Morris R
No affiliation info available
Bleijenberg G
No affiliation info available

MeSH

Attitude to HealthBehavior TherapyCognitionFatigue Syndrome, ChronicHumansPerceptionTreatment Outcome

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

20403509

Citation

Knoop, Hans, et al. "The Central Role of Cognitive Processes in the Perpetuation of Chronic Fatigue Syndrome." Journal of Psychosomatic Research, vol. 68, no. 5, 2010, pp. 489-94.
Knoop H, Prins JB, Moss-Morris R, et al. The central role of cognitive processes in the perpetuation of chronic fatigue syndrome. J Psychosom Res. 2010;68(5):489-94.
Knoop, H., Prins, J. B., Moss-Morris, R., & Bleijenberg, G. (2010). The central role of cognitive processes in the perpetuation of chronic fatigue syndrome. Journal of Psychosomatic Research, 68(5), 489-94. https://doi.org/10.1016/j.jpsychores.2010.01.022
Knoop H, et al. The Central Role of Cognitive Processes in the Perpetuation of Chronic Fatigue Syndrome. J Psychosom Res. 2010;68(5):489-94. PubMed PMID: 20403509.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The central role of cognitive processes in the perpetuation of chronic fatigue syndrome. AU - Knoop,Hans, AU - Prins,Judith B, AU - Moss-Morris,Rona, AU - Bleijenberg,Gijs, Y1 - 2010/03/16/ PY - 2009/11/08/received PY - 2010/01/26/revised PY - 2010/01/26/accepted PY - 2010/4/21/entrez PY - 2010/4/21/pubmed PY - 2010/7/22/medline SP - 489 EP - 94 JF - Journal of psychosomatic research JO - J Psychosom Res VL - 68 IS - 5 N2 - OBJECTIVE: Chronic fatigue syndrome (CFS) is considered to be one of the functional somatic syndromes (FSS). Cognitions and behavior are thought to perpetuate the symptoms of CFS. Behavioral interventions based on the existing models of perpetuating factors are quite successful in reducing fatigue and disabilities. The evidence is reviewed that cognitive processes, particularly those that determine the perception of fatigue and its effect on behavior, play a central role in the maintenance of symptoms. METHOD: Narrative review. RESULTS: Findings from treatment studies suggest that cognitive factors mediate the positive effect of behavioral interventions on fatigue. Increased fitness or increased physical activity does not seem to mediate the treatment response. Additional evidence for the role of cognitive processes is found in studies comparing the subjective beliefs patients have of their functioning with their actual performance and in neurobiological research. CONCLUSION: Three different cognitive processes may play a role in the perpetuation of CFS symptoms. The first is a general cognitive representation in which fatigue is perceived as something negative and aversive and CFS is seen as an illness that is difficult to influence. The second process involved is the focusing on fatigue. The third element is formed by specific dysfunctional beliefs about activity and fatigue. SN - 1879-1360 UR - https://www.unboundmedicine.com/medline/citation/20403509/The_central_role_of_cognitive_processes_in_the_perpetuation_of_chronic_fatigue_syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3999(10)00063-2 DB - PRIME DP - Unbound Medicine ER -