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    Prevalence and treatment of Chronic FatigueSyndrome/Myalgic Encephalomyelitis and co-morbidsevere health anxiety

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    Date
    2019-11
    Author
    Salkovskis, Paul Martin
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    Citation
    Jo Danielsa, Hannah Parker, Paul Martin Salkovskis. Prevalence and treatment of Chronic FatigueSyndrome/Myalgic Encephalomyelitis and co-morbidsevere health anxiety. International Journal of Clinical and Health Psychology (2019).
    Abstract
    Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) is a debilitatingcondition that affects 0.2---0.4% of the population. Health focussed anxiety is common acrossmedical conditions, and may be relevant in CFS/ME. This study sought to identify the preva-lence and impact of health anxiety (HA) in CFS/ME and evaluate the effectiveness of CognitiveBehavioural Therapy for HA in CFS/ME. Cross-sectional questionnaire methods and case-seriesdesign were used to achieve study aims. Analysis indicated that 41.9% of the CFS/ME clinicsample experienced threshold levels of health anxiety, which was associated with elevatedsymptom severity across several dimensions. Stepwise multiple regression indicated physicalfunctioning and depression accounted for 23.8% of variance in fatigue; depression, fatigue andHA, accounted for 32.9% of variance in physical functioning. Large effect sizes and clinicallysignificant changes were generated in the treatment study. HA is common in CFS/ME and likelyto exacerbate fatigue and physical functioning. This study identifies HA as an important targetfor treatment, trial findings should be further replicated on a larger scale.
    Description
    Thisis an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
    URI
    https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/407
    Published online at:
    https://doi.org/10.1016/j.ijchp.2019.11.003
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