Metacognitions as predictors of treatment outcomes in Chronic Fatigue Syndrome

Ana Nikcevic; Bruce Fernie; Adrian Wells; Marcantonio Spada

Metacognitions as predictors of treatment outcomes in Chronic Fatigue Syndrome

Ana Nikcevic
, Bruce Fernie
, Adrian Wells
, Marcantonio Spada

Research output: Contribution to conference › Paper › peer-review

Abstract

Beliefs reflecting cognitive confidence and beliefs about the need to control thoughts predict symptom severity in Chronic Fatigue Syndrome (CFS). Studies have reported that Cognitive Behavioural Therapy (CBT) and Graded Exercise Therapy (GET) are effective treatments for CFS. We investigated if changes in metacognitive beliefs predict fatigue severity and physical functioning after controlling for negative affect in patients receiving CBT and GET for CFS. 171 CFS patients undertaking either CBT (n=116) or GET (n=55) completed a variety of self-report questionnaires including metacognitive beliefs at pre- and post-treatment and follow-up. CBT and GET were equally effective at decreasing fatigue, anxiety, and depression, and at increasing physical functioning. Changes in metacognitions had a significant effect on fatigue severity independently of changes in other covariates and across treatment modalities. Metacognitive Therapy might be an effective treatment of CFS through re-structuring metacognitions, modifying attentional control and interrupting rumination and worry.

Original language	English
Publication status	Published - 9 Apr 2016
Event	The 3rd International Conference of Metacognitive Therapy - Milan, Italy Duration: 8 Apr 2016 → 9 Apr 2016

Conference

Conference	The 3rd International Conference of Metacognitive Therapy
Period	8/04/16 → 9/04/16

Bibliographical note

Organising Body: Metacognitive Therapy Institute, Studi Cognitivi

Keywords

Psychology

Cite this

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title = "Metacognitions as predictors of treatment outcomes in Chronic Fatigue Syndrome",

abstract = "Beliefs reflecting cognitive confidence and beliefs about the need to control thoughts predict symptom severity in Chronic Fatigue Syndrome (CFS). Studies have reported that Cognitive Behavioural Therapy (CBT) and Graded Exercise Therapy (GET) are effective treatments for CFS. We investigated if changes in metacognitive beliefs predict fatigue severity and physical functioning after controlling for negative affect in patients receiving CBT and GET for CFS. 171 CFS patients undertaking either CBT (n=116) or GET (n=55) completed a variety of self-report questionnaires including metacognitive beliefs at pre- and post-treatment and follow-up. CBT and GET were equally effective at decreasing fatigue, anxiety, and depression, and at increasing physical functioning. Changes in metacognitions had a significant effect on fatigue severity independently of changes in other covariates and across treatment modalities. Metacognitive Therapy might be an effective treatment of CFS through re-structuring metacognitions, modifying attentional control and interrupting rumination and worry.",

keywords = "Psychology",

author = "Ana Nikcevic and Bruce Fernie and Adrian Wells and Marcantonio Spada",

note = "Organising Body: Metacognitive Therapy Institute, Studi Cognitivi; The 3rd International Conference of Metacognitive Therapy ; Conference date: 08-04-2016 Through 09-04-2016",

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TY - CONF

T1 - Metacognitions as predictors of treatment outcomes in Chronic Fatigue Syndrome

AU - Nikcevic, Ana

AU - Fernie, Bruce

AU - Wells, Adrian

AU - Spada, Marcantonio

N1 - Organising Body: Metacognitive Therapy Institute, Studi Cognitivi

PY - 2016/4/9

Y1 - 2016/4/9

N2 - Beliefs reflecting cognitive confidence and beliefs about the need to control thoughts predict symptom severity in Chronic Fatigue Syndrome (CFS). Studies have reported that Cognitive Behavioural Therapy (CBT) and Graded Exercise Therapy (GET) are effective treatments for CFS. We investigated if changes in metacognitive beliefs predict fatigue severity and physical functioning after controlling for negative affect in patients receiving CBT and GET for CFS. 171 CFS patients undertaking either CBT (n=116) or GET (n=55) completed a variety of self-report questionnaires including metacognitive beliefs at pre- and post-treatment and follow-up. CBT and GET were equally effective at decreasing fatigue, anxiety, and depression, and at increasing physical functioning. Changes in metacognitions had a significant effect on fatigue severity independently of changes in other covariates and across treatment modalities. Metacognitive Therapy might be an effective treatment of CFS through re-structuring metacognitions, modifying attentional control and interrupting rumination and worry.

AB - Beliefs reflecting cognitive confidence and beliefs about the need to control thoughts predict symptom severity in Chronic Fatigue Syndrome (CFS). Studies have reported that Cognitive Behavioural Therapy (CBT) and Graded Exercise Therapy (GET) are effective treatments for CFS. We investigated if changes in metacognitive beliefs predict fatigue severity and physical functioning after controlling for negative affect in patients receiving CBT and GET for CFS. 171 CFS patients undertaking either CBT (n=116) or GET (n=55) completed a variety of self-report questionnaires including metacognitive beliefs at pre- and post-treatment and follow-up. CBT and GET were equally effective at decreasing fatigue, anxiety, and depression, and at increasing physical functioning. Changes in metacognitions had a significant effect on fatigue severity independently of changes in other covariates and across treatment modalities. Metacognitive Therapy might be an effective treatment of CFS through re-structuring metacognitions, modifying attentional control and interrupting rumination and worry.

KW - Psychology

M3 - Paper

T2 - The 3rd International Conference of Metacognitive Therapy

Y2 - 8 April 2016 through 9 April 2016

ER -

Metacognitions as predictors of treatment outcomes in Chronic Fatigue Syndrome

Abstract

Conference

Bibliographical note

Keywords

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