M E Loades1, T Chalder2. 1. Department of Psychology,University of Bath,Bath BA2 7AY. 2. Department of Psychological Medicine,Institute of Psychiatry,Psychology and Neuroscience,King's CollegeLondon.
Abstract
BACKGROUND: Approximately one in three children and young people with chronic fatigue syndrome (CFS/ME) also have probable depression. Cognitive behaviour therapy (CBT) has a growing evidence base as an effective treatment approach for CFS/ME and for depression in this population. AIMS: Given the high degree of co-morbidity, this discussion paper aims to compare and contrast CBT for CFS/ME and CBT for depression in children and young people. METHOD: The existing literature on CBT for depression and CBT for CFS/ME, in relation to children and young people was reviewed. RESULTS: Whilst there are commonalities to both treatments, the cognitive behavioural model of CFS/ME maintenance includes different factors and has a different emphasis to the cognitive behavioural model of depression, resulting in different intervention targets and strategies in a different sequence. CONCLUSIONS: A collaborative, formulation-driven approach to intervention should inform the intervention targets and treatment strategies.
BACKGROUND: Approximately one in three children and young people with chronic fatigue syndrome (CFS/ME) also have probable depression. Cognitive behaviour therapy (CBT) has a growing evidence base as an effective treatment approach for CFS/ME and for depression in this population. AIMS: Given the high degree of co-morbidity, this discussion paper aims to compare and contrast CBT for CFS/ME and CBT for depression in children and young people. METHOD: The existing literature on CBT for depression and CBT for CFS/ME, in relation to children and young people was reviewed. RESULTS: Whilst there are commonalities to both treatments, the cognitive behavioural model of CFS/ME maintenance includes different factors and has a different emphasis to the cognitive behavioural model of depression, resulting in different intervention targets and strategies in a different sequence. CONCLUSIONS: A collaborative, formulation-driven approach to intervention should inform the intervention targets and treatment strategies.
Authors: Bruce A Fernie; Lorraine Maher-Edwards; Gabrielle Murphy; Ana V Nikčević; Marcantonio M Spada Journal: Clin Psychol Psychother Date: 2014-06-04