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Can pacing self-management alter physical behaviour and symptom severity in chronic fatigue syndrome? : a case series

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Abstract
Given the lack of evidence in support of pacing self-management for patients with chronic fatigue syndrome (CFS), we examined whether physical behavior and health status of patients with CFS Would improve in response to a pacing self-management program. We performed an observational study of pacing self-management in seven CFS patients using a single-case study design. Stages A1 and A2 (7-day assessment periods) of the A1-B-A2 design corresponded to the baseline and posttreatment measurements of physical behavior (real-time activity monitoring) and health status (self-reported measures), respectively. Stage B (3 weeks of treatment) consisted of three individual treatment sessions of pacing self-management. When comparing pre- versus posttreatment data, we found that the patients' ability to perform daily activities and the severity of their symptom complexes were improved (p = 0.043). Concentration difficulties, mood swings, muscle weakness, and intolerance to bright light improved as well. A statistically significant decrease in the mean time spent doing light activity (<3 metabolic equivalents) was observed, but a change in the way physical activity was spread throughout the day was not. We found that 3 weeks of pacing self-management was accompanied by a modest improvement in symptom severity and daily functioning. The outcome of the present study calls for a randomized controlled clinical trial to examine the effectiveness of pacing self-management for people with CFS.
Keywords
CFS, chronic fatigue, behavior, activity peak, activity, pacing, rehabilitation, self-management, syndrome, therapy

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Chicago
Nijs, Jo, Inge Van Eupen, Jo Vandecauter, Els Augustinus, Geerte Bleyen, Greta Moorkens, and Mira Meeus. 2009. “Can Pacing Self-management Alter Physical Behaviour and Symptom Severity in Chronic Fatigue Syndrome? : a Case Series.” Journal of Rehabilitation Research and Development 46 (7): 985–969.
APA
Nijs, Jo, Van Eupen, I., Vandecauter, J., Augustinus, E., Bleyen, G., Moorkens, G., & Meeus, M. (2009). Can pacing self-management alter physical behaviour and symptom severity in chronic fatigue syndrome? : a case series. JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT, 46(7), 985–969.
Vancouver
1.
Nijs J, Van Eupen I, Vandecauter J, Augustinus E, Bleyen G, Moorkens G, et al. Can pacing self-management alter physical behaviour and symptom severity in chronic fatigue syndrome? : a case series. JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT. 2009;46(7):985–969.
MLA
Nijs, Jo, Inge Van Eupen, Jo Vandecauter, et al. “Can Pacing Self-management Alter Physical Behaviour and Symptom Severity in Chronic Fatigue Syndrome? : a Case Series.” JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT 46.7 (2009): 985–969. Print.
@article{2010575,
  abstract     = {Given the lack of evidence in support of pacing self-management for patients with chronic fatigue syndrome (CFS), we examined whether physical behavior and health status of patients with CFS Would improve in response to a pacing self-management program. We performed an observational study of pacing self-management in seven CFS patients using a single-case study design. Stages A1 and A2 (7-day assessment periods) of the A1-B-A2 design corresponded to the baseline and posttreatment measurements of physical behavior (real-time activity monitoring) and health status (self-reported measures), respectively. Stage B (3 weeks of treatment) consisted of three individual treatment sessions of pacing self-management. When comparing pre- versus posttreatment data, we found that the patients' ability to perform daily activities and the severity of their symptom complexes were improved (p = 0.043). Concentration difficulties, mood swings, muscle weakness, and intolerance to bright light improved as well. A statistically significant decrease in the mean time spent doing light activity ({\textlangle}3 metabolic equivalents) was observed, but a change in the way physical activity was spread throughout the day was not. We found that 3 weeks of pacing self-management was accompanied by a modest improvement in symptom severity and daily functioning. The outcome of the present study calls for a randomized controlled clinical trial to examine the effectiveness of pacing self-management for people with CFS.},
  author       = {Nijs, Jo and Van Eupen, Inge and Vandecauter, Jo and Augustinus, Els and Bleyen, Geerte and Moorkens, Greta and Meeus, Mira},
  issn         = {0748-7711},
  journal      = {JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT},
  language     = {eng},
  number       = {7},
  pages        = {985--969},
  title        = {Can pacing self-management alter physical behaviour and symptom severity in chronic fatigue syndrome? : a case series},
  url          = {http://dx.doi.org/10.1682/JRRD.2009.01.0007},
  volume       = {46},
  year         = {2009},
}

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