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Occupational Medicine 2005 55(1):32-39; doi:10.1093/occmed/kqi015
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Vol. 55 No. 1 © Society of Occupational Medicine 2005; all rights reserved

In-depth review

Treatments for chronic fatigue syndrome

K. A. Rimes and T. Chalder

Department of Psychological Medicine, Institute of Psychiatry, London, UK

Aims To review studies evaluating the treatment of chronic fatigue and chronic fatigue syndrome, to describe predictors of response to treatment and to discuss the role of the occupational health physician.

Methods A literature search was carried out using Medline and PsychInfo.

Results Studies evaluating cognitive behaviour therapy, graded exercise therapy, pharmacological interventions (e.g. antidepressants and corticosteroids), immunological interventions and nutritional supplements were reviewed. The most promising results have been found with cognitive behaviour therapy and graded exercise therapy, and some predictors of outcome have been identified. Most of the other interventions were evaluated in just one or two studies and therefore evidence is insufficient to draw firm conclusions.

Conclusions By applying the models of fatigue that form the bases for cognitive behaviour therapy and graded exercise therapy, occupational health physicians may play an important role in helping the patients with chronic fatigue syndrome to reduce their symptoms, improve their functioning and return to work.

Keywords      Chronic fatigue syndrome (CFS); cognitive behaviour therapy (CBT); graded exercise therapy (GET); intervention; treatment

Received        6 September 2004
Accepted       12 October 2004

* Correspondence to: Dr K. A. Rimes, Academic Department of Psychological Medicine, Institute of Psychiatry and GKT School of Medicine, Weston Education Centre, 10 Cutcombe Road, London SE5 9RJ, UK; Email: k.rimes{at}iop.kcl.ac.uk


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