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Same, Same But Different? Cognitive Behavioural Treatment Approaches for Paediatric CFS/ME and Depression

Published online by Cambridge University Press:  09 March 2017

M.E. Loades*
Affiliation:
Department of Psychology, University of Bath, Bath BA2 7AY
T. Chalder
Affiliation:
Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's CollegeLondon
*
Correspondence to M.E. Loades, Department of Psychology, University of Bath, Bath BA2 7AY. E-mail: [email protected]

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.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

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