Self-help treatment of chronic fatigue in the community: A randomized controlled trial
Article first published online: 20 JUN 2011
1997 The British Psychological Society
British Journal of Health Psychology
Volume 2, Issue 3, pages 189–197, September 1997
How to Cite
Chalder, T., Wallace, P. and Wessely, S. (1997), Self-help treatment of chronic fatigue in the community: A randomized controlled trial. British Journal of Health Psychology, 2: 189–197. doi: 10.1111/j.2044-8287.1997.tb00535.x
- Issue published online: 20 JUN 2011
- Article first published online: 20 JUN 2011
- Received 25 July 1996; revised version received 21 January 1997
- Cited By
Objectives. To evaluate the efficacy of a self-help booklet and specific advice in reducing chronic fatigue in a primary care population aged 18–34 years.
Design. A randomized controlled trial.
Methods. A self-help intervention (N = 70) was compared with no treatment (N = 80). The main outcome measures were a fatigue questionnaire and the 12-item General Health Questionnaire. Follow-up was completed on 127 patients.
Results. The self-help group showed significantly greater improvements in fatigue (p = .01) and psychological distress (p < .01) than controls. At follow-up, 63 per cent of the self-help completers achieved a good outcome (scored less than 4 on the fatigue questionnaire) compared with 39 per cent of the control group.
Conclusions. The provision of a self-help booklet and specific advice during a consultation with a research nurse was more effective than no treatment at improving fatigue and psychological distress. General practitioners should be encouraged to use self-help literature in the management of patients with chronic fatigue.