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RecruitingNCT04151693Updated Apr 3, 2024

Health Psychological Group Rehabilitation for Patients With Chronic Fatigue Syndrome (ME/CFS)

An interventional study of Health Psychological Group Rehabilitation for Patients With Chronic Fatigue Syndrome (ME/CFS) in Psychological Adaptation, Cognitive Change and Adaptive Behavior, sponsored by Joint Authority for Päijät-Häme Social and Health Care. Recruiting at 1 site in Finland. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-04-03.

Sponsored by Joint Authority for Päijät-Häme Social and Health Care · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2019; still recruiting 6 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

Chronic fatigue syndrome (ME/CFS) is a severe medical condition. It is characterized by long term fatique and other persisted symptoms, such as a cognitive disabilities and orthostatic intolerance. Symptoms limit a persons ability to carry out ordinary daily activities. In ICD- 10, disease is known as G93.3, postviral fatigue syndrome.

The purpose of this research (doctoral study) is to produce a health psychological group intervention for patients with ME/CFS.

Research protocol: 70-80 patients with diagnosis G 93.3. Psychological and psychiatric evaluation for patients (SCID I and parts from SCID II). Depression diagnosis is allowed (on remission). Medication for depression is also allowed. Measurements for ortostatic intolerance (Somnotouch nimbTM) and laboratory measurements: complete blood count, CRP, alkaline phosphatase, GT, ALAT, CK, bilirubin, kidney and thyroid (TSH, T4V) function tests, serum ferritin, glucose, electrolytes and daily urine sodium excretion.

Autonomic nervous system ganglio antibodies: Anti-AT1R- Antibodies, Anti- ETAR- Antibodies, anti alpha-1 adrenergic Receptor Antibodies, anti alpha 2 adrenergic Receptor Antibodies, anti beta-1 adrenergic Receptor Antibodies, anti beta-2-adrenergic Receptor Antibodies, anti- Muscarinic Cholinergic Receptor 1 (M1)- Antibodies, anti- Muscarinic Cholinergic Receptor 2 (M2)- Antibodies, anti- Muscarinic Cholinergic Receptor 3 (M3)- Antibodies, anti- Muscarinic Cholinergic Receptor 4 (M4)- Antibodies, anti- Muscarinic Cholinergic Receptor 5 (M5)- Antibodies.

Read the detailed description

Testing and inventories before rehabilitation/ at the end of the rehabilitation and 3 months follow-up.

  1. ME/CFS patients modalities of agency.The study includes five patients with chronic fatigue syndrome and examines their modalities of agency. A special focus is on the effects of the health care system on the patients' agency.The research is qualitative, the data was analyzed using theory-driven content analysis.
  2. The study explores the experiences of Health Psychological group rehabilitation for patients with ME/CFS. The aim is to better overall functioning and management of illness through goal-oriented work, dealing emotions with the crisis of the illness, adopting, and implementing healthy lifestyle choices. The study is qualitative (n=10) using content analysis.
  3. Randomized controlled research. n=70. Treatment/research group n=35. Control- group (35) participates on health counselling (6 sessions). Research question: is health psychological group rehabilitation clinically statistically significant. Comparison is between research- and control groups but also between patients who are diagnosed 93.3, having also objective impairment in cognitive functions or orthostatic intolerance, comparing to patients only diagnosed on G93.3.
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Conditions studied

  • Psychological Adaptation
  • Cognitive Change
  • Adaptive Behavior
  • Functioning

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Keywords

  • Psychological intervention
  • Cognitive Behavioral Therapy (CBT)
  • Accept and Commitment Therapy (ACT)
  • Cognitive functioning
  • Fatigue
  • Autonomic nervous system
  • Autonomic nervous system ganglio antibodies
  • Deep breathing
  • Relaxation
  • Health care system
  • Agency
  • Health psychology
  • Pacing
03

In context

Fatigue

1,912 studies on the registry are indexed under Fatigue; 381 are open to participants now.

This study's planned enrollment of 80 is above the median of 53 across 1,479 interventional studies indexed under Fatigue.

Browse Fatigue studies →

Lead sponsor

Joint Authority for Päijät-Häme Social and Health Care is the lead sponsor of 19 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Clinical diagnosis of Chronic fatigue syndrome, G 93.3
  • Must be able to sit two hours and do homework tasks
  • Must be motivated to co-operate with other patients
  • Goal oritentation
  • Have an interest to learn health psychological approach and willingness to participate rehabilitation

Exclusion Criteria (diseases without treatment/ acute phase):

  • hypothyroidism
  • sleep apnea or narcolepsy
  • major depressive disorders, bipolar affective disorders, schizophrenia
  • eating disorders
  • cancer
  • autoimmune disease
  • hormonal disorders
  • subacute infections
  • obesity
  • alcohol or substance abuse
  • vitamin D deficiency
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Research group ME/CFS

    Health Psychological Group Rehabilitation for Patients With Chronic Fatigue Syndrome (ME/CFS) 8 sessions in 4 months. n=35-40 patients ME/CFS -Current knowledge Smart goals Stress management in every day life Pacing Psychological effects of illness and adaptation Coping strategies Emotional support Focus on autonomic nervous system (hyperarousal, cognitive disabilities) Focus on health

    Behavioral: Health Psychological Group Rehabilitation for Patients With Chronic Fatigue Syndrome (ME/CFS)

  • Experimental
    Control group ME/CFS

    Control group 6 sessions in 3 months n=35-40 patients Health, lifestyle and wellbeing counselling (sleep, nutrition, activities in daily life)

    Behavioral: Health Psychological Group Rehabilitation for Patients With Chronic Fatigue Syndrome (ME/CFS)

Interventions

  • BehavioralHealth Psychological Group Rehabilitation for Patients With Chronic Fatigue Syndrome (ME/CFS)

    Adaptation (support own agency), rehabilitation and improvement of functional capacity.

06

What researchers measure

Primary outcomes

  1. WHODAS 22.0 (World Health Organization Disability Assessment Schedule) 2.0.

    36 questions, scale 0-5 (not difficult at all-very difficult) Subscales: 1)communication with other people 2) Mobility/ movement in everyday activities 3)Daily functions and taking care of oneself 4) Relationships 5) Daily routines 6) Disabilities in last 30 days 7)Participating on community

    Time frame: Before intervention and change immediately after the intervention and 3 months follow up

  2. COMPASS31

    Autonomic nervous system/ neurological symptoms, inventory,31 questions. Subscales: different neurological symptoms, scales from 0-1 to 0-7. Score is reported on subscales.

    Time frame: Before intervention and change immediately after the intervention and 3 months follow up

Secondary outcomes

  1. HADS (Hospital Anxiety and Depression Scale)

    Depression and anxiety, inventory,14 questions, scale 0-3. Total score is reported (0-7:normal- 8-10:borderline-11-21:abnormal)

    Time frame: Before intervention and change immediately after the intervention and 3 months follow up

  2. SOC-14 (Sense Of Coherence)

    Sense of coherence, inventory, 14 questions, scale 0-7. Total score is reported/ scores are reported on subscales: (comprehensibility, manageability, meaningfulness)

    Time frame: Before intervention and change immediately after the intervention and 3 months follow up

  3. FSS (Fatigue severity scale)

    Fatigue severity scale,9 questions, scale 0-7 (I strongly disagree- I strongly agree) total score is reported.

    Time frame: Before intervention and change immediately after the intervention and 3 months follow up

  4. PHQ-4 (patient health questionnaire)

    Depression and anxiety, inventory, 4 guestions. Subscales: anxiety and depression. Total score is reported ( 0-1 none,3-5 mild, 6-8 moderate, 10-12 severe)

    Time frame: Before intervention and change immediately after the intervention and 3 months follow up

07

Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Keurulainen M, Holma J, Wallenius E, Pankalainen M, Hintikka J, Partinen M. 'I became more aware of my actions'-A qualitative longitudinal study of a health psychological group intervention for patients with myalgic encephalomyelitis/chronic fatigue syndrome. Health Expect. 2023 Dec;26(6):2312-2324. doi: 10.1111/hex.13833. Epub 2023 Aug 1. PubMed 37528544 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04151693
Lead sponsor
Joint Authority for Päijät-Häme Social and Health Care
Collaborators
TheWellbeing Services County of Pirkanmaa, Charite-Institute of Medical Immunology
Responsible party
Sponsor
First posted
Nov 5, 2019
Start date
Nov 30, 2019
Primary completion
May 31, 2028 (estimated)
Completion
May 31, 2028 (estimated)
Last update
Apr 3, 2024

Study contacts

Suoma Saarni, professor
Contact
suoma.saarni@paijatha.fi
+358440773073
Meeri Keurulainen, phd student
Contact
meeri.keurulainen@paijatha.fi
+358447195045
Tuomo Nieminen
study chair · Päijät- Häme Joint Authority for Health and Wellbeing

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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