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THE EFFICACY OF MULTI-CONVERGENT THERAPY Marie Thomas Funded by The Gatsby Foundation and HMAW.

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Presentation on theme: "THE EFFICACY OF MULTI-CONVERGENT THERAPY Marie Thomas Funded by The Gatsby Foundation and HMAW."— Presentation transcript:

1 THE EFFICACY OF MULTI-CONVERGENT THERAPY Marie Thomas Funded by The Gatsby Foundation and HMAW

2 MCT Developed in Cardiff by a Physiotherapist Michael Sadlier Chronic Fatigue Syndrome,IBS, tinnitus, vertigo, hyperventilation syndrome and anxiety

3 MCT Reflects a bio-psychosocial and philosophical approach to health outcome 2 Advocates more active integrative role for therapists in the assessment and management of beliefs and emotions 2 Engle, 1997

4 MCT Combines CBT and GET CBT Aims to identify factors – predisposing, precipitating and perpetuating Improve sleep quality Restructuring of beliefs, thoughts and behavioural patterns

5 GET Introduction to planned activity and rest (pacing) Is introduced after exploration of relationship between fatigue and cognitions Follows the rationale suggested by Noakes et al (2005)

6 MCT Also included: Mindfulness meditation Heart Rate Monitors

7 MCT Treatment trial conducted to formally evaluate MCT in severe disability (CFS) 35 patients 12 MCT 14 Relaxation 9 non-intervention controls

8 MCT for CFS Primary outcome measure 3 Functional performance Above 80% Secondary outcomes 4 Improvements in overall illness condition Improvements in fatigue Improvements in disability 3 Sharpe et al., Deale et al., 1997

9 MCT for CFS

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12 Other improvements in the MCT group included: Improved sleep quality Improved activity levels Lower symptom scores Improved cognition

13 MCT for CFS A recent follow-up assessment of MCT participants, 3 years post-therapy: Continued improved functioning Lower levels of fatigue Lower levels of disability Continued improved sleep Continued improved activity Lower symptom scores

14 MCT To summarise: Improves physical functioning Improves overall illness condition Reduces fatigue Reduces disability Improves sleep quality Improves activity levels Improves the chance of return to work


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