Activity based cognitive therapy (ACT) for young adults with CFS/ME: a case-report

Background: The aim with this case report is to describe the content and effect of activity based therapy with a cognitive approach (ACT). Method: Six young adults (19-25 years) diagnosed with chronic fatigue syndrome (CFS) received ACT. They filled in questionnaires and were examined with the Global Physiotherapy Examination (GPE-52) before treatment, and 6 and 12-18 months later. ACT consisted of education, adaptive pacing, graded exercise therapy, relaxation training and mindfulness. The physiotherapist also had meetings with family, school, social security and doctors. Results: Even if all participants still reported decreased function and health, four had achieved better adaptive pacing, less pain and increased participation in school and work. One was unchanged and one worse. The GPE-52 registered clinical important change in four, no change in one, and worsening in one. Conclusion: Our findings are in accordance with the National guidelines. ACT can have a positive effect on physical function, self-reported health, and can increase work- and school presence, but not for all.