Evidence map›Paper›PMID 32432991›Full record

SynthesisInternational journal of qualitative studies on health and well-being2020

Patients' experiences and effects of non-pharmacological treatment for myalgic encephalomyelitis/chronic fatigue syndrome - a scoping mixed methods review.

Anne Marit Mengshoel, Ingrid Bergliot Helland, Mira Meeus, Jesus Castro-Marrero, Derek Pheby, Elin Bolle Strand

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of qualitative studies on health and well-being, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Recent research in myalgic encephalomyelitis/chronic fatigue syndrome: an evidence map.Health technology assessment (Winchester, England) · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 4 countries.

Anne Marit MengshoelDepartment of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo , Oslo, Norway.ORCID https://orcid.org/0000-0003-1800-4440
Ingrid Bergliot HellandNorwegian National Advisory Unit on CFS/ME, Division of Pediatrics and Adolescents, Rikshospitalet, Oslo University Hospital , Oslo, Norway.
Mira MeeusResearch Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp , Wilrijk, Belgium.ORCID https://orcid.org/0000-0002-2022-5114
Jesus Castro-MarreroCFS/ME Unit, Vall d'Hebron University Hospital Research Institute, Universitat Autònoma De Barcelona , Barcelona, Spain.ORCID https://orcid.org/0000-0002-2481-3052
Derek PhebySociety and Health, Buckinghamshire New University , High Wycombe, UK.
Elin Bolle StrandFaculty of Health Studies, VID Specialized University , Oslo, Norway.ORCID https://orcid.org/0000-0002-8155-0391
Buckinghamshire New University · GBOslo University Hospital · NOUniversitat Autònoma de Barcelona · ESUniversity of Antwerp · BEUniversity of Oslo · NOVID Specialized University · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe EU COST Action 15111 collaboration on myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) aims to assess current research and identify knowledge gaps in Europe. Presently, our purpose is to map the effects of non-pharmacological therapies (NPTs) for ME/CFS, and what patients find important in the treatment process.

methodsA scoping mixed methods literature review of European studies identified 16 papers fulfiling our inclusion criteria. The quantitative and qualitative studies were synthesized separately in tables. Additionally, extracts from the qualitative studies were subjected to translational analysis.

resultsEffect studies addressed cognitive behavioural therapy (CBT, n = 4), multimodal rehabilitation (n = 2) and activity-pacing (n = 2). CBT reduced fatigue scores more than usual care or waiting list controls. The effects of rehabilitation and activity-pacing were inconsistent. The contents, assessment methods and effects of rehabilitation and activity pacing studies varied. For patients, health professionals' recognition of ME/CFS and support were crucial, but they expressed ambiguous experiences of what the NPTs entail.

conclusionsMethodological differences make comparisons across NPTs impossible, and from a patient perspective the relevance of the specific contents of NPTs are unclear. Future well-designed studies should focus on developing NPTs tailored to patients' concerns and evaluation tools reflecting what is essential for patients.

Indexed as

AdolescentAdultAgedBehavior TherapyEuropeFatigue Syndrome, ChronicFemaleHumansMaleMiddle AgedOutcome Assessment, Health CarePhysical Therapy ModalitiesRehabilitationTreatment Outcomeactivity pacingchronic fatigue syndromecognitive behavioural therapyeffectexerciseMyalgic encephalomyelitisnon-pharmacological treatmentspatient experiencesrehabilitationsystematic literature review

Identifiers

PMID32432991
PMCPMC7782327
OpenAlexW3026036281

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.