Evidence map›Paper›PMID 42056913›Full record

Trial reportBMC primary care2026

Transdiagnostic cognitive behavioral therapy for severe and persistent fatigue - a feasibility study in primary care.

Frank Svärdman, Conrad Samuelsson, Ludwig Franke Föyen, Anna Oremark, Anna Högfeldt, Jacob Andersson Emad, Douglas Sjöwall, Christian Rück, Erik Hedman-Lagerlöf, Hans Knoop and 1 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06341751 (Psychological Treatment for Persistent Fatigue), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06341751 nacompletednot on this map

Psychological Treatment for Persistent Fatigue: a Feasibility Study

TypeinterventionalSponsorKarolinska InstitutetRan2024 to 2025Enrolled18ConditionsFatigue, Fatigue Syndrome, Chronic, Exhaustion, SyndromeArmsPsychological treatment for persistent fatigue
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Fatigue: assess and address it.Journal of patient-reported outcomes · 2026
    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

11 authors.

Frank SvärdmanDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. frank.svardman@ki.se.
Conrad SamuelssonDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Ludwig Franke FöyenDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Anna OremarkAcademic Primary Care Center, Gustavsberg University Primary Care Center, Region Stockholm and Karolinska Institutet, Stockholm, Sweden.
Anna HögfeldtRegion Stockholm, Stockholm, Sweden.
Jacob Andersson EmadAcademic Primary Care Center, Gustavsberg University Primary Care Center, Region Stockholm and Karolinska Institutet, Stockholm, Sweden.
Douglas SjöwallCenter for Neurodevelopmental Disorders at Karolinska Institutet (KIND), CAP Research Center, Region Stockholm, Stockholm, Sweden.
Christian RückCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet and Stockholm Healthcare Services, Stockholm, Sweden.
Erik Hedman-LagerlöfDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Hans KnoopDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Elin LindsäterDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFatigue is the main complaint of 5–10% of patients in primary care and is often associated with significant suffering and functional disability. Cognitive behavioral therapy (CBT) has demonstrated efficacy in reducing fatigue severity in diverse clinical populations in specialized healthcare settings, with common treatment mechanisms identified across conditions. This study is the first to evaluate the feasibility and acceptability of a transdiagnostic CBT (tCBT) for a heterogeneous sample of patients suffering from severe and persistent fatigue in a primary care context.

methodsA single-arm feasibility study was conducted in routine primary care. Adults with severe and persistent fatigue received a blended tCBT combining individual sessions and internet-based materials. Feasibility and acceptability were evaluated through adherence, completion, attrition, therapist fidelity, patient satisfaction, credibility, and negative effects. Preliminary effectiveness was evaluated by self-reported symptom change from pre- to post-treatment (6 months).

resultsEighteen participants were enrolled, of whom fourteen completed the full intervention. Treatment adherence and therapist fidelity were satisfactory, and data attrition was minimal. Participants reported high satisfaction and treatment credibility. No serious adverse events were reported. Half of the participants reported some negative effects of treatment, primarily consisting of transient increases in fatigue and sleep disturbances. Large within-group reductions were observed in self-reported fatigue severity and functional impairment over the 6-month treatment period.

conclusionsPreliminary findings suggest that tCBT for fatigue is feasible and acceptable in a primary care setting. Interpretation is limited by the small sample size and single-arm design. Larger randomized controlled trials are warranted to evaluate effectiveness and to determine which patients benefit most and through which mechanisms.

trial registrationPre-registered on Clinicaltrials.gov (NCT06341751), registration date: 2024-03-13.

Indexed as

Cognitive Behavioral TherapyFatigueAdultAgedFeasibility StudiesFemaleHumansMaleMiddle AgedPatient SatisfactionPrimary Health CareSeverity of Illness IndexTreatment OutcomeBlended interventionCognitive behavioral therapy (CBT)FatigueFeasibility studyPrimary careTransdiagnostic

Identifiers

PMID42056913
PMCPMC13130435

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.