CBT repackaged or a novel treatment? The Lightning Process compared with UK specialist medical care for paediatric Chronic Fatigue Syndrome

Anderson, Emma C., Loades, Maria, Starbuck, Jennifer, Parker, Phil, Finch, Fiona, Barnes, Rebecca, Beasant, Lucy and Crawley, Esther (2021) CBT repackaged or a novel treatment? The Lightning Process compared with UK specialist medical care for paediatric Chronic Fatigue Syndrome. Fatigue: Biomedicine, Health & Behavior, 9 (2). pp. 79-98. ISSN 2164-1846

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Abstract / Description

Methods:
Theoretical comparison including stakeholder consultation.

Rationale:
UK specialist medical care (SMC) for paediatric Chronic Fatigue Syndrome (CFS/ME) includes behavioural approaches (Graded Exercise Therapy; Activity Management) and Cognitive Behavioural Therapy for fatigue (CBT-F). Treatment is suboptimal with a third of children not recovering after 6 months of SMC. Many families seek alternative treatments at personal cost, including the Lightning Process (LP). Evidence shows LP can improve patient outcomes, though this intervention is not widely known/understood.

Objectives:
To describe LP in comparison with SMC approaches in order to identify distinct elements, inform clinicians about treatment options, and generate hypotheses around effectiveness.

Results:
While overlaps with SMC approaches were identified, and CBT-F in particular, distinct elements of LP were its focus on language style, neurophysiological rationale, affective/physiological change technique and mode of delivery.

Conclusion:
This theoretical comparison identified distinct elements of LP which could be explored in future interventions or research aiming to improve clinical outcomes for children with CFS/ME, and informs clinicians about treatment options available for families.

Item Type:	Article
Uncontrolled Keywords:	Fatigue syndrome; chronic; CFS/ME; complementary therapies; cognitive behavioral therapy; behavior therapy; therapeutics; adolescent; pediatrics
Subjects:	600 Technology > 610 Medicine & health
Department:	School of Social Sciences and Professions
Depositing User:	Philip Parker
Date Deposited:	06 Jul 2021 10:57
Last Modified:	06 Aug 2021 09:34
URI:	https://repository.londonmet.ac.uk/id/eprint/6840

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