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THE EFFICACY OF MULTI-CONVERGENT THERAPY

THE EFFICACY OF MULTI-CONVERGENT THERAPY. Marie Thomas Funded by The Gatsby Foundation and HMAW. MCT . MCT Developed in Cardiff by a Physiotherapist Michael Sadlier Chronic Fatigue Syndrome,IBS, tinnitus, vertigo, hyperventilation syndrome and anxiety. MCT .

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THE EFFICACY OF MULTI-CONVERGENT THERAPY

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  1. THE EFFICACY OFMULTI-CONVERGENT THERAPY Marie Thomas Funded by The Gatsby Foundation and HMAW

  2. MCT • 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 outcome2 • 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 measure3 • Functional performance • Above 80% • Secondary outcomes4 • Improvements in overall illness condition • Improvements in fatigue • Improvements in disability 3 Sharpe et al., 1996 4 Deale et al., 1997

  9. MCT for CFS

  10. MCT for CFS

  11. MCT for CFS

  12. MCT for CFS • 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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