title: Cognitive behavioral therapy and fasting therapy for a patient with chronic fatigue syndrome.
abstract: Cognitive behavioral therapy temporarily alleviated symptoms of a chronic fatigue syndrome patient but the anxiety about rehabilitation into work became stronger and his symptoms worsened. This patient was successfully rehabilitated by fasting therapy. Natural killer cell activity and serum acylcarnitine levels recovered after fasting therapy. Though fasting therapy transiently increased physical and mental subjective symptoms, the patient gained self-confidence by overcoming difficulties after fasting therapy. A combination of cognitive behavioral therapy and fasting therapy is promising as a treatment for chronic fatigue syndrome.
authors.affiliation: First Department of Internal Medicine, Kagoshima University.
authors.forename: A
authors.initials: A
authors.lastname: Masuda
authors.forename: T
authors.initials: T
authors.lastname: Nakayama
authors.forename: T
authors.initials: T
authors.lastname: Yamanaka
authors.forename: K
authors.initials: K
authors.lastname: Hatsutanmaru
authors.forename: C
authors.initials: C
authors.lastname: Tei
mesh_terms: D000328:Adult; D002331:Carnitine / Q000031:analogs & derivatives* / Q000097:blood; D015928:Cognitive Behavioral Therapy; D005215:Fasting; D015673:Fatigue Syndrome, Chronic / Q000097:blood* / Q000276:immunology / Q000628:therapy*; D006801:Humans; D007694:Killer Cells, Natural / Q000378:metabolism; D016131:Lymphocyte Subsets; D008297:Male; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: C116917:acylcarnitine; D002331:Carnitine