title: Chronic fatigue syndrome: comparing outcomes in White British and Black and minority ethnic patients after cognitive-behavioural therapy.
abstract: Cognitive-behavioural therapy (CBT) is one of the most promising treatments for chronic fatigue syndrome (CFS). It is unclear whether CBT is effective for Black and minority ethnic (BME) groups.
  
  
  
  To assess the effectiveness of CBT in BME patients compared with White British patients presenting to a specialist CFS service.
  
  
  
  Data from 67 (19.0%) BME participants and 285 (81.0%) White British participants referred to a specialist CFS service in the UK were collected at baseline and after CBT treatment.
  
  
  
  Pairwise comparisons revealed that both BME participants and White British participants significantly improved on measures of fatigue severity (P<0.001), physical functioning (P<0.001) and work/social adjustment (P<0.001). Independent samples t-tests showed that BME participants improved despite exhibiting significantly higher baseline damage beliefs (P = 0.009), catastrophising (P = 0.024), all-or-nothing behaviour (P = 0.036) and avoidance/resting behaviour (P = 0.001), compared with White British participants.
  
  
  
  To our knowledge, this study is the first to indicate that CBT is effective for treating CFS in a group of patients from diverse BME backgrounds.
authors: Tom Ingman, MSc, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK; Sheila Ali, MSc, Chronic Fatigue Research and Treatment Unit, South London and Maudsley NHS Foundation Trust, London, UK; Kamaldeep Bhui, MD, FRCPsych, Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK; Trudie Chalder, PhD, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
authors: Tom
authors: T
authors: Ingman
authors: Tom Ingman, MSc, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK; Sheila Ali, MSc, Chronic Fatigue Research and Treatment Unit, South London and Maudsley NHS Foundation Trust, London, UK; Kamaldeep Bhui, MD, FRCPsych, Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK; Trudie Chalder, PhD, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
authors: Sheila
authors: S
authors: Ali
authors: Tom Ingman, MSc, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK; Sheila Ali, MSc, Chronic Fatigue Research and Treatment Unit, South London and Maudsley NHS Foundation Trust, London, UK; Kamaldeep Bhui, MD, FRCPsych, Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK; Trudie Chalder, PhD, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
authors: Kamaldeep
authors: K
authors: Bhui
authors: Tom Ingman, MSc, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK; Sheila Ali, MSc, Chronic Fatigue Research and Treatment Unit, South London and Maudsley NHS Foundation Trust, London, UK; Kamaldeep Bhui, MD, FRCPsych, Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK; Trudie Chalder, PhD, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK trudie.chalder@kcl.ac.uk.
authors: Trudie
authors: T
authors: Chalder
mesh_terms: D000328:Adult; D044383:Black People / Q000523:psychology*; D015928:Cognitive Behavioral Therapy; D005006:Ethnicity / Q000523:psychology*; D015673:Fatigue Syndrome, Chronic / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008913:Minority Groups / Q000523:psychology*; D012917:Social Adjustment; D016896:Treatment Outcome; D044465:White People / Q000523:psychology*; D000066477:Work Performance; D055815:Young Adult