Cognitive behavioral therapies and multiple sclerosis fatigue: A review of literature

• Published in: Journal of clinical neuroscience Vol. 52; pp. 1 - 4
• Main Authors: Chalah, Moussa A., Ayache, Samar S.
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01-06-2018
• Subjects: Behavioral therapy; CBT; Cognitive behavioral therapies; Cognitive therapy; Fatigue; Multiple sclerosis; Fatigue; Multiple sclerosis; Cognitive therapy; Behavioral therapy; CBT; Cognitive behavioral therapies
• ISSN: 0967-5868; 1532-2653
• DOI: 10.1016/j.jocn.2018.03.024

•Fatigue is a frequent and debilitating symptom in multiple sclerosis (MS)•Pharmacological therapies have modest efficacy and numerous side effects.•Fourteen studies employed cognitive behavioral therapies (CBT) in MS fatigue.•CBT seem to have positive effects on MS fatigue.•The onset and duration of CBT effects merit further assessment.
Patients with multiple sclerosis (MS) commonly suffer from fatigue, a multidimensional symptom with physical, cognitive and psychosocial components that can drastically alter the quality of life. Despite its debilitating nature, the current treatment options are limited by their modest efficacy and numerous side effects. Cognitive behavioral therapies (CBT) have been applied in MS patients and might be of help in relieving fatigue. This constitutes the main objective of the current review.
Computerized databases (Medline/PubMed, Scopus) were consulted till January 2018, and a research was conducted according to PRISMA guidelines in order to identify original research articles published at any time in English and French languages on cognitive behavioral therapies and MS fatigue as a primary outcome. The following key terms were used: (‘multiple sclerosis’ OR ‘MS’) AND (‘fatigue’) AND (‘cognitive behavioral therapy’ OR ‘CBT’ OR ‘cognitive therapy’ OR ‘CT’ OR ‘behavioral therapy’ OR ‘BT’ OR ‘psychotherapy’).
Fourteen papers matched the above criteria (11 trials, 2 methods and 1 study addressing CBT mechanisms of action). CBT seems to have positive effects on MS fatigue. However, the onset and duration of effects varied across the studies.
These data highlight the promising effects of CBT in MS fatigue. Admitting the limited number of studies, more protocols are needed before drawing any conclusion. Future works might benefit from combining CBT with emerging therapies such as non-invasive brain stimulation techniques which also yielded promising results in the setting of MS. This may help in long-term maintenance of fatigue relief.