An occupational therapy approach to persons with chronic fatigue syndrome: part two, assessment and intervention

Abstract:

Chronic Fatigue Syndrome (CFS) is a highly disabling condition that significantly interferes with occupational life. Occupational therapy services are very relevant for this population. Yet, information about the assessment and treatment of CFS is almost absent from occupational therapy literature. As a result, few occupational therapists possess expertise in evaluating and providing therapy for this complex condition. This paper describes an approach to evaluating and providing services for individuals with CFS according to the Model of Human Occupation. This model offers an integrative means of understanding the synergistic and evolving relationships between motivation, values, roles, habits, functional capabilities, and the environment as they influence individuals with CFS, and it provides a framework for the types of changes required in these different domains during the rehabilitation process. A case study illustrates recommended assessment and intervention approaches.

 

Source: Taylor RR, Kielhofner GW. An occupational therapy approach to persons with chronic fatigue syndrome: part two, assessment and intervention. Occup Ther Health Care. 2003;17(2):63-87. doi: 10.1080/J003v17n02_05. http://www.ncbi.nlm.nih.gov/pubmed/23944638

 

An approach to persons with chronic fatigue syndrome based on the model of human occupation: part one, impact on occupational performance and participation

Abstract:

Chronic fatigue syndrome (CFS) is a prevalent and disabling condition that involves six or more months of unexplained fatigue severe enough to interfere with previous levels of occupational, educational, and/or social performance. The fatigue is accompanied by at least four of eight additional physical and cognitive symptoms (Fukuda et al., 1994). This paper conceptualizes the multiple factors that affect occupational adaptation in persons with CFS. The Model of Human Occupation (MOHO) if used as a framework for understanding the synergistic and evolving relationships between motivation, roles, habits, performance capacities, and the environment as they influence individuals with CFS. Examples from the literature, autobiographical accounts, and from practice experience are used to illustrate the experience and impact of CFS on everyday life.

 

Source: Taylor RR, Kielhofner GW, Abelenda J, Colantuono K, Fong T, Heredia R, Kulkarni S, Vazquez E. An approach to persons with chronic fatigue syndrome based on the model of human occupation: part one, impact on occupational performance and participation. Occup Ther Health Care. 2003;17(2):47-61. doi: 10.1080/J003v17n02_04. http://www.ncbi.nlm.nih.gov/pubmed/23944637