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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

THE EFFICACY OFMULTI-CONVERGENT THERAPY

Marie Thomas

Funded by The Gatsby Foundation and HMAW

slide2
MCT
  • MCT
    • Developed in Cardiff by a Physiotherapist Michael Sadlier
    • Chronic Fatigue Syndrome,IBS, tinnitus, vertigo, hyperventilation syndrome and anxiety
slide3
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

slide4
MCT
  • Combines CBT and GET
  • CBT
    • Aims to identify factors – predisposing, precipitating and perpetuating
    • Improve sleep quality
    • Restructuring of beliefs, thoughts and behavioural patterns
slide5
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)
slide6
MCT
  • Also included:
    • Mindfulness meditation
    • Heart Rate Monitors
slide7
MCT

Treatment trial conducted to formally evaluate MCT in severe disability (CFS)

  • 35 patients
    • 12 MCT
    • 14 Relaxation
    • 9 non-intervention controls
mct for cfs
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

mct for cfs12
MCT for CFS
  • Other improvements in the MCT group included:
    • Improved sleep quality
    • Improved activity levels
    • Lower symptom scores
    • Improved cognition
mct for cfs13
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
slide14
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