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Original Abstract of the Article

Major Research Findings

Fatigue is a common and distressing symptom after stroke, with a frequency ranging from 35% to 92%. 12 . It is unclear whether fatigue is likely to improve or worsen over time after a stroke, and the temporal association with depression or anxiety remains uncertain. 12 . Studies suggest that the frequency of fatigue may decline over time after stroke onset. 12 . However, some studies have reported an increase in fatigue frequency. 12 .

Fatigue is a prevalent and burdensome symptom experienced by cancer patients, with a prevalence ranging from 50% to 90%. 15 . Around 30% of cancer survivors experience persistent fatigue for several years after treatment. 15 . Fatigue can significantly disrupt many aspects of quality of life, particularly affecting frail and elderly patients. 15 . Despite its prevalence, cancer-related fatigue is still under-researched and under-treated by clinicians. 15 . Several treatments have been investigated for alleviating fatigue. For example, light therapy has shown preliminary efficacy in reducing fatigue after cancer treatment. 24 . Exercise therapy has also demonstrated its effectiveness in reducing fatigue during cancer treatment. 8 . Exercise therapy has been found to be beneficial for chronic fatigue syndrome as well. 20 . Cognitive behavioral therapy (CBT) has also been shown to be effective in reducing fatigue during cancer treatment. 28 .

Cognitive behavioral therapy (CBT) and graded exercise therapy (GET) have been shown to be effective treatments for chronic fatigue syndrome. 11 . However, there have been reports suggesting that CBT and GET may potentially worsen fatigue. 11 .

Treatment Summary

Treatments for fatigue include exercise therapy, light therapy, and cognitive behavioral therapy. 8 20 24 28 . Cognitive behavioral therapy and graded exercise therapy may be beneficial for treating chronic fatigue syndrome. 11 . However, caution is necessary as these treatments may potentially exacerbate fatigue. 11 .

Benefits and Risks

Benefits Summary

Exercise therapy may be effective in reducing fatigue during cancer treatment. 8 . Exercise therapy has also been found to be beneficial for chronic fatigue syndrome. 20 . Light therapy has shown preliminary efficacy in reducing fatigue after cancer treatment. 24 . Cognitive behavioral therapy has been shown to be effective in reducing fatigue during cancer treatment. 28 . Cognitive behavioral therapy (CBT) and graded exercise therapy (GET) have been shown to be effective treatments for chronic fatigue syndrome. 11 .

Risks Summary

There have been reports suggesting that CBT and GET may potentially worsen fatigue. 11 .

Comparison Across Studies

Commonalities Across Studies

Many studies have demonstrated the effectiveness of treatments like exercise therapy, light therapy, and cognitive behavioral therapy in reducing fatigue. 8 20 24 28 . Additionally, cognitive behavioral therapy and graded exercise therapy have shown effectiveness in treating chronic fatigue syndrome. 11 .

Differences Across Studies

There are variations in the effectiveness and side effects of treatments across different studies. For instance, reports suggest that CBT and GET may potentially exacerbate fatigue. 11 . Furthermore, the study populations, types of treatments, durations, and intensities vary among studies.

Consistency and Contradictions in the Findings

While many studies indicate the effectiveness of exercise therapy, light therapy, and cognitive behavioral therapy in reducing fatigue. 8 20 24 28 , variations in treatment effectiveness and side effects exist across studies. For example, CBT and GET have been reported to potentially worsen fatigue. 11 . Therefore, when choosing a treatment, factors such as the patient’s condition, treatment type, duration, and intensity should be considered.

Considerations for Applying the Findings to Real Life

Exercise therapy, light therapy, and cognitive behavioral therapy may be helpful in reducing fatigue. 8 20 24 28 . However, it’s important to remember that these treatments are not universally effective for everyone, and they can have side effects. It’s crucial to consult with a doctor before starting any treatment for fatigue.

Limitations of Current Research

Research on fatigue is still limited. Variations in study populations, treatment types, durations, and intensities make it challenging to compare results. Additionally, the underlying causes and mechanisms of fatigue are not fully understood. This underscores the need for further research.

Future Research Directions

Future research should focus on elucidating the causes and mechanisms of fatigue and developing more effective treatments. Additionally, detailed investigations into the effectiveness and side effects of treatments are necessary to ensure patients receive the most suitable treatment options.

Conclusion

Fatigue is a common symptom with various causes. Treatments like exercise therapy, light therapy, and cognitive behavioral therapy may be helpful in reducing fatigue. 8 20 24 28 . However, these treatments may not be effective for everyone, and they can have side effects. Consulting with a doctor before starting any treatment is crucial. Further research is needed to understand the causes and mechanisms of fatigue and develop more effective treatments.

Treatment List

Exercise therapy, light therapy, cognitive behavioral therapy, graded exercise therapy


Literature analysis of 33 papers
Positive Content
27
Neutral Content
3
Negative Content
3
Article Type
16
12
15
14
33

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Author: VelthuisMiranda J, MayAnne M, Koppejan-RensenbrinkRia Ag, GijsenBrigitte C M, van BredaEric, de WitG Ardine, SchröderCarin D, MonninkhofEvelyn M, LindemanEline, van der WallElsken, PeetersPetra H M


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Author: CharlesCécile, Vaz LuisInes, ChiesaSéverine, BoironClaude, BourgierCéline, CavalcantiAndréa, DauchySarah, FavréEstelle, FerrandezJean-Claude, Gueroult-AccolasLaure, KarsentiLucille, MateusChristine, VansteeneDamien, AllaFrançois, MontagniIlaria, CambonLinda


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