Some people retain symptoms after COVID-19. This is called pulmonary COVID or post-COVID syndrome. The most common complaint is severe and disabling fatigue. The ReCOVer study, subsidized by ZonMw, investigated the effect of cognitive behavioral therapy on this fatigue in a group of 114 patients. For this study, patients who received behavioral therapy were compared with patients who received standard treatment. The standard often consisted of counseling by the general practitioner, specialist, and/or physiotherapy.
Addressing fatigue
Cognitive behavioral therapy for patients with persistent fatigue after COVID-19 focuses on dealing with the problematic fatigue. Together with the patient, changes in lifestyle are considered aiming to reduce symptoms from the acute phase of COVID-19. Hans Knoop from Amsterdam UMC: ‘For example, we consider together with patients how they can improve their sleep-wake rhythm. We also help them become more active again with small, safe steps. For example, by going for short walks.'
Better concentration
Cognitive behavioral therapy has clear results for these patients. Most participants reported significantly reduced fatigue after cognitive behavioral therapy and were able to concentrate better. They also made clear progress socially. In addition, the results persisted over time. After six months, the differences from standard care were still present. Knoop: ‘Cognitive behavioral therapy also appears to be a safe treatment. Our study shows that symptoms did not increase. Furthermore, compared with standard care, new complaints occurred less often in patients treated with cognitive behavioral therapy.'
More research needed
The researchers stress that the fact that cognitive behavioral therapy can help does not mean that the cause of the complaints is psychological. Furthermore, not everyone benefits from cognitive behavioral therapy. Chantal Rovers of the Radboudumc says: ‘It is therefore of great importance that we continue to search for other effective treatments and the physical causes of post-COVID syndrome.’
This article appeared earlier on Radboudumc. Photo by Doğukan Şahin on Unsplash