Non-pharmacologic Interventions for CFS: A Randomized Trial

Non-pharmacological behavioral treatments for CFS have been suggested as promising. These trials have tested protocols composed of behavioral, cognitive and cognitive–behavioral interventions but there have been few efforts to differentially evaluate their outcomes. The primary purpose of the current study was to evaluate the effectiveness of nurse delivered non-pharmacologic interventions. In the present study, 114 participants diagnosed with CFS were randomly assigned to four 6-month interventions. The interventions were: cognitive–behavior therapy, cognitive therapy, anaerobic activity, and a relaxation control group. The study found that these interventions led to increases in several areas of functioning, with more consistent changes occurring among those participants in the cognitive condition. For the 25 variables in this study, significant change occurred for 28%, 20%, 16%, and 12% of the variables for the cognitive, cognitive behavior therapy, anaerobic activity, and relaxation conditions, respectively. However, the majority of participants continued to be diagnosed with CFS following the treatment trial. Implications of these findings are discussed.     

E-mailed standardized cognitive behavioural treatment of work-related stress: a randomized controlled trial

The aim of this study was to assess the effects of a 7-week standardized cognitive behavioural treatment of work-related stress conducted via e-mail. A total of 342 people applied for treatment in reaction to a newspaper article. Initial screening reduced the sample to a heterogeneous (sub)clinical group of 239 participants. Participants were assigned randomly to a waiting list condition (n = 62), or to immediate treatment (n = 177). A follow-up was conducted 3 years after inception of the treatment. The outcome measures used were the Depression Anxiety Stress Scales (DASS-42) and the Emotional Exhaustion scale of the Maslach Burnout Inventory - General Survey (MBI-GS). Fifty participants (21%) dropped out. Both groups showed statistically significant improvements. Intention-to-treat analysis of covariance (ANCOVAs) revealed that participants in the treatment condition improved significantly more than those in the waiting control condition (0.001

or = d > or = 0.5 (anxiety)). The between-group effects ranged from d = 0.6 (stress) to d = 0.1 (anxiety). At follow-up, the effects were more pronounced, but this result requires replication in view of high attrition at follow-up. The results warrant further research on Internet-driven standardized cognitive behavioural therapy for work-related stress. Such research should include the direct comparison of this treatment with face-to-face treatment, and should address the optimal level of therapist contact in Internet-driven treatment.     

Telephone versus print delivery of an individualized motivationally tailored physical activity intervention: Project STRIDE.

OBJECTIVE: Given that only 25% of Americans meet physical activity recommendations, there is a need to develop and disseminate effective, evidence-based interventions to promote physical activity. The authors tested 2 delivery channels, telephone and print, to determine whether one was more effective in promoting physical activity. DESIGN: The authors randomly assigned 239 healthy, sedentary adults to (a) telephone-based individualized feedback, (b) print-based individualized feedback, or (c) contact control. Both intervention arms were guided by a motivationally tailored, theoretically driven computer expert system. MAIN OUTCOME MEASURES: Physical activity as measured by the 7-day Physical Activity Recall interview. RESULTS: At 6 months, both telephone and print arms significantly increased in minutes of moderate intensity physical activity compared with control, with no differences between the intervention arms. At 12 months, print participants reported a significantly greater number of moderate intensity minutes than both telephone and control participants, who did not differ. CONCLUSION: Results suggest that both telephone and print enhance the adoption of physical activity among sedentary adults; however, print interventions may be particularly effective in maintaining physical activity in the longer term.     

Self-control,motivational strength,and exposure therapy

Do people sometimes exercise self-control in such a way as to bring it about that they do not act on present-directed motivation that continues to be motivationally strongest for a significant stretch of time (even though they are able to act on that motivation at the time) and intentionally act otherwise during that stretch of time? This paper explores the relative merits of two different theories about synchronic self-control that provide different answers to this question. One is due to Sripada (Noûs 1–38, 2012) and the other to Mele (Irrationality, 1987; Autonomous agents, 1995; Motivation and agency, 2003). Special attention is paid to evidence Sripada offers for an affirmative answer to the question, and some guidance is offered on the project of finding evidence for an affirmative answer.     

Moral Rationalism without Overridingness

Moral Rationalism is the view that if an act is morally required then it is what there is most reason to do. It is often assumed that the truth of Moral Rationalism is dependent on some version of The Overridingness Thesis, the view that moral reasons override nonmoral reasons. However, as Douglas Portmore has pointed out, the two can come apart; we can accept Moral Rationalism without accepting any version of The Overridingness Thesis. Nevertheless, The Overridingness Thesis serves as one of two possible explanations for Moral Rationalism. In this paper I will investigate which of these two explanations a moral rationalist should accept. I will argue that when we properly attend to the form of Moral Rationalism supported by the intuitions that motivate the view, we are left with no reason to accept The Overridingness Thesis.