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Learning to feel tired: A learning trajectory towards chronic fatigue
Bert Lenaert1, Yannick Boddez2, Johan W S Vlaeyen3
1School for Mental Health and Neuroscience, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands; Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
Behaviour Research and Therapy
|November 29, 2017
Summary
Chronic fatigue may develop through associative learning, where stimuli become linked to fatigue and trigger avoidance behaviors. This cognitive-behavioral model offers new insights into understanding and treating chronic fatigue syndrome.
Area of Science:
- Cognitive psychology
- Behavioral medicine
- Clinical psychology
Background:
- Chronic fatigue is a prevalent symptom impacting quality of life.
- The etiology of chronic fatigue remains poorly understood.
- Existing research lacks a comprehensive cognitive-behavioral framework.
Purpose of the Study:
- Introduce the 'ALT+F' model for conceptualizing chronic fatigue.
- Examine the role of associative learning in fatigue development.
- Evaluate evidence supporting the cognitive-behavioral framework.
Main Methods:
- Literature review and theoretical framework development.
- Conceptual analysis of associative learning principles.
- Integration of risk factors influencing fatigue.
Main Results:
- Interoceptive and exteroceptive stimuli can become associated with fatigue.
- These associations can elicit fatigue and fear-related avoidance behaviors.
- Risk factors like cognitive biases and sensitization modulate these processes.
Conclusions:
- Associative learning contributes to chronic fatigue, fear of fatigue, and functional disability.
- The 'ALT+F' model provides a novel perspective on chronic fatigue etiology.
- This framework opens avenues for new treatment and intervention strategies.
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