| Interventions |
The training is Solution - Focused Cognitive Therapy (SFT). SFT is a brief psychological intervention based on the solution - focused model of solving problems. Although problems, in this study caused by CD, can be overwhelming, there are always moments when the problem is not there or when the problem is less severe or slightly different than at other times. In other words, there are always exceptions to the problems. These exceptions interest the solution - focused therapist because they indicate that there are partial solutions that can be enlarged into total solutions. Even amidst the worst possible mess there are always things to be found that still work or can be made to work. Solutions belong to the future while problems belong to the past. The solution - focused model offers a wide range of interventions that channel your attention towards constructing possible solutions. Instead of concentrating on the (why of the) problems in the past, the solution - focused model concentrates on the desired outcome. The method has been empirically validated and shown to be successful in other patient groups with chronic diseases. For the purposes of this study the SFT will be modified to focus on fatigue management (SFT). The training is done in 7 group sessions during 3 months, and the patients have to do *home work* in between. The Solution - Focused Principles: 1. If it*s not broken, don*t fix it. 2. If something is working, do more of it. 3. If it is not working, do something different. 4. Small steps can lead to large changes. 5. The solution is not necessarily directly related to the problem. 6. The language requirements for solution development are different from those < |