Do evidence based interventions for chronic fatigue syndrome improve sleep? A systematic review and narrative synthesis

Cognitive behavioural therapy (CBT) and graded exercise therapy (GET) are recommended evidence based treatments for chronic fatigue syndrome (CFS), with research supporting their effectiveness in reducing fatigue and functional impairment. However, little research has focussed on the effect of these treatments on sleep, despite high reported sleep disturbance in CFS. Using a narrative synthesis approach, we aimed to 1) Systematically identify and summarise the current evidence for the effectiveness of CBT and GET in improving sleep; 2) Consider factors influencing treatment effectiveness, including incorporation of sleep management techniques; and 3) Consider the appropriateness of sleep outcome measures used within evaluations.

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