Skip to main content
Top

2010 | OriginalPaper | Hoofdstuk

10 Vermoeidheid bij multipele sclerose

Auteurs : Gijs Bleijenberg, Hans Knoop

Gepubliceerd in: Jaarboek Fysiotherapie Kinesitherapie 2010

Uitgeverij: Bohn Stafleu van Loghum

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Vermoeidheid is bij multipele sclerose (MS) een veelvoorkomende klacht en komt in alle fasen van de ziekte voor. Wat de oorzaken zijn van de vermoeidheid is niet bekend. Wel is bekend welke factoren de vermoeidheid kunnen beïnvloeden of in stand houden. Disfunctionele opvattingen over de vermoeidheid en de ziekte, slaapstoornissen en ontregelingen in het slaap-waakritme, te veel of te weinig lichamelijke, mentale of sociale activiteit, pijn en sociale steun kunnen hierbij een rol spelen. Er zijn grote verschillen tussen MS-patiënten met betrekking tot vermoeidheid. Cognitieve gedragstherapie is gericht op verandering van de factoren die de vermoeidheid beïnvloeden. De fysiotherapeut met kennis van zaken kan via activiteitenregulatie ook een rol vervullen in deze behandeling. Gecontroleerd onderzoek zal nog wetenschappelijk bewijs voor de effectiviteit van deze benadering moeten leveren.
In dit hoofdstuk wordt kort besproken wat MS is en wat de rol van vermoeidheid is. Daarna wordt uiteengezet wat uit de literatuur bekend is over de oorzaken en instandhoudende factoren van vermoeidheid bij MS. Vervolgens komt het meten van vermoeidheid aan bod en ten slotte wordt de behandeling door middel van cognitieve gedragstherapie beschreven.
Literatuur
go back to reference Alberts M, Smets EA,Vercoulen JHMM, Garssen B, Bleijenberg G, Verkorte vermoeidheidsvragenlijst: een praktisch hulpmiddel bij het scoren van vermoeidheid. Ned Tijdschr Geneesk 1997;141:1526-30. Alberts M, Smets EA,Vercoulen JHMM, Garssen B, Bleijenberg G, Verkorte vermoeidheidsvragenlijst: een praktisch hulpmiddel bij het scoren van vermoeidheid. Ned Tijdschr Geneesk 1997;141:1526-30.
go back to reference Arrindell WA, Ettema JHM, Groenman N, Brook F, Janssen I, Slaets J, Hekster G, Derksen J, Ende J, Land H van der, Hofman K, Dost S. De groeiende inbedding van de Nederlandse SCL-90-R. De Psycholoog 2003;38:576-82. Arrindell WA, Ettema JHM, Groenman N, Brook F, Janssen I, Slaets J, Hekster G, Derksen J, Ende J, Land H van der, Hofman K, Dost S. De groeiende inbedding van de Nederlandse SCL-90-R. De Psycholoog 2003;38:576-82.
go back to reference Attarian HP, Brown KM, Duntley SP, Carter JD, Cross AH. The relationship of sleep disturbances and fatigue in multiple sclerosis. Arch Neurol 2004;61(4):525-8. Attarian HP, Brown KM, Duntley SP, Carter JD, Cross AH. The relationship of sleep disturbances and fatigue in multiple sclerosis. Arch Neurol 2004;61(4):525-8.
go back to reference Beck A, Guth D, Steer R, Ball R. Screening for major depression disorders in medical in patients with the Beck Depression Inventory for Primary Care. Behaviour Research & Therapy 1997;35(8):785-91. Beck A, Guth D, Steer R, Ball R. Screening for major depression disorders in medical in patients with the Beck Depression Inventory for Primary Care. Behaviour Research & Therapy 1997;35(8):785-91.
go back to reference Bleijenberg G, Bazelmans E, Prins J. Chronisch vermoeidheids-syndroom. Praktijkreeks Gedragstherapie. Houten/Diegem: Bohn Stafleu van Loghum, 2001. Bleijenberg G, Bazelmans E, Prins J. Chronisch vermoeidheids-syndroom. Praktijkreeks Gedragstherapie. Houten/Diegem: Bohn Stafleu van Loghum, 2001.
go back to reference Bleijenberg G, Gielissen M, Knoop H. Chronische vermoeidheid. In: Kaptein AA, Beundermans R, Dekker J, Vingerhoets AJJM, redactie. Psychologie en geneeskunde, pp. 275-302. 3e geh. herz. dr. Houten/Diegem: Bohn Stafleu van Loghum, 2006. Bleijenberg G, Gielissen M, Knoop H. Chronische vermoeidheid. In: Kaptein AA, Beundermans R, Dekker J, Vingerhoets AJJM, redactie. Psychologie en geneeskunde, pp. 275-302. 3e geh. herz. dr. Houten/Diegem: Bohn Stafleu van Loghum, 2006.
go back to reference Clark CM, Fleming JA, Li D, Oger J, Klonoff H, Paty D. Sleep disturbance, depression, and lesion site in patients with multiple sclerosis. Arch Neurol 1992; 49(6):641-3. Clark CM, Fleming JA, Li D, Oger J, Klonoff H, Paty D. Sleep disturbance, depression, and lesion site in patients with multiple sclerosis. Arch Neurol 1992; 49(6):641-3.
go back to reference Dennison L, Moss-Morris R, Chalder T. A review of psychological adjustment in patients with multiple sclerosis. Clinical Psychological Review. doi:10.1016/j.cpr.2008;12.001. Dennison L, Moss-Morris R, Chalder T. A review of psychological adjustment in patients with multiple sclerosis. Clinical Psychological Review. doi:10.1016/j.cpr.2008;12.001.
go back to reference Damme S van, Crombez G, Bijtebier P, Goubert L, Houdenhove BA van. Confirmatory factors analysis of the Pain Catastrophizing Scale: invariant factor structure across clinical and non-clinical population. Pain 2002;69:319-24. Damme S van, Crombez G, Bijtebier P, Goubert L, Houdenhove BA van. Confirmatory factors analysis of the Pain Catastrophizing Scale: invariant factor structure across clinical and non-clinical population. Pain 2002;69:319-24.
go back to reference Ford H, Trigwell P, Johnson M. The nature of fatigue in multiple sclerosis. J Psychosom Res 1998;45(1 spec.no.):33-8. Ford H, Trigwell P, Johnson M. The nature of fatigue in multiple sclerosis. J Psychosom Res 1998;45(1 spec.no.):33-8.
go back to reference Gielissen MFM, Verhagen S, Witjes F, Bleijenberg G. Effects of cognitive behavior therapy in severely fatigued disease-free cancer patients compared with patients waiting for cognitive behavior therapy: a randomized controlled trial. J Clin Oncol 2006;24:4882-7. Gielissen MFM, Verhagen S, Witjes F, Bleijenberg G. Effects of cognitive behavior therapy in severely fatigued disease-free cancer patients compared with patients waiting for cognitive behavior therapy: a randomized controlled trial. J Clin Oncol 2006;24:4882-7.
go back to reference Jacobs HM, Luttik A, Touw-Otten FW, Melker RA de. De ‘Sickness impact profile’; resultaten van een valideringsonderzoek van de Nederlandse versie. Ned Tijdschr Geneesk 1990;134(40)1950-4. Jacobs HM, Luttik A, Touw-Otten FW, Melker RA de. De ‘Sickness impact profile’; resultaten van een valideringsonderzoek van de Nederlandse versie. Ned Tijdschr Geneesk 1990;134(40)1950-4.
go back to reference Jacobsen PB, Andrykowski MA, Thors CL. Relationship of catastrophizing to fatigue among women receiving treatment for breast cancer. Journal of Consulting and Clinical Psychology 2004;72(2):355-61. Jacobsen PB, Andrykowski MA, Thors CL. Relationship of catastrophizing to fatigue among women receiving treatment for breast cancer. Journal of Consulting and Clinical Psychology 2004;72(2):355-61.
go back to reference Kessel K van, Moss-Morris R. Understanding multiple sclerosis fatigue: A synthesis of biological and psychological factors. Editorial. J Psychsom Res 2006:583-5. Kessel K van, Moss-Morris R. Understanding multiple sclerosis fatigue: A synthesis of biological and psychological factors. Editorial. J Psychsom Res 2006:583-5.
go back to reference Kessel K van, Moss-Morris R, Willoughby E, Chalder T, Johnson MH, Robinson E. A randomized controlled trial of cognitive behavior therapy for multiple sclerosis fatigue. Psychosomatic Medicine 2008;70:205-13. Kessel K van, Moss-Morris R, Willoughby E, Chalder T, Johnson MH, Robinson E. A randomized controlled trial of cognitive behavior therapy for multiple sclerosis fatigue. Psychosomatic Medicine 2008;70:205-13.
go back to reference Kis B, Rumberg B, Berlit P. Clinical characteristics of patients with late-onset multiple sclerosis. J Neurol 2008;255(5):697-702. Kis B, Rumberg B, Berlit P. Clinical characteristics of patients with late-onset multiple sclerosis. J Neurol 2008;255(5):697-702.
go back to reference Kroencke DC, Lynch SG, Denney DR. Fatigue in multiple sclerosis: relationship to depression, disability, and disease pattern. Mult Scler 2000;6(2):131-6. Kroencke DC, Lynch SG, Denney DR. Fatigue in multiple sclerosis: relationship to depression, disability, and disease pattern. Mult Scler 2000;6(2):131-6.
go back to reference Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989;46(10):1121-3. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989;46(10):1121-3.
go back to reference Krupp LB, Christodoulou C, Schombert H. Multiple sclerose and fatigue. In: DeLuca J, editor. Fatigue as a Window to the Brain, pp. 61-72. Cambridge: MIT Press, 2005. Krupp LB, Christodoulou C, Schombert H. Multiple sclerose and fatigue. In: DeLuca J, editor. Fatigue as a Window to the Brain, pp. 61-72. Cambridge: MIT Press, 2005.
go back to reference Mainero C, Faroni J, Gasperini C, Giugni E, Ciccarelli O, Rovaris M, Bastianello S, Comi G, Pozzilli C. Fatigue and magnetic resonance imaging activity in mutiple sclerosis. Journal of Neurology 1999;246:454-8. Mainero C, Faroni J, Gasperini C, Giugni E, Ciccarelli O, Rovaris M, Bastianello S, Comi G, Pozzilli C. Fatigue and magnetic resonance imaging activity in mutiple sclerosis. Journal of Neurology 1999;246:454-8.
go back to reference Marrie RA, Fisher E, Miller DM, Lee JC, Rudick RA. Association of fatigue and brain atrophy in multiple sclerosis. J Neurol Sci 2005;228(2):161-6. (Epub 2004, Dec 21.) Marrie RA, Fisher E, Miller DM, Lee JC, Rudick RA. Association of fatigue and brain atrophy in multiple sclerosis. J Neurol Sci 2005;228(2):161-6. (Epub 2004, Dec 21.)
go back to reference Merkelbach S, Konig J, Sittinger H. Personality traits in multiple sclerosis (MS) patients with and without fatigue experience. Acta Neurol Scand 2003;107(3):195-201. Merkelbach S, Konig J, Sittinger H. Personality traits in multiple sclerosis (MS) patients with and without fatigue experience. Acta Neurol Scand 2003;107(3):195-201.
go back to reference Mohr DC, Stacey L, Goldberg A. Effects of treatment for depression on fatigue in multiple sclerosis. Psychosomatic Medicine 2003;65:542-7. Mohr DC, Stacey L, Goldberg A. Effects of treatment for depression on fatigue in multiple sclerosis. Psychosomatic Medicine 2003;65:542-7.
go back to reference Mohr DC, Hart SL, Julian L, Cox D, Pelletier D. Association between stressful life events and exacerbation in multiple sclerosis. British Medical Journal 2004;27;328(7442):731. Mohr DC, Hart SL, Julian L, Cox D, Pelletier D. Association between stressful life events and exacerbation in multiple sclerosis. British Medical Journal 2004;27;328(7442):731.
go back to reference Motl RW, McAuley E, Snook EM, Gliottoni RC. Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support. Psychol Health Med 2009;14(1):111-24. Motl RW, McAuley E, Snook EM, Gliottoni RC. Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support. Psychol Health Med 2009;14(1):111-24.
go back to reference Ng A, Kent-Braun JA. Quantification of lower physical activity in persons with multiple sclerosis. Medicine & Science in Sports & Exercise 1997;29(4):517-23. Ng A, Kent-Braun JA. Quantification of lower physical activity in persons with multiple sclerosis. Medicine & Science in Sports & Exercise 1997;29(4):517-23.
go back to reference Oken BS, Kishiyama S, Zajdel D, Bourdette D, Carlsen J, Haas M, Hugos C, Kraemer DF, Lawrence J, Mass M. Randomized controlled trial of yoga and exercise in multiple sclerosis. Neurology 2004;62(11):2058-64. Oken BS, Kishiyama S, Zajdel D, Bourdette D, Carlsen J, Haas M, Hugos C, Kraemer DF, Lawrence J, Mass M. Randomized controlled trial of yoga and exercise in multiple sclerosis. Neurology 2004;62(11):2058-64.
go back to reference Osborne TL, Jensen MP, Ehde DM, Hanley MA, Kraft G. Psychosocial factors associated with pain intensity, pain-related interference, and psychological functioning in persons with mutiple sclerosis and pain. Pain 2007;127:52-62. Osborne TL, Jensen MP, Ehde DM, Hanley MA, Kraft G. Psychosocial factors associated with pain intensity, pain-related interference, and psychological functioning in persons with mutiple sclerosis and pain. Pain 2007;127:52-62.
go back to reference Patrick E, Christodoulou C, Krupp LB, New York State MS Consortium. Longitudinal correlates of fatigue in multiple sclerosis. Mult Scler 2009;15(2):258-61. Patrick E, Christodoulou C, Krupp LB, New York State MS Consortium. Longitudinal correlates of fatigue in multiple sclerosis. Mult Scler 2009;15(2):258-61.
go back to reference Rietberg MB, Brooks D, Uitdehaag BM, Kwakkel G. Exercise therapy for multiple sclerosis. Cochrane Database Syst Rev 2005(1):CD003980. Rietberg MB, Brooks D, Uitdehaag BM, Kwakkel G. Exercise therapy for multiple sclerosis. Cochrane Database Syst Rev 2005(1):CD003980.
go back to reference Romberg A, Virtanen A, Ruutiainen J. Long-term exercise improves functional impairment but not quality of life in multiple sclerosis. J Neurol 2005;252(7):839-45. Romberg A, Virtanen A, Ruutiainen J. Long-term exercise improves functional impairment but not quality of life in multiple sclerosis. J Neurol 2005;252(7):839-45.
go back to reference Schwid SR, Murray TJ. Treating fatigue in patients with MS: one step forward, one step back. Neurology 2005;64(7):1111-2. Schwid SR, Murray TJ. Treating fatigue in patients with MS: one step forward, one step back. Neurology 2005;64(7):1111-2.
go back to reference Sepulcre J, Masdeu J, Goñi J, Arrondo G, Vélez de Mendizábal N, Bejarano B, Villoslada P. Fatigue in multiple sclerosis is associated with the disruption of frontal and parietal pathways. Mult Scler 2009;15(3):337-44. Sepulcre J, Masdeu J, Goñi J, Arrondo G, Vélez de Mendizábal N, Bejarano B, Villoslada P. Fatigue in multiple sclerosis is associated with the disruption of frontal and parietal pathways. Mult Scler 2009;15(3):337-44.
go back to reference Skerrett TN, Moss-Morris R. Fatigue and social impairment in multiple sclerosis: the role of patients’ cognitive and behavioral responses to their symptoms. J Psychosom Res 2006;61:587-93. Skerrett TN, Moss-Morris R. Fatigue and social impairment in multiple sclerosis: the role of patients’ cognitive and behavioral responses to their symptoms. J Psychosom Res 2006;61:587-93.
go back to reference Sonderen E van. Sociale Steun Lijst-Interacties (SSL-I) en Sociale Steun Lijst-Discrepanties (SSL-D). Groningen: Noordelijk Centrum voor Gezondheidsvraagstukken, 1993. Sonderen E van. Sociale Steun Lijst-Interacties (SSL-I) en Sociale Steun Lijst-Discrepanties (SSL-D). Groningen: Noordelijk Centrum voor Gezondheidsvraagstukken, 1993.
go back to reference Strober L, Arnett P, Polen D, Bruce J. Is sleep disturbance reflective of depression or disease symptomatology in MS? Abstract. Journal of the Neuropsychological Society 2002;8(2):258. Strober L, Arnett P, Polen D, Bruce J. Is sleep disturbance reflective of depression or disease symptomatology in MS? Abstract. Journal of the Neuropsychological Society 2002;8(2):258.
go back to reference Strober LB, Arnett PA. An examination of four models predicting fatigue in multiple sclerosis. Archives of Clinical Neuropsychology 2005;20:631-46. Strober LB, Arnett PA. An examination of four models predicting fatigue in multiple sclerosis. Archives of Clinical Neuropsychology 2005;20:631-46.
go back to reference Vercoulen, JHMM, Hommes OR, Swanink CMA, Jongen PJH, Fennis JFM, Galama JMD, Meer JWM van der, Bleijenberg G. The persistence of fatigue in chronic fatigue syndrome and multiple sclerosis; development of a model. Journal of Psychosomatic Research 1998;45:507-17. Vercoulen, JHMM, Hommes OR, Swanink CMA, Jongen PJH, Fennis JFM, Galama JMD, Meer JWM van der, Bleijenberg G. The persistence of fatigue in chronic fatigue syndrome and multiple sclerosis; development of a model. Journal of Psychosomatic Research 1998;45:507-17.
go back to reference Vercoulen JHMM, Alberts M, Bleijenberg G. De Checklist Individual Strength (CIS). Gedragstherapie 1999;32:131-6. Vercoulen JHMM, Alberts M, Bleijenberg G. De Checklist Individual Strength (CIS). Gedragstherapie 1999;32:131-6.
go back to reference Vree B de, Werf S van der, Prins J, Bazelmans E, Vercoulen J, Servaes P, Vries M de, Bleijenberg G. Meetinstrumenten bij chronische vermoeidheid. Gedragstherapie 2002;35:157-64. Vree B de, Werf S van der, Prins J, Bazelmans E, Vercoulen J, Servaes P, Vries M de, Bleijenberg G. Meetinstrumenten bij chronische vermoeidheid. Gedragstherapie 2002;35:157-64.
go back to reference Werf S van der, Broek HLP van den, Anten HWM, Bleijenberg G. Experience of severe fatigue long after stroke and its relation to depressive symptoms and disease characterictics. European Neurology 2001;45:28-33. Werf S van der, Broek HLP van den, Anten HWM, Bleijenberg G. Experience of severe fatigue long after stroke and its relation to depressive symptoms and disease characterictics. European Neurology 2001;45:28-33.
go back to reference Werf S van der, Evers A, Jongen PJH, Bleijenberg G. The role of helplessness as mediator between neurological disability, emotional instability, experienced fatigue and depression in patients with multiple sclerosis. Multiple Sclerosis 2003;9:89-94. Werf S van der, Evers A, Jongen PJH, Bleijenberg G. The role of helplessness as mediator between neurological disability, emotional instability, experienced fatigue and depression in patients with multiple sclerosis. Multiple Sclerosis 2003;9:89-94.
go back to reference Werf SP van der, Jongen PJH, Lycklama à Nijeholt GJ, Barkhof F, Hommes OR, Bleijenberg G. Fatigue in multiple sclerosis: interrelations between fatigue complaints, cerebral MRI abnormalities and neurological disability. Journal of the Neurological Sciences 1998;160:164-70. Werf SP van der, Jongen PJH, Lycklama à Nijeholt GJ, Barkhof F, Hommes OR, Bleijenberg G. Fatigue in multiple sclerosis: interrelations between fatigue complaints, cerebral MRI abnormalities and neurological disability. Journal of the Neurological Sciences 1998;160:164-70.
go back to reference Zee K van der, Sanderman R. Het meten van de algemene gezondheidstoestand met de Rand-36, een handleiding. Groningen: Noordelijk Centrum voor Gezondheidsvraagstukken, 1993. Zee K van der, Sanderman R. Het meten van de algemene gezondheidstoestand met de Rand-36, een handleiding. Groningen: Noordelijk Centrum voor Gezondheidsvraagstukken, 1993.
Metagegevens
Titel
10 Vermoeidheid bij multipele sclerose
Auteurs
Gijs Bleijenberg
Hans Knoop
Copyright
2010
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-9327-5_10