Rimes, Katharine A, Wingrove, Janet, Moss-Morris, Rona et al. · Behavioural and cognitive psychotherapy · 2014 · DOI
This study developed clear guidelines describing what skills therapists need to deliver cognitive behavioural therapy (CBT) for ME/CFS and related conditions. Researchers gathered input from experienced therapists to create competence frameworks for both brief interventions and longer, more intensive treatments. These guidelines can help train new therapists and identify what skills they need to learn.
Standardized competence frameworks are essential for training therapists to deliver evidence-based CBT for ME/CFS consistently and effectively. As CBT moves from specialist research settings into primary care (IAPT), clear competence standards ensure patients receive high-quality, appropriate treatment regardless of setting. This work helps bridge the gap between research evidence and routine clinical practice.
This study does not prove that therapist competence in these specific domains improves patient outcomes—it only establishes what competences experts believe are necessary. It does not compare outcomes between therapists with high versus low competence, nor does it validate whether all listed competences are equally important for treatment effectiveness.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Rimes, Katharine A, Wingrove, Janet, Moss-Morris, Rona, & Chalder, Trudie (2014). Competences required for the delivery of high and low-intensity cognitive behavioural interventions for chronic fatigue, chronic fatigue syndrome/ME and irritable bowel syndrome.. Behavioural and cognitive psychotherapy. https://doi.org/10.1017/S1352465814000290
BibTeX
@article{mecfsatlas-rimes-2014-competences-required,
author = {Rimes, Katharine A and Wingrove, Janet and Moss-Morris, Rona and Chalder, Trudie},
title = {Competences required for the delivery of high and low-intensity cognitive behavioural interventions for chronic fatigue, chronic fatigue syndrome/ME and irritable bowel syndrome.},
journal = {Behavioural and cognitive psychotherapy},
year = {2014},
doi = {10.1017/S1352465814000290},
note = {PubMed: 24832606},
url = {https://www.mecfsatlas.com/evidence/rimes-2014-competences-required},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/rimes-2014-competences-required
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