Siemann, Ietske, Sanches, Elijah E, de Jongh, Frank W et al. · Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2022 · DOI
This study looked at how psychological counselling helps people with peripheral facial palsy (a condition causing sudden facial weakness). Researchers found that about two-thirds of patients had symptoms of anxiety or depression related to their condition. The study shows that talking to a psychologist as part of care can help patients cope better with their illness and make decisions about treatment.
While this study addresses facial palsy rather than ME/CFS directly, it is relevant to ME/CFS because it demonstrates how multidisciplinary teams incorporating psychology improve outcomes in chronic conditions with significant psychosocial impact. One case of concurrent chronic fatigue syndrome is noted, illustrating overlap between conditions. The study validates the importance of psychological screening in conditions causing both physical disability and emotional distress—principles applicable to ME/CFS patient care.
This study does not establish causation between PFP and psychological symptoms, nor does it prove that psychological counselling is superior to standard care (no control group). The findings cannot be generalized beyond peripheral facial palsy patients, and the single case of chronic fatigue syndrome mentioned does not establish any mechanistic link between the two conditions. Small sample size and lack of statistical power limit the ability to identify genuine predictors of anxiety/depression.
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
Siemann, Ietske, Sanches, Elijah E, de Jongh, Frank W, Luijmes, Robin, Ingels, Koen J A O, Beurskens, Carien H G, et al. (2022). Psychological counselling in patients with a peripheral facial palsy: initial experience from an expert centre.. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. https://doi.org/10.1016/j.bjps.2021.11.079
BibTeX
@article{mecfsatlas-siemann-2022-psychological-counselling,
author = {Siemann, Ietske and Sanches, Elijah E and de Jongh, Frank W and Luijmes, Robin and Ingels, Koen J A O and Beurskens, Carien H G and Monstrey, Stan J and Ramnarain, Dharmanand and Marres, Henri A M and Pouwels, Sjaak},
title = {Psychological counselling in patients with a peripheral facial palsy: initial experience from an expert centre.},
journal = {Journal of plastic, reconstructive & aesthetic surgery : JPRAS},
year = {2022},
doi = {10.1016/j.bjps.2021.11.079},
note = {PubMed: 34975004},
url = {https://www.mecfsatlas.com/evidence/siemann-2022-psychological-counselling},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-29. https://www.mecfsatlas.com/evidence/siemann-2022-psychological-counselling
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