Materials

Exertion Protocol

Link to download (english)

This multidimensional stress protocol presents the procedures for three different stress conditions: cognitive stress (attention tests), emotional stress (film footage), and physical stress (ergometer), as well as a relaxation condition. With the exception of the motor stress condition, which for logistical reasons was only used with healthy subjects, the cognitive and emotional stress conditions, as well as relaxation, were also applied and evaluated in patients with post-COVID syndrome as part of a rehabilitation program. The individual procedures list corresponding tests that typically reflect fatigue and fatigability.

DOI Exertion Protocol:?https://epub.uni-regensburg.de/77908/

Questionnaire on stress and exhaustion

The FBE-S questionnaire (link to download) on perceived stress and exhaustion is used to assess the stress experienced in the last hour and the exhaustion currently being experienced, with one item for each. This is assessed for three areas: cognition, motor skills, and emotion. The FBE-S was developed for use during stress testing. The questionnaire has been used in a study involving 73 patients with post-COVID and a healthy control sample of 58 gender- and age-matched individuals. The study was conducted from 2022 to 2024 (Tempfli et al. & Randerath, 2025, submitted). The development of the questionnaire was funded by the Zukunftskolleg at the University of Konstanz. The study was funded by the Baden-Württemberg Ministry of Science & Art. The English translation “QLF-S: Questionnaire on Perceived Load and Fatigue (State) (Link to DOWNLOAD)” was produced at the University of Regensburg.

DOI FBE-S: https://epub.uni-regensburg.de/76995/

DOI QLF-S: https://epub.uni-regensburg.de/76999/

Fatigue Protocol

The Fatigue Protocol in English (download link) and German (download link) was created to record the perceived intensity of fatigue after physical, emotional, or cognitive stress sessions or after relaxation phases. The Fatigue Protocol documents the perceived intensity of exhaustion and stress on the day of the session itself and over a period of three days after the session. The assessment is made on a scale from 0 (“no exhaustion/stress”) to 4 (“very severe exhaustion/stress”). The fatigue protocol distinguishes between emotional, cognitive, and physical stress and exhaustion.

DOI (German version): https://epub.uni-regensburg.de/77892/

DOI (English version): https://epub.uni-regensburg.de/77893/

Material for Psychotherapy in Chronic Fatigue

Link to the German and English material DOWNLOAD HERE

• APC-Model description for psychoeducation
• APC-Model description for psychoeducation (basic version)
• Example of behavioral analysis, including elements from the SORCK-model
• Blanc sheet for behavioral analysis, including elements from the SORCK-model. Suitable to derive explanatory models for Active and Protective Coping separately
• Expanded blanc sheet for behavioral analysis, including elements from the SORCK-model. Suitable to derive explanatory models for Active and Protective Coping separately (providing more space for completion)

From the article in the Journal of Contemporary Psychotherapy titled:
The Concept of Active and Protective Coping for Individual Psychotherapy in Chronic Fatigue: An Example from Post COVID.