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首页> 外文期刊>The British journal of psychiatry : >Efficacy of cognitive-behavioural therapy by general practitioners for unexplained fatigue among employees
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Efficacy of cognitive-behavioural therapy by general practitioners for unexplained fatigue among employees

机译：全科医生的认知行为疗法对员工无法解释的疲劳的功效

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Background Fatigue is a common complaint that may lead to long-term sick leave and work disability. Aims To assess the efficacy of cognitive-behavioural therapy by general practitioners for unexplained, persistent fatigue among employees. Method A randomised controlled trial, using a pre-randomisation design in primary care, investigated 151 employees on sick leave with fatigue. Participants in the experimental group were offered five to seven 30 min sessions of cognitive-behavioural therapy by a general practitioner; those in the control group were offered no treatment. Main outcome measures (fatigue severity, self-reported absenteeism, registered absenteeism and clinical recovery) were assessed at 4 months, 8 months and 12 months. Results At baseline, 44% ofthe patients already met research criteria for chronic fatigue syndrome. There was no significant difference between the experimental group and the control group on primary or secondary outcomes at any point. Conclusions Cognitive-behavioural therapy by general practitioners for unexplained, persistent fatigue did not prove to be an effective intervention. Since these doctors were unable to deliver this therapy effectively under ideal circumstances, it is unlikely that doctors in routine practice would be more successful in doing so.
机译：背景疲劳是一种常见的抱怨，可能导致长期病假和工作残疾。目的评估全科医生的认知行为疗法对员工无法解释的持续性疲劳的功效。方法一项随机对照试验，在基层医疗中采用了预先随机化设计，调查了151名因病休假的雇员。全科医生为实验组的参与者提供了5至7个30分钟的认知行为治疗;对照组的患者未接受治疗。在4个月，8个月和12个月时评估主要结局指标（疲劳严重程度，自我报告的旷工，登记旷工和临床恢复）。结果基线时，已有44％的患者符合慢性疲劳综合征的研究标准。实验组与对照组在任何时候的主要或次要结局方面均无显着差异。结论全科医生对无法解释的持续性疲劳进行认知行为疗法并不能证明是有效的干预措施。由于这些医生无法在理想情况下有效地进行这种治疗，因此常规执业医生不太可能在此方面取得更大的成功。

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