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首页> 外文期刊>Journal of Neurology, Neurosurgery and Psychiatry >The effect of cognitive behaviour therapy for chronic fatigue syndrome on self-reported cognitive impairments and neuropsychological test performance.
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The effect of cognitive behaviour therapy for chronic fatigue syndrome on self-reported cognitive impairments and neuropsychological test performance.

机译：慢性疲劳综合征的认知行为疗法对自我报告的认知障碍和神经心理测试表现的影响。

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BACKGROUND: Patients with chronic fatigue syndrome (CFS) often have concentration and memory problems. Neuropsychological test performance is impaired in at least a subgroup of patients with CFS. Cognitive behavioural therapy (CBT) for CFS leads to a reduction in fatigue and disabilities. AIM: To test the hypothesis that CBT results in a reduction of self-reported cognitive impairment and in an improved neuropsychological test performance. METHODS: Data of two previous randomised controlled trials were used. One study compared CBT for adult patients with CFS, with two control conditions. The second study compared CBT for adolescent patients with a waiting list condition. Self-reported cognitive impairment was assessed with questionnaires. Information speed was measured with simple and choice reaction time tasks. Adults also completed the symbol digit-modalities task, a measure of complex attentional function. RESULTS: In both studies, the level of self-reported cognitive impairment decreased significantly more after CBT than in the control conditions. Neuropsychological test performance did not improve. CONCLUSIONS: CBT leads to a reduction in self-reported cognitive impairment, but not to improved neuropsychological test performance. The findings of this study support the idea that the distorted perception of cognitive processes is more central to CFS than actual cognitive performance.
机译：背景：患有慢性疲劳综合症（CFS）的患者经常有注意力和记忆力问题。至少有一部分CFS患者的神经心理测试性能受损。 CFS的认知行为疗法（CBT）可减少疲劳和残疾。目的：检验以下假设：CBT可以减少自我报告的认知障碍并改善神经心理测试性能。方法：使用两项先前的随机对照试验的数据。一项研究比较了具有两种对照条件的成人CFS患者的CBT。第二项研究比较了等待名单病情的青少年患者的CBT。自我报告的认知障碍通过问卷进行评估。信息速度通过简单的选择反应时间任务进行测量。成人还完成了符号数字模态任务，这是对复杂注意力功能的一种度量。结果：在两项研究中，CBT后自我报告的认知障碍水平明显低于对照组。神经心理测验成绩没有改善。结论：CBT可以减少自我报告的认知障碍，但不能改善神经心理测试性能。这项研究的发现支持这样一种观点，即认知过程的失真感知对CFS的影响比实际认知表现更为重要。

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