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首页> 外文期刊>BMJ: British medical journal >Cognitive behaviour therapy for the chronic fatigue syndrome: a randomised controlled trial
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Cognitive behaviour therapy for the chronic fatigue syndrome: a randomised controlled trial

机译：认知行为疗法对慢性疲劳综合症:一个随机对照试验

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Objective—To evaluate the acceptability and efficacy of adding cognitive behaviour therapy to the medical care of patients presenting with the chronic fatigue syndrome. Design—Randomised controlled trial with final assessment at 12 months. Setting—An infectious diseases outpatient clinic. Subjects—60 consecutively referred patients meeting consensus criteria for the chronic fatigue syndrome. Interventions—Medical care comprised assessment, advice, and follow up in general practice. Patients who received cognitive behaviour therapy were offered 16 individual weekly sessions in addition to their medical care. Main outcome measures—The proportions of patients (a) who achieved normal daily functioning (Karnofsky score 80 or more) and (b) who achieved a clinically significant improvement in functioning (change in Karnofsky score 10 points or more) by 12 months after randomisation. Results—Only two eligible patients refused to participate. All randomised patients completed treatment. An intention to treat analysis showed that 73% (22/30) of recipients of cognitive behaviour therapy achieved a satisfactory outcome as compared with 27% (8/30) of patients who were given only medical care (difference 47 percentage points; 95% confidence interval 24 to 69). Similar differences were observed in subsidiary outcome measures. The improvement in disability among patients given cognitive behaviour therapy continued after completion of therapy. Illness beliefs and coping behaviour previously associated with a poor outcome changed more with cognitive behaviour therapy than with medical care alone. Conclusion—Adding cognitive behaviour, therapy to the medical care of patients with the chronic fatigue syndrome is acceptable to patients and leads to a sustained reduction in functional impairment.
机译：:靠评估和可接受性增加认知行为疗法的效果患者的医疗护理慢性疲劳综合症。对照试验和最终评估在12个月。诊所。病人会议共识的标准慢性疲劳综合症。护理包括评估、建议和跟进在惯例。认知行为疗法提供16除了个人每周会话医疗服务。比例的患者(一)正常实现日常运作(Karnofsky得分80或更多)和(b)取得了临床意义重大改善功能(Karnofsky变化10分后12个月或更多)随机。拒绝参与。完成治疗。分析显示,73%(22/30)的接受者认知行为疗法取得了令人满意的结果,这一比例为27% (8/30)的患者只有医疗(差异47个百分点;间隔24 - 69)。子公司中观察到的结果的措施。改善残疾患者认知行为治疗后继续完成治疗。先前行为与一个贫穷联系在一起结果与认知行为改变更多比单独使用医疗保健疗法。Conclusion-Adding认知行为疗法慢性患者的医疗护理疲劳综合症患者是可以接受的导致持续减少的功能障碍。

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