Prevalence and predictors of recovery from chronic fatigue syndrome in a routine clinical practice

作者: Elisabeth Flo , Trudie Chalder

DOI: 10.1016/J.BRAT.2014.08.013

关键词: Perfectionism (psychology)Depression (differential diagnoses)Chronic fatigue syndromeAnxietyOddsMultivariate analysisPsychologyClinical psychologyLogistic regressionCognition

摘要: Cognitive behavioural therapy (CBT) is one of the treatments choice for patients with chronic fatigue syndrome (CFS). However, factors that predict recovery are unknown. The objective this study was to ascertain rate among CFS receiving CBT in routine practice and explore possible predictors recovery. Recovery defined as no longer meeting Oxford or CDC criteria measured at 6 months follow-up. A composite score representing full additionally included perception improvement, normal population levels physical functioning. Logistic regression used examine Predictors age, gender, cognitive responses symptoms, work social adjustment, beliefs about emotions, perfectionism, anxiety depression baseline. At follow-up 37.5% met either while 18.3% were fully recovered. Multivariate analyses showed worse scores on adjustment scale, unhelpful high older age asso- ciated reduced odds rates comparable previous RCTs. There a wide spectrum significant © 2014 Authors. Published by Elsevier Ltd. This an open access article under CC BY license

参考文章(40)
M Sharpe, L Archard, J Banatvala, P Behan, R Booth, L Borysiewicz, A Clare, R Clifford Rose, A David, R Edwards, K Hawton, H Lambert, R Lane, A Mann, L McDonald, J Mowbray, D Pearson, A Pelosi, T Peters, T Peto, V Preedy, A Smith, D Smith, D Taylor, D Tyrrell, P Wallace, D Warrell, S Wessely, P White, C Wood, D. Wright, A report--chronic fatigue syndrome: guidelines for research. Journal of the Royal Society of Medicine. ,vol. 84, pp. 118- 121 ,(1991) , 10.1177/014107689108400224
Hans Knoop, Maja Stulemeijer, Judith B. Prins, Jos W.M. van der Meer, Gijs Bleijenberg, Is cognitive behaviour therapy for chronic fatigue syndrome also effective for pain symptoms Behaviour Research and Therapy. ,vol. 45, pp. 2034- 2043 ,(2007) , 10.1016/J.BRAT.2007.03.002
Matteo Cella, Trudie Chalder, Measuring fatigue in clinical and community settings. Journal of Psychosomatic Research. ,vol. 69, pp. 17- 22 ,(2010) , 10.1016/J.JPSYCHORES.2009.10.007
Matteo Cella, Michael Sharpe, Trudie Chalder, Measuring disability in patients with chronic fatigue syndrome: reliability and validity of the Work and Social Adjustment Scale Journal of Psychosomatic Research. ,vol. 71, pp. 124- 128 ,(2011) , 10.1016/J.JPSYCHORES.2011.02.009
Stefan Kempke, Lutgarde Goossens, Patrick Luyten, Patrick Bekaert, Boudewijn Van Houdenhove, Peter Van Wambeke, Predictors of outcome in a multi-component treatment program for chronic fatigue syndrome. Journal of Affective Disorders. ,vol. 126, pp. 174- 179 ,(2010) , 10.1016/J.JAD.2010.01.073
Matteo Cella, Trudie Chalder, Peter D. White, Does the heterogeneity of chronic fatigue syndrome moderate the response to cognitive behaviour therapy? An exploratory study. Psychotherapy and Psychosomatics. ,vol. 80, pp. 353- 358 ,(2011) , 10.1159/000327582
Judith Prins, Gijs Bleijenberg, Eufride Klein Rouweler, Jos Van Der Meer, Effect of psychiatric disorders on outcome of cognitive-behavioural therapy for chronic fatigue syndrome. British Journal of Psychiatry. ,vol. 187, pp. 184- 185 ,(2005) , 10.1192/BJP.187.2.184