Patient education to encourage graded exercise in chronic fatigue syndrome. 2-year follow-up of randomised controlled trial.

Autor: Powell, Pauline, Bentall, Richard P., Nye, Fred J., Edwards, Richard H. T.
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Zdroj: British Journal of Psychiatry; Feb2004, Vol. 184, p142-146, 5p, 1 Chart, 1 Graph
Abstrakt: Background: An earlier trial demonstrated good outcomes after 1 year for patients with chronic fatigue syndrome (CFS) who received an educational intervention designed to encourage graded activity.Aims: To determine 2-year outcomes for the same treated patients and the response to treatment of patients formerly in the control condition.Method: Patients in the treatment groups (n=114) were followed up at 2 years; 32 patients from the control group were offered the intervention after 1 year and were assessed 1 year later. Assessments were the self-rated measures used in the original trial.Results: At 2 years 63 of the treated patients (55%) no longer fulfilled trial criteria for CFS compared with 64 patients (56%) at 1 year. Fourteen of 30 crossover patients (47%) achieved a good outcome at 1 year and seven (23%) no longer fulfilled criteria for CFS.Conclusions: Benefits of the intervention were maintained at 2 years. Delaying treatment is associated with reduced efficacy and required more intensive therapy. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index