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一项针对慢性疲劳综合征的随机对照分级运动试验:结果与变化机制

A randomized controlled graded exercise trial for chronic fatigue syndrome: outcomes and mechanisms of change.

作者信息

Moss-Morris Rona, Sharon Cynthia, Tobin Roseanne, Baldi James C

机构信息

Health Psychology, The Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92 019, Auckland, New Zealand.

出版信息

J Health Psychol. 2005 Mar;10(2):245-59. doi: 10.1177/1359105305049774.

DOI:10.1177/1359105305049774
PMID:15723894
Abstract

The aim of this study was to investigate the potential mechanisms underlying the efficacy of graded exercise therapy for chronic fatigue syndrome (CFS). Forty-nine CFS patients were randomized to a 12-week graded exercise programme or to standard medical care. At the end of treatment the exercise group rated themselves as significantly more improved and less fatigued than the control group. A decrease in symptom focusing rather than an increase in fitness mediated the treatment effect. Graded exercise appears to be an effective treatment for CFS and it operates in part by reducing the degree to which patients focus on their symptoms.

摘要

本研究的目的是探讨分级运动疗法对慢性疲劳综合征(CFS)疗效的潜在机制。49例CFS患者被随机分为接受为期12周的分级运动计划组或标准医疗护理组。治疗结束时,运动组患者自我评估显示,与对照组相比,改善程度明显更大,疲劳感减轻。治疗效果是由症状关注的减少而非体能的增加介导的。分级运动似乎是治疗CFS的有效方法,其部分作用机制是减少患者对自身症状的关注程度。

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