寻找新的平衡。慢性疲劳综合征患者的高“行动倾向”能否通过多学科小组治疗得到改变？
In search of a new balance. Can high "action-proneness" in patients with chronic fatigue syndrome be changed by a multidisciplinary group treatment?
作者信息
Van Houdenhove Boudewijn, Bruyninckx Karolien, Luyten Patrick
机构信息
Chronic Fatigue Reference Centre, University Hospitals, K.U. Leuven, Leuven, Belgium.
出版信息
J Psychosom Res. 2006 Jun;60(6):623-5. doi: 10.1016/j.jpsychores.2005.12.006.
OBJECTIVE
The purpose of this study is to investigate changes in action-proneness (a cognitive and behavioral tendency toward direct action) after a multidisciplinary group intervention, including cognitive behaviour therapy (CBT) and graded exercise therapy (GET).
METHODS
Patients with chronic fatigue syndrome (n=62) completed three versions of a Dutch self-report questionnaire evaluating action-proneness retrospectively that is (1) before illness onset, (2) before treatment and (3) after treatment. Significant others (n=62) also gave their opinion about the patients' action-proneness at time points 1 and 2.
RESULTS
Premorbid action-proneness levels considerably dropped after illness onset. After treatment, action-proneness levels significantly increased again, although levels remained below premorbid levels.
CONCLUSION
High action-proneness retrospectively reported by CFS patients can be adaptively modified by a multidisciplinary group treatment including CBT and GET.
目的
本研究旨在调查多学科团体干预（包括认知行为疗法（CBT）和分级运动疗法（GET））后行动倾向（一种直接行动的认知和行为倾向）的变化。
方法
慢性疲劳综合征患者（n = 62）回顾性地完成了荷兰语自我报告问卷的三个版本，以评估行动倾向，即（1）疾病发作前、（2）治疗前和（3）治疗后。重要他人（n = 62）也在时间点1和2给出了他们对患者行动倾向的看法。
结果
发病后病前行动倾向水平大幅下降。治疗后，行动倾向水平再次显著提高，尽管仍低于病前水平。
结论
慢性疲劳综合征患者回顾性报告的高行动倾向可通过包括认知行为疗法和分级运动疗法在内的多学科团体治疗进行适应性调整。
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