Friedberg Fred, Sohl Stephanie
Stony Brook University.
J Clin Psychol. 2009 Apr;65(4):423-42. doi: 10.1002/jclp.20551.
This multiple case study of cognitive-behavioral treatment (CBT) for chronic fatigue syndrome (CFS) compared self-report and behavioral outcomes. Eleven relatively high-functioning participants with CFS received 6-32 sessions of outpatient graded-activity oriented CBT. Self-report outcomes included measures of fatigue impact, physical function, depression, anxiety, and global change. Behavioral outcomes included actigraphy and the 6-minute walking test. Global change ratings were very much improved (n=2), much improved (n=2), improved (n=5), and no change (n=2). Of those reporting improvement, clinically significant actigraphy increases (n=3) and decreases (n=4) were found, as well as no significant change (n=2). The nature of clinical improvement in CBT trials for high-functioning CFS patients may be more ambiguous than that postulated by the cognitive-behavioral model.
这项针对慢性疲劳综合征（CFS）的认知行为疗法（CBT）的多案例研究比较了自我报告和行为结果。11名功能相对较高的CFS参与者接受了6 - 32次以门诊分级活动为导向的CBT治疗。自我报告结果包括疲劳影响、身体功能、抑郁、焦虑和总体变化的测量。行为结果包括活动记录仪监测和6分钟步行测试。总体变化评级有很大改善（n = 2）、有较大改善（n = 2）、有改善（n = 5）和无变化（n = 2）。在报告有改善的参与者中，发现活动记录仪监测结果有临床上显著的增加（n = 3）、减少（n = 4）以及无显著变化（n = 2）。对于功能较高的CFS患者，CBT试验中临床改善的性质可能比认知行为模型所假设的更为模糊。
