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慢性疲劳综合征的治疗:发现、原则与策略。

Treatment of chronic fatigue syndrome: findings, principles and strategies.

机构信息

Department of Psychology, University of Leuven, Leuven, Belgium.

出版信息

Psychiatry Investig. 2008 Dec;5(4):209-12. doi: 10.4306/pi.2008.5.4.209. Epub 2008 Dec 31.

DOI:10.4306/pi.2008.5.4.209
PMID:20046339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2796012/
Abstract

Chronic fatigue syndrome (CFS) is a debilitating condition characterized by serious medically unexplained mental and physical fatigue. The high prevalence and both direct and indirect health costs of CFS patients represent a huge problem for contemporary health care. Moreover, the prognosis of CFS, even when treated, is often poor. In this paper, we first critically review current evidence based treatments of CFS. Second, we discuss the growing insights into the etiopathogenesis of CFS, and the need to translate and integrate these insights into future treatments. In particular, we formulate a pragmatic and empirically testable treatment approach, tailored to the individual needs of patients, which aims at restoring the mental and physical equilibrium of CFS patients by trying to bring about sustained life style changes.

摘要

慢性疲劳综合征(CFS)是一种使人虚弱的病症,其特征是严重的、无法用医学解释的精神和身体疲劳。CFS 患者的高患病率以及直接和间接的健康成本对当代医疗保健构成了巨大挑战。此外,即使经过治疗,CFS 的预后也往往不佳。在本文中,我们首先批判性地回顾了 CFS 的当前循证治疗方法。其次,我们讨论了对 CFS 病因发病机制的日益深入的了解,以及将这些见解转化并整合到未来治疗中的必要性。特别是,我们制定了一种实用且可通过经验检验的治疗方法,针对患者的个体需求进行量身定制,旨在通过尝试实现可持续的生活方式改变来恢复 CFS 患者的身心平衡。

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本文引用的文献

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Psychother Psychosom. 2009;78(5):265-74. doi: 10.1159/000228247. Epub 2009 Jul 11.
2
Does hypothalamic-pituitary-adrenal axis hypofunction in chronic fatigue syndrome reflect a 'crash' in the stress system?慢性疲劳综合征中的下丘脑-垂体-肾上腺轴功能减退是否反映了应激系统的“崩溃”?
Med Hypotheses. 2009 Jun;72(6):701-5. doi: 10.1016/j.mehy.2008.11.044. Epub 2009 Feb 23.
3
Customizing treatment of chronic fatigue syndrome and fibromyalgia: the role of perpetuating factors.定制慢性疲劳综合征和纤维肌痛的治疗:持续因素的作用。
Psychosomatics. 2008 Nov-Dec;49(6):470-7. doi: 10.1176/appi.psy.49.6.470.
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Cognitive behaviour therapy for chronic fatigue syndrome in adults.成人慢性疲劳综合征的认知行为疗法
Cochrane Database Syst Rev. 2008 Jul 16;2008(3):CD001027. doi: 10.1002/14651858.CD001027.pub2.
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The relationship between fibromyalgia and major depressive disorder: a comprehensive review.纤维肌痛与重度抑郁症之间的关系:一项全面综述。
Curr Med Res Opin. 2008 Aug;24(8):2359-71. doi: 10.1185/03007990802288338. Epub 2008 Jul 4.
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Psychoanalytically-oriented inpatient psychotherapy of somatoform disorders.躯体形式障碍的精神分析取向住院心理治疗
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The association or otherwise of the functional somatic syndromes.功能性躯体综合征之间的关联或反之情况。
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