DePaul University.
J Clin Psychol. 2011 Mar;67(3):253-60. doi: 10.1002/jclp.20744. Epub 2010 Oct 25.
Nonpharmacological interventions for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) often emphasize gradual increases in activity to promote improvement in physical functioning and fatigue. The energy envelope theory may provide a framework for understanding the relationship between changes in activity level and outcomes for patients with ME/CFS. This study examined the relationship between energy envelope and changes in activity after nonpharmacological interventions in a sample of 44 adults with ME/CFS. Results showed that those who were within their energy envelope before treatment showed more improvement in physical functioning and fatigue compared with those outside of their energy envelope. These findings suggest that an assessment of perceived available and expended energy could help guide the development of individualized nonpharmacological interventions for people with ME/CFS.
肌痛性脑脊髓炎/慢性疲劳综合征 (ME/CFS) 的非药物干预措施通常强调逐渐增加活动量,以促进身体机能和疲劳的改善。能量包络理论可以为理解 ME/CFS 患者活动水平变化与结果之间的关系提供一个框架。本研究在 44 名 ME/CFS 成年患者样本中,考察了能量包络与非药物干预后活动变化之间的关系。结果表明,治疗前处于能量包络内的患者在身体机能和疲劳方面的改善程度高于能量包络外的患者。这些发现表明,对感知到的可用和消耗能量的评估可以帮助指导针对 ME/CFS 患者的个体化非药物干预措施的制定。