Wessely S, David A, Butler S, Chalder T
J R Coll Gen Pract. 1989 Jan;39(318):26-9.
Simple rehabilitative strategies are proposed to help patients with the chronic fatigue syndrome. A model is outlined of an acute illness giving way to a chronic fatigue state in which symptoms are perpetuated by a cycle of inactivity, deterioration in exercise tolerance and further symptoms. This is compounded by the depressive illness that is often part of the syndrome. The result is a self-perpetuating cycle of exercise avoidance. Effective treatment depends upon an understanding of the interaction between physical and psychological factors. Cognitive behavioural therapy is suggested. Cognitive therapy helps the patient understand how genuine symptoms arise from the frequent combination of physical inactivity and depression, rather than continuing infection, while a behavioural approach enables the treatment of avoidance behaviour and a gradual return to normal physical activity.
本文提出了一些简单的康复策略来帮助慢性疲劳综合征患者。文中概述了一个模型，即急性疾病转变为慢性疲劳状态，在此状态下，症状因不活动、运动耐量下降和进一步出现症状的循环而持续存在。常作为该综合征一部分的抑郁症会使情况更加复杂。结果是形成了一个自我延续的运动回避循环。有效的治疗取决于对身体和心理因素之间相互作用的理解。建议采用认知行为疗法。认知疗法帮助患者理解，真正的症状是如何由身体不活动和抑郁的频繁结合产生的，而不是由持续感染导致的，而行为疗法能够治疗回避行为，并使患者逐渐恢复正常的身体活动。
