1 The University of Manchester, UK.
2 Coventry University, UK.
J Health Psychol. 2019 Sep;24(10):1318-1333. doi: 10.1177/1359105317726152. Epub 2017 Aug 29.
Cognitive behavioural therapy and graded exercise therapy are promoted as evidence-based treatments for myalgic encephalomyelitis/chronic fatigue syndrome. This article explores patients' symptom responses following these treatments versus pacing therapy, an approach favoured by many sufferers. We analyse data from a large cross-sectional patient survey ( = 1428) and compare our findings with those from comparable patient surveys ( = 16,665), using a mix of descriptive statistics and regression analysis modelling. Findings from analysis of primary and secondary surveys suggest that cognitive behavioural therapy is of benefit to a small percentage of patients (8%-35%), graded exercise therapy brings about large negative responses in patients (54%-74%), while pacing is the most favoured treatment with the lowest negative response rate and the highest reported benefit (44%-82%).
认知行为疗法和分级运动疗法被推广为治疗肌痛性脑脊髓炎/慢性疲劳综合征的循证疗法。本文探讨了这些疗法与许多患者青睐的节奏治疗相比，患者症状反应的情况。我们分析了一项大型横断面患者调查的数据（n=1428），并使用描述性统计和回归分析模型，将我们的发现与类似的患者调查（n=16665）的结果进行了比较。主要和次要调查分析的结果表明，认知行为疗法对一小部分患者（8%-35%）有益，分级运动疗法会使患者产生较大的负面反应（54%-74%），而节奏治疗是最受欢迎的治疗方法，负面反应率最低，报告的益处最高（44%-82%）。
