Effect of psychological and behavioral intervention on the rehabilitation of patients with chronic fatigue syndrome / 中华行为医学与脑科学杂志

ABSTRACT

ObjectiveTo investigate the psychological and behavioral intervention on the rehabilitation of patients with chronic fatigue syndrome.MethodsIn this prospective,single blind study,71 outpatients diagnosed with chronic fatigue syndrome according to the criteria of the U.S.Centers for Disease Control were recruited and were divided randomly into two groups by coin method,one group for systematic psychological and behavioral intervention (31 cases) and the other group (the control group) for antidepressant drug treatment only (40 cases).Chronic Fatigue Assessment Scale ( FAI ) was used to estimate patients＇ clinical efficacy.ResultsEach factor score of FAI in psychological and behavioral intervention group was significantly improved after treatment ( S (3.20± 1.72) ;SS(4.01 ± 1.32) ; PC(4.95 ± 1.82) ;RTR / S(6.02 ± 1.59) ) (P＜0.01).Three factor scores of FAI in the control group were improved(P ＜ 0.01 ),but one factor score of this group was not significantly improved (S ( 5.39 ± 1.33 ) ) (P ＞ 0.05 ),Total improvement was not clear (P ＞ 0.05 ).Research group of significant efficiency,the total effective rate was significantly higher than that of control group.Compliance results showed,psychological behavior intervention group follow-up without falling off,the control group had 8 cases to fall off.Psychological and behavior intervention treatment efficacy and disease course,＜ 12 months in patients with good effect.ConclusionBoth of psychological and behavioral interventions and antidepressant medication are effective therapies for patients with chronic fatigue syndrome,the former is slightly better.