A randomized controlled graded exercise trial for chronic fatigue syndrome: Outcomes and mechanisms of change

被引:149
作者
Moss-Morris, R
Sharon, C
Tobin, R
Baldi, JC
机构
[1] Univ Auckland, Fac Med & Hlth Sci, Auckland 1, New Zealand
[2] Univ Auckland, Dept Exercise & Sport Sci, Auckland 1, New Zealand
[3] Auckland Cardiac Rehabil Clin, Auckland, New Zealand
关键词
chronic fatigue syndrome (CFS); cognitive behavioural model; deconditioning; graded exercise therapy; illness perceptions; randomized controlled trial; symptom focusing;
D O I
10.1177/1359105305049774
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The aim of this study was to investigate the potential mechanisms underlying the efficacy of graded exercise therapy for chronic fatigue syndrome (CFS). Forty-nine CFS patients were randomized to a 12-week graded exercise programme or to standard medical care. At the end of treatment the exercise group rated themselves as significantly more improved and less fatigued than the control group. A decrease in symptom focusing rather than an increase in fitness mediated the treatment effect. Graded exercise appears to be an effective treatment for CFS and it operates in part by reducing the degree to which patients focus on their symptoms.
引用
收藏
页码:245 / 259
页数:15
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