Family-focused cognitive behaviour therapy versus psycho-education for chronic fatigue syndrome in 11-to 18-year-olds: a randomized controlled treatment trial
Family-focused cognitive behaviour therapy versus psycho-education for chronic fatigue syndrome in 11-to 18-year-olds: a randomized controlled treatment trial
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DOI：
10.1017/s003329170999153x
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发表时间：
2010-08-01
影响因子：
6.9
通讯作者：
Walwyn, R.
中科院分区：
文献类型：
--
作者：
Chalder, T.;Deary, V.;Walwyn, R.
背景只有一个先前的随机对照试验（RCT）检查了认知行为疗法（CBT）对儿童慢性疲劳综合征（CFS）的疗效。本研究的目的是比较以家庭为中心的CBT与心理教育对CFS的治疗效果。63名11至18岁的CFS患者（43名女孩，20名男孩）被随机分配到以家庭为中心的CBT或心理教育，为期6个月。在治疗结束时以及随访3、6和12个月时评估学校出勤率是主要结果。在主要结果点（6个月随访），两组的改善程度相似。然而，尽管那些接受以家庭为中心的CBT的人比接受心理教育的人上学时间更长，但在治疗出院和3个月随访时，他们在随访期间的改善速度较慢。CFS青少年在以家庭为中心的CBT后更快地回到学校。这一点很重要，因为它们正处于发展的关键阶段。然而，在6个月和12个月的随访中，心理教育与以家庭为中心的CBT一样有效，这一发现对卫生服务的提供具有重要意义。
Background. Only one previous randomized controlled trial (RCT) has examined the efficacy of cognitive behaviour therapy (CBT) for chronic fatigue syndrome (CFS) in children. The aim of this study was to compare family-focused CBT with psycho-education for CFS in adolescents.Method. Sixty-three 11- to 18-year-olds (43 girls, 20 boys) with CFS were randomly assigned to either family-focused CBT or psycho-education delivered over 6 months. School attendance was the main outcome, which was assessed at the end of treatment and at 3, 6 and 12 months follow-up.Results. At the main outcome point (the 6-month follow-up) both groups had improved similarly. However, although those who received family-focused CBT were attending school for longer than those who received psycho-education, at discharge from treatment and at 3 months follow-up, they improved less quickly across the follow-up period.Conclusions. Adolescents with CFS get back to school more quickly after family-focused CBT. This is important as they are at a crucial stage of their development. However, the finding that psycho-education was as effective as family-focused CBT at 6 and 12 months follow-up has important implications for health service delivery.