Functional level of patients with chronic fatigue syndrome reporting use of alternative vs. traditional treatments.
Functional level of patients with chronic fatigue syndrome reporting use of alternative vs. traditional treatments.
复制标题
报告使用替代疗法与传统疗法的慢性疲劳综合症患者的功能水平。
DOI：
10.1080/21641846.2015.1097102
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Jason,LeonardA
中科院分区：
文献类型：
--
作者：
Wise,Shelby;Jantke,Rachel;Brown,Abigail;Jason,LeonardA
背景：在慢性疲劳综合征(CFS)患者中，使用补充和替代医学(CAM)是常见的，但是否被认为比传统药物更有效或更不有效尚不清楚。目的：根据患者对当前使用的治疗方法的报告(即仅使用传统、仅使用CAM或两者结合)来探讨患者的功能水平。方法：受试者来自医生转诊和媒体来源(报纸、支持小组)，97名参与者被保留用于分析。根据自我报告，个体被分成三组：仅使用CAM(N= 27)，仅使用传统药物(N= 22)，或两种治疗方法的组合(N= 58)。结果：社交功能显著(p<； .01)，事后分析显示，与仅使用传统治疗或传统与CAM治疗相结合的患者相比，仅使用CAM的患者的社会功能显著改善。使用仅使用CAM的参与者(P<； .01)中有当前精神疾病诊断的显著更少。结论：这些发现表明，在慢性疲劳患者中使用仅使用CAM的治疗与较高的社会功能和较少的当前精神诊断相关。这一结果支持了研究的必要性，以充分评估CAM如何影响CFS患者的功能。
Background: Use of complementary and alternative medicine (CAM) is common among patients with chronic fatigue syndrome (CFS), but whether it is viewed as more or less effective than traditional medicine is unclear.Purpose: To explore patients' level of functioning based on their reports of current treatments used (i.e. traditional-only, CAM-only, or a combination of both).Methods: Participants were recruited from physician referrals and media sources (newspaper, support groups), and 97 participants were retained for this analysis. Based on self-report, individuals were divided into three groups: using CAM-only (N= 27), traditional-medicine-only (N= 22), or a combination of both treatments (N= 58).Results: Social functioning was significant (p< .01), with post-hoc analyses indicating significantly better social functioning for individuals taking CAM-only in comparison to patients using traditional-only or a combination of traditional and CAM treatments. Significantly fewer participants (p< .01) using CAM-only had a current psychiatric diagnosis.Conclusions: These findings suggest using CAM-only treatments in CFS is associated with higher social functioning and fewer current psychiatric diagnoses. The results support the need for research to fully evaluate how CAM may affect functioning among individuals with CFS.