Individuals meeting the Fukuda et al definition for chronic fatigue syndrome completed a multidisciplinary assessment that included medical, psychiatric, behavioral, and psychological evaluations.
Patients were then offered a comprehensive multidisciplinary intervention that included (1) bringing the patient under optimal medical management ; (2) treating any ongoing affective or anxiety disorder pharmacologically ; and (3) implementing a comprehensive cognitive-behavioral treatment program.
Fifty-one patients proceeded to treatment.
The cognitive-behavioral component was carried out through the use of a therapist working with the patients in their own environments.
The program was individually tailored to patients, but included (1) structured physical exercise and activation ; (2) sleep management strategies ; (3) careful activity management ; (4) regulation of stimulant intake and reductions in use of symptomatic medications ; (5) cognitive intervention designed to deal with patients'beliefs concerning the nature of their disorder ; (6) participation of patients'family ; and (7) efforts to establish specific vocational and avocational goals.
Third parties were encouraged to collaborate cooperatively.
Employers were urged to provide employment opportunities and facilitate a graduated but time-targeted return to work. (...)
Mots-clés Pascal : Fatigue chronique syndrome, Méthodologie, Evaluation, Multidisciplinaire, Long terme, Etude longitudinale, Etude comparative, Intervention, Homme, Système nerveux pathologie, Organisation santé, FUKUDA
Mots-clés Pascal anglais : Chronic fatigue syndrome, Methodology, Evaluation, Multidisciplinary, Long term, Follow up study, Comparative study, Operation, Human, Nervous system diseases, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0037638
Code Inist : 002B17I. Création : 31/05/1999.