Customizing Treatment of Chronic Fatigue Syndrome and Fibromyalgia: The Role of Perpetuating Factors

被引：80
作者：
Van Houdenhove, Boudewijn [1 ]
Luyten, Patrick [1 ]
机构：
[1] Univ Hosp Gasthuisberg, B-3000 Louvain, Belgium
来源：
PSYCHOSOMATICS | 2008年 / 49卷 / 06期
关键词：
D O I：
10.1176/appi.psy.49.6.470
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Background: Syndromes characterized by chronic, medically unexplained fatigue, effort- and stress-intolerance, and widespread pain are highly prevalent in medicine. Results: In chronic fatigue syndrome (CFS) and fibromyalgia (FM), various perpetuating factors may impair patients' quality of life and functioning and impede recovery. Although cognitive-behavioral and graded-exercise therapy are evidence-based treatments, the effectiveness and acceptability of therapeutic interventions in CFS/FM may largely depend on a customized approach taking the heterogeneity of perpetuating factors into account. Conclusion: Further research should clarify the aim and outcome of different treatment strategies in CFS/FM, as well as the underlying mechanisms of change, including those facilitating neurobiological recovery. (Psychosomatics 2008; 49: 470-477)
引用
收藏
页码：470 / 477
页数：8
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