Abstract:
BACKGROUND:Chronic Fatigue Syndrome (CFS) is characterised by persistent fatigue, disability and a range of other symptoms. The PACE trial was randomised to compare four non-pharmacological treatments for patients with CFS in secondary care clinics. The aims of this sub study were to describe the use of complementary and alternative medicine (CAM) in the trial sample and to test whether CAM use correlated with an improved outcome. METHOD:CAM use was recorded at baseline and 52weeks. Logistic and multiple regression models explored relationships between CAM use and both patient characteristics and trial outcomes. RESULTS:At baseline, 450/640 (70%) of participants used any sort of CAM; 199/640 (31%) participants were seeing a CAM practitioner and 410/640 (64%) were taking a CAM medication. At 52weeks, those using any CAM fell to 379/589 (64%). Independent predictors of CAM use at baseline were female gender, local ME group membership, prior duration of CFS and treatment preference. At 52weeks, the associated variables were being female, local ME group membership, and not being randomised to the preferred trial arm. There were no significant associations between any CAM use and fatigue at either baseline or 52weeks. CAM use at baseline was associated with a mean (CI) difference of 4.10 (1.28, 6.91; p=0.024) increased SF36 physical function score at 52weeks, which did not reach the threshold for a clinically important difference. CONCLUSION:CAM use is common in patients with CFS. It was not associated with any clinically important trial outcomes.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Lewith G,Stuart B,Chalder T,McDermott C,White PDdoi
10.1016/j.jpsychores.2016.06.005subject
Has Abstractpub_date
2016-08-01 00:00:00pages
37-42eissn
0022-3999issn
1879-1360pii
S0022-3999(16)30327-0journal_volume
87pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To test age- and sex-specific associations between adverse life events and functional bodily symptoms (FBS) in the general population. METHODS:In a population-based cohort, 964 participants (mean age 55 years SD 11, 48% male) completed two measurements waves of the present study. Lifetime exposure to 12 adve...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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abstract::Endometriosis is a common gynecological condition associated with debilitaing pain and poor mental health. This review examines the evidence for psychological and mind-body (PMB) interventions to improve endometriosis pain, psychological distress, sleep and fatigue. Electronic databases searched included PsychINFO, ME...
journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章,随机对照试验
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abstract:OBJECTIVE:A growing body of studies consistently demonstrates that social responsiveness toward others is influenced by the neurohormone oxytocin. However, the potential role of oxytocin for self-perception remains relatively unexplored. Thus, we investigated whether oxytocin administration influences the self-attribut...
journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2019-11-01 00:00:00
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