The prognosis after multidisciplinary treatment for patients with postinfectious chronic fatigue syndrome and noninfectious chronic fatigue syndrome |
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| Authors: | Masuda Akinori Nakayama Takashi Yamanaka Takao Koga Yasuyuki Tei Chuwa |
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| Affiliation: | (1) First Department of Internal Medicine, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8520, Japan;(2) The Department of Psychosomatic Medicine, Faculty of Medicine, Kagoshima University, Kagoshima, Japan;(3) National Institute of Fitness and Sports, Kanoya, Japan;(4) Nishi Kyusyu University, Japan |
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| Abstract: | The prognosis after multidisciplinary treatment for patients with postinfectious chronic fatigue syndrome (CFS, n = 9) and noninfectious CFS (n = 9) was clarified. After treatment, natural killer (NK) cell activity increased in the postinfectious CFS group but did not recover to within normal range in the noninfectious CFS group. In the postinfectious CFS group, physical and mental symptoms improved, and 8 patients returned to work. In the noninfectious CFS group, symptoms did not improve, and only 3 patients returned to work. The prognosis of postinfectious CFS group was better than that of noninfectious CFS group. Classification of CFS patients into postinfectious and noninfectious groups is useful for choosing the appropriate treatment in order to obtain better prognosis. |
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| Keywords: | chronic fatigue syndrome prognosis multidisciplinary treatment cognitive– behavioral therapy |
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