An evaluation of multidisciplinary intervention for XXXX with long-term follow-up, and a comparison with untreated controls.

@entity1 @entity148 @entity5815 @entity146
Individuals meeting the Fukuda et al definition for @entity5815 completed a multidisciplinary assessment that included medical, @entity146 , behavioral, and psychological evaluations. @entity1 were then offered a comprehensive multidisciplinary intervention that included (1) bringing the @entity1 under optimal medical management; (2) treating any ongoing affective or @entity148 pharmacologically; and (3) implementing a comprehensive cognitive-behavioral treatment program. Fifty-one @entity1 proceeded to treatment. The cognitive-behavioral component was carried out through the use of a therapist working with the @entity1 in their own environments. The program was individually tailored to @entity1 , 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 @entity1 ' beliefs concerning the nature of their disorder; (6) participation of @entity1 ' 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. Disability carriers were encouraged to provide interim financial support in the form of disability benefits, support therapeutic intervention, but also to establish a clear time-frame to access to benefits. Of 51 treated @entity1 , 31 returned to gainful employment, 14 were functioning at a level equivalent to employment, and 6 remained significantly disabled. Twenty of the original 71 @entity1 were contacted an average of 33 months later. @entity1 who had been treated showed good maintenance of gains. Untreated @entity1 showed improvement in only a minority of cases.
