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Three per cent of patients reported complete recovery and 17%reported improvement.At follow up,there were considerable problems at work and consumption of medication was high.Subjective improvement was confirmed by dimensional change:at follow up recovered patients had similar scores to healthy subjects and improved patients showed significant improvement on four out of seven outcome measures and had higher scores than healthy subjects and improved patients showed significant improvement on four out of seven outcome measures and had higher scores than healthy subjects in all dimensions.Sociodemographic variables or treatment by specialists and alternative practitioners did not predict improvement.Predictors of improvement were:subjective sense of control over symptoms,less fatigue, shorter duration of complaints,and a relative absence of physical attributions.The improvement rate in patients with a relatively long duration or complaints is small.Psychological factors are related to improvement,especially cognitive factors. |
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