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Perspectives of Family Medicine Physicians and Licensed Acupuncture Clinicians on Caring for Persons With Unexplained Chronic Fatigue
Jeanette M. Daly, RN, PhD
200 Hawkins Drive, 01290-F PFP, Iowa City, IA 52242, jeanette-daly{at}uiowa.edu
Arthur J. Hartz, MD, PhD
Department of Family Medicine at the University of Iowa
Unexplained chronic fatigue (UCF) is a poorly understood condition with little known about its etiology and treatment. A wide range of health care providers, including physicians, nurse practitioners, and complementary and alternative medical practitioners, offer services for persons with UCF. This study explored perspectives of family medicine physicians and licensed acupuncture clinicians with experience in treating patients with UCF, regarding their treatment regimens and perceived success at improving their patients' energy and coping with symptoms. A sample of 141 family medicine physicians and licensed acupuncturists was surveyed via a questionnaire; 48 returned the completed questionnaire. Clinicians reported treating from 3 to 375 patients with UCF. Family physicians provided more conventional methods, and licensed acupuncturists provided alternative treatments. The reported success of the licensed acupuncturists at improving energy and stamina and helping patients cope with fatigue was significantly higher than that of the family physicians. Implications for future research are discussed.
Key Words: unexplained chronic fatigue treatment complementary and alternative medicine
References
- Adams, J. (2004). Exploringtheinterfacebetweencomplementaryandalternativemedicine(CAM)andruralgeneralpractice:Acallforresearch. Health Place, 10(3), 285-287.[CrossRef][Medline]
[Order article via Infotrieve]
- Az, S., Gregg, V., & Jones, D. (1997). Chronic fatigue syndrome: Sufferers' evaluation of medical support. Journal of the Royal Society of Medicine, 90, 250-254.[Abstract]
- Barrett, B., Marchand, L., Scheder, J., Appelbaum, D., Plane, M.B., Blustein, J., et al. (2004). What complementary and alternative medicine practitioners say about health and health care. Annals of Family Medicine, 2(3), 253-259.[CrossRef]
- Broom, D., & Woodward, R. (1996). Medicalisation reconsidered: A collaborative approach to care. Sociology of Health and Illness, 18, 357-378.[CrossRef]
- Cartwright, T., & Torr, R. (2005). Making sense of illness: The experiences of users of complementary medicine. Journal of Health Psychology, 10, 559-572.[Abstract/Free Full Text]
- Edmunds, M., McGuire H., & Price, J. (2004). Exercise therapy for chronic fatigue syndrome. The Cochrane Database of Systematic Reviews, 3, Art No: CD003200.
- Eisenberg, D.M., Davis, R.B., Ettner, S.L., Appel, S., Wilkey, S., Van Rompay, M., et al. (1998). Trends in alternative medicine use in the United States, 1990-1997: Results of a follow-up national survey. Journal of the American Medical Association, 280(18), 1569-1575.[Abstract/Free Full Text]
- Eisenberg, D.M., Kessler, R.C., Foster, C., Norlock, F.E., Calkins, D.R., & Delbanco, T.L. (1993). Unconventional medicine in the United States. Prevalence, costs, and patterns of use. New England Journal of Medicine, 328, 246-252.[Abstract/Free Full Text]
- Ernst, E., Pittler, M.H., & Wider, B. (2006). The desktop guide to complementary and alternative medicine. An evidence-based approach (2nd ed.) London: Mosby/Elsevier.
- Fukuda, K., Straus, S., Hickie, I., Sharpe, M., Dobbins, J., & Komaroff, A. (1994). The chronic fatigue syndrome: A comprehensive approach to its definition and study. Annals of Internal Medicine, 121, 953-959.[Abstract/Free Full Text]
- Jones, J.F., Maloney, E.M., Boneva, R.S., Jones, A.B., & Reeves, W.C. (2007). Complementary and alternative medical therapy utilization by people with chronic fatiguing illnesses in the United States. BMC Complement Alternative Medicine, 7, 12.
- Schmaling, K.B., Fiedelak, J.I., Bader, J., & Buchwald, D. (2005). A longitudinal study of physical activity and body mass index among persons with unexplained chronic fatigue. Journal of Psychosomatic Research, 58, 375-381.[CrossRef][Medline]
[Order article via Infotrieve]
- Twemlow, S., Bradshaw, C., Coyne, L., & Lerman, B. (1997). Patterns of utilization of medical care and perceptions of the relationship between doctor and patient with chronic illness including chronic fatigue syndrome. Psychological Reports, 80, 643-658.[Medline]
[Order article via Infotrieve]
- Weatherley-Jones, E., Nicholl, J.P., Thomas, K.J., Parry, G.J., McKendrick, M.W., Green, S.T., et al. (2004). A randomised, controlled, triple-blind trial of the efficacy of homeopathic treatment for chronic fatigue syndrome. Journal of Psychosomatic Research, 56(2), 189-197.[CrossRef][Medline]
[Order article via Infotrieve]
Complementary Health Practice Review, Vol. 12, No. 3,
196-202 (2007)
DOI: 10.1177/1533210107306842

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