The Epidemiology of Chronic Fatigue Syndrome
Epidemiologic ReviewsPublished 1 January 1995
Simon Wessely
Citations164
SJR quartileQ1
SJR score2.05
SNIP2.03
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TL;DR
This review concerns the epidemiology of CFS, and it will therefore emphasize studies that have taken a population or primary care perspective, and the importance of recent reviews and chapters that have considered the condition from the point of view of such diverse disciplines.
Abstract
Journal Article The Epidemiology of Chronic Fatigue Syndrome Get access Simon Wessely Simon Wessely The Department of Psychological Medicine, King's College School of Medicine, and the Institute of Psychiatry, University of LondonLondon, England Dr. Simon Wessely, Department of Psychological Medicine, King's College Hospital, Denmark Hill, London SE5 9RS, England Search for other works by this author on: Oxford Academic PubMed Google Scholar Epidemiologic Reviews, Volume 17, Issue 1, 1995, Pages 139–151, https://doi.org/10.1093/oxfordjournals.epirev.a036170 Published: 01 March 1995 Article history Received: 28 April 1994 Revision received: 24 February 1995 Published: 01 March 1995
Keywords
MedicineHealth Professions
Annals of Internal MedicineThe Chronic Fatigue Syndrome: A Comprehensive Approach to Its Definition and Study
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759 Citations1966Irving Kenneth Zola
It is suggested that a socially conditioned selective process may be operating in what is brought in for medical treatment and not etiological ones which account for many of the previously unexplained epidemiological differences between societies and even between subgroups within a society.
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The epidemiology of fatigue in the general population and in primary care is reviewed and potential sources of bias in hospital based studies are examined.
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In general, women presented more symptoms than men, especially true for symptoms of depression and tension, and the mental symptoms are related to the woman's situation in life with double work (responsible for both work and family).
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Among unselected patients seen in a general medical practice currently available EBV serologic test results must be interpreted with great caution, and there is no evidence that EBV is causally related to the syndrome.
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The authors argue that chronic fatigue syndrome will meet the same fate as neurasthenia--a decline in social value as it is demonstrated that the majority of its sufferers are experiencing primary psychiatric disorders or psychophysiological reactions and that the disorder is often a culturally sanctioned form of illness behavior.
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The findings suggest that the fruitless dichotomy of “organic versus functional” should be replaced by a multifactorial approach in the management of this distressing disorder.
Archives of Internal MedicineClinical, Epidemiologic, and Virologic Studies in Four Clusters of the Chronic Fatigue Syndrome
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Clinical features of outbreaks of chronic fatigue syndrome differ sufficiently to suggest different etiologic agents and observe the natural history of the illness.
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The perception of symptoms and the response of seeking medical advice are both significantly related to anxiety as measured by a personality questionnaire.
American Journal of Public HealthChronic fatigue syndrome: have flawed assumptions been derived from treatment-based studies?
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Only a community "true" prevalence study that is unbiased by help seeking and access to health care can provide an accurate assessment of the risk factors for and the public health ramifications of this disease.
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55 Citations1994Nathaniel C. Briggs, Paul H. Levine
Careful evaluation of neurological features in epidemic and endemic cases of what is now called chronic fatigue syndrome may be one approach to distinguishing subtypes of what has been described in the past as a nosological entity.
Journal of Musculoskeletal PainChronic Fatigue Syndrome
24 Citations1994Stephen E. Straus
The approach to CFS should entail education, symptomatic treatment, antidepressants, graded exercise, and generous support, and the role of viruses is emphasized.
PubMedAsthenic symptoms in a rural family practice. Epidemiologic characteristics and a proposed classification.
15 Citations1990Eli Shahar, J Lederer
A retrospective chart review over a 10-year period was conducted to better characterize asthenic symptoms in a rural family practice providing health care to 508 adult patients, finding that patients could be subclassified into three categories according to the recurrence pattern of their asthenics symptoms during the study period.
British Medical BulletinPostviral fatigue syndrome: Current neurobiological perspective
6 Citations1991Peter G. E. Kennedy
Despite a recent concentration of research into various aspects of the syndrome, there are many issues which need to be clarified and it will be critical for investigators to adhere to defined criteria for the syndrome.