Journal ArticleDOI
The Chronic Fatigue Syndrome: A Comprehensive Approach to Its Definition and Study
Keiji Fukuda,Sharon E. Straus,Ian B. Hickie,Michael Sharpe,James G. Dobbins,Anthony L. Komaroff +5 more
TLDR
A conceptual framework and a set of research guidelines for use in studies of the chronic fatigue syndrome are developed that cover the clinical and laboratory evaluation of persons with unexplained fatigue; the identification of underlying conditions that may explain the presence of chronic fatigue; revised criteria for defining cases of the Chronic fatigue syndrome; and a strategy for dividing the chronic Fatigue syndrome and other unexplained cases of Chronic fatigue into subgroups.Abstract:
The complexities of the chronic fatigue syndrome and the methodologic problems associated with its study indicate the need for a comprehensive, systematic, and integrated approach to the evaluation, classification, and study of persons with this condition and other fatiguing illnesses. We propose a conceptual framework and a set of guidelines that provide such an approach. Our guidelines include recommendations for the clinical evaluation of fatigued persons, a revised case definition of the chronic fatigue syndrome, and a strategy for subgrouping fatigued persons in formal investigations.read more
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Users' Guides to the Medical Literature
Gordon H. Guyatt,Drummond Rennie +1 more
TL;DR: Without a way of critically appraising the information they receive, clinicians are relatively helpless in deciding what new information to learn and decide how to modify their practice.
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Diagnostic criteria for multiple sclerosis.
Charles M. Poser,Vesna V. Brinar +1 more
TL;DR: The history of clinical diagnostic criteria demonstrates the evolution from rather tentative classifications of restricted value to the more elaborate 1983 scheme which incorporates some laboratory procedures under the rubric paraclinical tests as well as a new category based on the presence of specific abnormalities of the cerebrospinal fluid (CSF).
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Fatigue in neurological disorders
Abhijit Chaudhuri,Peter O. Behan +1 more
TL;DR: A state of pre-existing relative hypocortisolaemia might sensitise the hypothalamic-pituitary-adrenal axis to development of persistent central fatigue after stress.
Journal ArticleDOI
Chronic fatigue syndrome
TL;DR: In this paper, the authors review issues of epidemiology and clinical manifestations, focusing on the scientific status of chronic fatigue syndrome (CFS) and suggest multidisciplinary prospective studies of CFS in the general population.
Journal ArticleDOI
Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols
Bruce M. Carruthers,Anil Kumar Jain,Kenny L. De Meirleir,Daniel L. Peterson,Nancy G. Klimas,A. Martin Lerner,Alison C Bested,Pierre Flor-Henry,Pradip Joshi,A. C. Peter Powles,Jeffrey A. Sherkey,Marjorie I. van de Sande +11 more
TL;DR: A systematic clinical working case definition for myalgic encephalomyelitis is presented and an Ex- pert Medical Consensus Panel representing treating physicians, teaching faculty and researchers are selected.
References
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The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
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The mos 36- item short form health survey (sf- 36) conceptual framework and item selection
Ware J.E.Jr.,C D Sherburne +1 more
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The Fatigue Severity Scale: Application to Patients With Multiple Sclerosis and Systemic Lupus Erythematosus
TL;DR: A fatigue severity scale was internally consistent, correlated well with visual analogue measures, clearly differentiated controls from patients, and could detect clinically predicted changes in fatigue over time and identify features that distinguish fatigue between two chronic medical disorders.
Journal ArticleDOI
National Institute of Mental Health diagnostic interview schedule: Its history, characteristics, and validity.
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The Sickness Impact Profile: development and final revision of a health status measure.
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