Chronic Fatigue Syndrome: a survey of GPs' attitudes and knowledge

Bowen, Jo; Pheby, Derek; Charlett, André; McNulty, Cliodna

doi:10.1093/fampra/cmi019

Cited by 89 publications

(100 citation statements)

References 10 publications

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“…10 However, in a survey of attitudes to CFS among English GPs, Bowen and colleagues found that many GPs lack confidence in making a diagnosis (48%) or in treating patients (41%). 13 Scepticism and a lack of awareness and training among GPs concerning CFS may well explain some of the patient dissatisfaction highlighted in patient surveys, as well as explain delays and error in diagnosis. However, it is also arguable that the biopsychosocial approach of challenging the nature of the illness, and seeking to intervene with psychotherapy to challenge patients' illness beliefs may also play a part in generating distress for patients with CFS.…”

Section: Conclusion: Involving Patients and Empowering Gpsmentioning

confidence: 99%

Chronic fatigue syndrome: is the biopsychosocial model responsible for patient dissatisfaction and harm?

Geraghty

Esmail

2016

Br J Gen Pract

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Section: Conclusion: Involving Patients and Empowering Gpsmentioning

confidence: 99%

Chronic fatigue syndrome: is the biopsychosocial model responsible for patient dissatisfaction and harm?

Geraghty

Esmail

2016

Br J Gen Pract

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“…1,8,9,[22][23][24] Our data regarding GPs attitudes toward adolescent CFS are in line with results of previous studies of CFS attitudes in adults in the Netherlands. Among GPs, 58%-98% accepted CFS as a recognizable clinical entity [25][26][27] and 48%-66% felt unconfident in diagnosing CFS. 26,27 Implications of the Findings…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

“…Among GPs, 58%-98% accepted CFS as a recognizable clinical entity [25][26][27] and 48%-66% felt unconfident in diagnosing CFS. 26,27 Implications of the Findings…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

Adolescent Chronic Fatigue Syndrome: Prevalence, Incidence, and Morbidity

et al. 2011

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WHAT'S KNOWN ON THIS SUBJECT: Adolescent chronic fatigue syndrome (CFS) is a disabling illness. The majority of adolescents with CFS miss significant amounts of school. Little is known about the epidemiology of CFS in adolescents. WHAT THIS STUDY ADDS:The prevalence of adolescent chronic fatigue syndrome (CFS) diagnosed by general practitioners was approximately 111 per 100 000 (0.11%) per year and the incidence of CFS diagnosed by pediatricians was 12 per 100 000 (0.012%) per year. Adolescent CFS is a well-accepted diagnosis among pediatricians but is probably underrecognized by primary health care providers. abstract OBJECTIVE: To determine nationwide general practitioner (GP)-diagnosed prevalence and pediatrician-diagnosed incidence rates of adolescent chronic fatigue syndrome (CFS), and to assess CFS morbidity. DESIGN AND SETTING:We collected data from a cross-sectional national sample among GPs and prospective registration of new patients with CFS in all pediatric hospital departments in the Netherlands. PATIENTS AND METHODS:Study participants were adolescents aged 10 to 18 years. A representative sample of GPs completed questionnaires on the prevalence of CFS in their adolescent patients. Pediatric hospital departments prospectively reported new cases of CFS in adolescent patients. For every new reported case, a questionnaire was sent to the reporting pediatrician and the reported patient to assess CFS morbidity. Prevalence was estimated through the data from GP questionnaires and incidence was estimated on the basis of cases newly reported by pediatricians from January to December 2008. RESULTS:Prevalence was calculated as 111 per 100 000 adolescents and incidence as 12 per 100 000 adolescents per year. Of newly reported patients with CFS, 91% scored at or above cutoff points for severe fatigue and 93% at or above the cutoff points for physical impairment. Forty-five percent of patients with CFS reported Ͼ50% school absence during the previous 6 months. CONCLUSIONS:Clinically diagnosed incidence and prevalence rates show that adolescent CFS is uncommon compared with chronic fatigue. The primary adverse impact of CFS is extreme disability associated with considerable school absence.

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“…In preparation for the survey, we consulted two medical professionals along with past physician surveys for procedural and content advice (Tambor et al, 1993;Bowen et al, 2005). The survey consisted of a vignette depicting a patient with typical symptoms of Chagas disease and general background questions on the canvassed physicians.…”

Section: Evaluating Disease Awarenessmentioning

confidence: 99%

The potential for emergence of Chagas disease in the United States

et al. 2008

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Abstract. To determine the risk for Chagas disease (American trypanosomiasis) in the United States, the characteristics that make the triatomine vector effective and the areas most at risk for transmission were delineated. In addition, the status of Chagas disease awareness among physicians in areas with a potential risk for the disease was determined. A geographical information system (GIS) was used to analyze three triatomine species within the United States known to harbor Trypanosoma cruzi and that exhibit qualities of domesticity. An analysis of the minimum temperature threshold for increased triatomine activity delineates the current population at increased risk, and by incorporating temperature predictions for 2030, the population at risk under a future climate scenario was also delineated. Considering both environmental and social factors, a vignette-based physician survey, based on the results of the GIS analysis, was used to gauge the level of awareness of Chagas disease within the delineated higher risk range.

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Chronic Fatigue Syndrome: a survey of GPs' attitudes and knowledge

Cited by 89 publications

References 10 publications

Chronic fatigue syndrome: is the biopsychosocial model responsible for patient dissatisfaction and harm?

Chronic fatigue syndrome: is the biopsychosocial model responsible for patient dissatisfaction and harm?

Adolescent Chronic Fatigue Syndrome: Prevalence, Incidence, and Morbidity

The potential for emergence of Chagas disease in the United States

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