Chronic fatigue syndrome or myalgic encephalomyelitis

Burns, Dianne; Bennett, Collette; McGough, Amanda

doi:10.7748/ns2012.02.26.25.48.c8950

Cited by 6 publications

(2 citation statements)

References 24 publications

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“…A successful CFS/ME rehabilitation programme may lead to reduction in the over-all activities performed by the patient but its main value is the reduction of the unpleasant symptoms of fatigue, pain, headaches, sleep problems etc on one hand and also the breakdown of the vicious cycle of fluctuations between good and bad days (Burns, 2012).…”

Section: Discussionmentioning

confidence: 99%

Multiple Sclerosis/Chronic Fatigue Syndrome overlap: When two common disorders collide

Gaber

Ringrose

2014

NRE

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INTRODUCTION: Fatigue is a major cause of disability and handicap in Multiple Sclerosis (MS) patients. The management of this common problem is often difficult. Chronic Fatigue Syndrome (CFS/ME) is another common cause of fatigue which is prevalent in the same population of middle aged females commonly affected by MS. AIM: This report aims at examining the potential coexistence of MS and CFS/ME in the same patients. METHOD: This is a retrospective study examining a cohort of MS patients referred for rehabilitation. The subjects were screened for CFS/ME symptoms. RESULTS: Sixty-four MS patients (43 females) were screened for CFS/ME. Nine patients (14%) with a mean age 52 (SD 9.7) who were all females fulfilled the Fukuda criteria for diagnosis of CFS/ME. Their symptoms, including muscular and joint pain, malaise and recurrent headaches, were not explained by the pattern of their MS. DISCUSSION: MS and CFS/ME are two common conditions with increased prevalence in middle aged females. As the diagnosis of CFS/ME is clinical with no positive clinical signs or investigations; it can be made with difficulty in the presence of another clear explanation for the disabling fatigue. Our results suggest that the two conditions may co-exist. Considering CFS/ME as a potential co-morbidity may lead to more focused and appropriate management.

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Section: Discussionmentioning

confidence: 99%

Multiple Sclerosis/Chronic Fatigue Syndrome overlap: When two common disorders collide

Gaber

Ringrose

2014

NRE

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“…If necessary, the essential adjustments should be discussed. They are important to ensure a realistic return to the workplace and gain the trust of the employer (Naylor & Sochalski , Burns , Hirschman et al . ).…”

Section: Discussionmentioning

confidence: 99%

Exploring the potential role of the advanced nurse practitioner within a care path for patients with chronic fatigue syndrome

Ryckeghem

Delesie

Tobback

et al. 2017

Journal of Advanced Nursing

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This qualitative exploration underscores some clear deficiencies in the guidance of patients suffering from chronic fatigue syndrome and abnormal fatigue. An advanced nurse practitioner as a central intermediator in the transmural care of these patients could promote interdisciplinary/multidisciplinary collaboration and effective communication, provide education and ensure a structured and coordinated approach.

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Clinical Practice: Chronic fatigue syndrome

2013

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The diagnosis chronic fatigue syndrome (CFS) was conceptualized in the mid-1980s. It is a clinically defined condition characterized by severe and disabling new onset fatigue with at least four additional symptoms: impaired memory or concentration, sore throat, tender cervical or axillary lymph nodes, muscle pain, multi-joint pain, new headaches, unrefreshing sleep or post-exertion malaise. Chronic fatigue syndrome in adolescents is a rare condition compared to symptomatic fatigue. The estimated prevalence of adolescent CFS ranges between 0.11 and 1.29 % in Dutch, British, and US populations. Diagnosis of the chronic fatigue syndrome is established through exclusion of other medical and psychiatric causes of chronic fatiguing illness. Taking a full clinical history and a full physical examination are therefore vital. In adolescence, CFS is associated with considerable school absence with long-term detrimental effects on academic and social development. One of the most successful potential treatments for adolescents with CFS is cognitive behavioural therapy, which has been shown to be effective after 6 months in two thirds of the adolescents with CFS. This treatment effect sustains at 2-3-year follow-up. In conclusion, the diagnosis CFS should be considered in any adolescent patient with severe disabling long-lasting fatigue. Cognitive behavioural therapy is effective in 60-70 % of the patients. Prompt diagnosis favours the prognosis.

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Chronic fatigue syndrome or myalgic encephalomyelitis

Cited by 6 publications

References 24 publications

Multiple Sclerosis/Chronic Fatigue Syndrome overlap: When two common disorders collide

Multiple Sclerosis/Chronic Fatigue Syndrome overlap: When two common disorders collide

Exploring the potential role of the advanced nurse practitioner within a care path for patients with chronic fatigue syndrome

Clinical Practice: Chronic fatigue syndrome

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