Physical fatigability and exercise capacity in chronic fatigue syndrome: Association with disability, somatization and psychopathology

Fischler, Benjamin; Dendale, Paul; Michiels, Véronique; Cluydts, Raymond; Kaufman, Leonard; Meirleir, Kenny De

doi:10.1016/s0022-3999(96)00297-8

Cited by 52 publications

(18 citation statements)

References 26 publications

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“…Chronicity, as it relates to phases of illness, contributes the cycle of being overwhelmed by and eventually learning to live with the illness. Travers and Lawler reviewed the historical context of contested illnesses where previous studies have described ME/CFS in a way that makes patients accountable for the cause of their illness due to a psychosomatic explanation [28, 29]. Shifting accountability from the medical system to the individual patients is one way in which the societal response blames the victim [30].…”

Section: Resultsmentioning

confidence: 99%

A review and meta-synthesis of qualitative studies on Myalgic Encephalomyelitis/chronic fatigue syndrome

Anderson

Jason

Hlavaty

et al. 2012

Patient Education and Counseling

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Objective To review and synthesize findings across qualitative studies on Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS). Methods Articles were systematically reviewed and analyzed within a meta-analytic framework. Analyses included a multi-perspective (e.g., individual, physician, familial) examination of ME/CFS, as well as a comparative analysis of ME/CFS versus other chronic conditions. Results Thirty-four (34) qualitative studies on ME/CFS were identified and included. Findings include three substantive thematic areas that focus on studies concerning: (1) experiences of people with ME/CFS, (2) experiences of physicians, and (3) themes that intersect both of these groups. For patients, illness development influenced identity, reductions in functioning, and coping. Physician-specific themes described lack of awareness about the illness and recommended improvement in medical education. Themes that intersected expressed issues with diagnosis which creates tensions and fuels the stigmatization of ME/CFS. Conclusions Findings indicate multilayered, context-specific experiences and ways in which both people with ME/CFS, as well as the people involved in their lives, such as family or the medical community, understand their illness. Future qualitative studies should coalesce the various facets of the ME/CFS experience, the network members of people with ME/CFS, and the sociocultural environment through which the illness is understood. Practice implications Health care professionals can gain unique insight from patient experiences, allowing for more accurate diagnoses and treatment recommendations.

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Section: Resultsmentioning

confidence: 99%

A review and meta-synthesis of qualitative studies on Myalgic Encephalomyelitis/chronic fatigue syndrome

Anderson

Jason

Hlavaty

et al. 2012

Patient Education and Counseling

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“…Similarly, after undergoing standardized mental stressors fatigued patients also demonstrate reduced autonomic responsiveness (increase in sympathetic drive and reduction of vagal modulation) [45]. These findings emphasize the diminished cardiac response to exercise in patients with ME/CFS [46] which may contribute to their physical fatigue and inactive life style [47]. Similar reductions in cardiac autonomic responsiveness can be detected in other illnesses, such as arterial hypertension or myocardial infarction [48].…”

Section: Autonomic Abnormalities In Me/cfsmentioning

confidence: 89%

Peripheral and Central Mechanisms of Fatigue in Inflammatory and Noninflammatory Rheumatic Diseases

Staud

2012

Curr Rheumatol Rep

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Fatigue is a common symptom in a large number of medical and psychological disorders including many rheumatologic illnesses. A frequent question for health care providers is related to whether reported fatigue is “in the mind” or “in the body” i.e. central or peripheral. If fatigue occurs at rest without any exertion this suggests psychological or central origins. If patients relate their fatigue mostly to physical activities including exercise then their symptoms can be considered peripheral. However, most fatiguing syndromes seem to depend on both peripheral and central mechanisms. Sometimes muscle biopsy with histochemistry may be necessary for the appropriate tissue diagnosis whereas serological tests generally provide little reliable information about the origin of muscle fatigue. Muscle function and peripheral fatigue can be quantified by contractile force and action potential measurements whereas validated questionnaires are frequently used for assessment of mental fatigue. Fatigue is a hallmark of many rheumatologic conditions including fibromyalgia, myalgic encephalitis/chronic fatigue syndrome, rheumatoid arthritis, systemic lupus, Sjogren’s syndrome and ankylosing spondylitis. Whereas many studies have focused on disease activity as a correlate to these patients’ fatigue it has become apparent that other factors including negative affect and pain are some of the most powerful predictors for fatigue. Conversely sleep problems, including insomnia seem to be less important for fatigue. There are several effective treatment strategies available for fatigued patients with rheumatologic disorders including pharmacological and non-pharmacological therapies

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“…Pain catastrophizing concerns interpretations of pain in terms of relevance and potential danger and is therefore classified as an attribution (43). contrary to pain catastrophizing, anxiety or somatization were not related to the inability of patients with cFS to perform a graded exercise test (44). In addition, concurrent psychiatric illnesses have been reported to not adversely affect physical functional capacity (45).…”

Section: Interactions Between Biology Psychology and Exercise Physiomentioning

confidence: 99%

Chronic fatigue syndrome: An approach combining self-management with graded exercise to avoid exacerbations

2008

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controversy regarding the aetiology and treatment of patients with chronic fatigue syndrome continues among the medical professions. the cochrane collaboration advises practitioners to implement graded exercise therapy for patients with chronic fatigue syndrome using cognitive behavioural principles. conversely, there is evidence that exercise can exacerbate symptoms in chronic fatigue syndrome, if too-vigorous exercise/activity promotes immune dysfunction, which in turn increases symptoms. When designing and implementing an exercise programme for chronic fatigue syndrome it is important to be aware of both of these seemingly opposing viewpoints in order to deliver a programme with no detrimental effects on the pathophysiology of the condition. Using evidence from both the biological and clinical sciences, this paper explains that graded exercise therapy for people with chronic fatigue syndrome can be undertaken safely with no detrimental effects on the immune system. exercise programmes should be designed to cater for individual physical capabilities and should take into account the fluctuating nature of symptoms. in line with cognitive behaviourally and graded exercise-based strategies, self-management for people with chronic fatigue syndrome involves encouraging patients to pace their activities and respect their physical and mental limitations, with the ultimate aim of improving their everyday functioning.

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Physical fatigability and exercise capacity in chronic fatigue syndrome: Association with disability, somatization and psychopathology

Cited by 52 publications

References 26 publications

A review and meta-synthesis of qualitative studies on Myalgic Encephalomyelitis/chronic fatigue syndrome

A review and meta-synthesis of qualitative studies on Myalgic Encephalomyelitis/chronic fatigue syndrome

Peripheral and Central Mechanisms of Fatigue in Inflammatory and Noninflammatory Rheumatic Diseases

Chronic fatigue syndrome: An approach combining self-management with graded exercise to avoid exacerbations

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