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Clinical assessment measures for patients with chronic fatigue and Chronic Fatigue Syndrome (CFS)

  [ 27 votes ]   [ Discuss This Article ] • October 3, 1994

The 1992 NIMH/NIAID conference recommended that CFS pts
evaluation include 6 domains [+ her recommended instruments,
*=included in packet]:
(1) Fatigue [Multidimensional Assessment of Fatigue MAF*],
(2) Mood disturbance [General HealthQuestionnaire GHQ* for
community, add Diagnostic Interview Schedule DIS for clin
research, add the Beck Depression/Anziety Inventory BDI for
research project],
(3) Functional status [Medical Outcomes Study Short Form-36
(4) Sleep disturbance [Seattle Sleep Screener*; use Sleep
Disorders Questionnaire SDQ* for clin res & res project],
(5) Global well-being [Medical Outcomes Study Short Form-36
(6) Pain [Seattle Pain Inventory*/McGill]
She also advises adding:
(7) NeuroCognition [community: refer to neuropsychologist PRN;
for clin research add PASAT & NART; for Res Project add
PASAT/NART/Stroop/ Beck

She notes problems in (1) gold standards, (2) sensitivity to
change, (3) "bottoming out" or compression effect, (4)
frequency of use (poor recall after 1 month)

Buchwald D

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