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Psychobehavioral & immunological characteristics of adult people with chronic fatigue & patients with Chronic Fatigue Syndrome (CFS)

  [ 34 votes ]   [ Discuss This Article ] • November 3, 1994

The psychobehavioral responses and cellular immune function were
investigated in healthy people (control, N = 21), adult people
with chronic fatigue (fatigue-non-CFS group, N = 24), and
patients with chronic fatigue syndrome (CFS, N = 10). Based on
psychobehavioral responses, the fatigue-non-CFS group had low
general activity levels (p < .05) and slightly depressive
tendencies (p < .01) compared with the control. They had many
life event stresses (p < .05) and sleep disturbances (p <
.01), and they could not cope appropriately with stresses. The
fatigue-non-CFS group also showed significantly lower natural
killer (NK) cell activity (p < .01) and decreased numbers of
CD16+ and CD56+ cells (p < .05). Compared with the
fatigue-non-CFS group, patients with CFS had higher degrees of
physical fatigue (p < .01) and more life event stresses (p <
.05). They had lower general activity levels and social
introversion. They were also in a depressive state. NK cell
activity and the numbers of CD16+ and CD56+ cells were
significantly reduced in patients with CFS (p < .01). These
findings suggest that adult people with chronic fatigue may be
in an intermediate state between the healthy control and
patients with CFS in terms of psychobehavioral responses and
low NK cell activity. We observed three cases in such an
intermediate state in whom CFS subsequently developed.

Masuda A, Nozoe SI, Matsuyama T, Tanaka H

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