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The treatment of Chronic Fatigue Syndrome (CFS): science & speculation

  [ 101 votes ]   [ Discuss This Article ]
www.ProHealth.com • June 3, 1994


The chronic fatigue syndrome (CFS) is a heterogeneous disorder
characterized by fatigue, neuropsychiatric symptoms, and
various other somatic complaints. Treatment studies to date
reflect both the diversity of medical disciplines involved in
the management of patients with CFS and the multiple
pathophysiologic mechanisms proposed. There have been few
attempts to study integrated treatment programs, and although
several controlled studies have been reported, no treatment
has been shown clearly to result in long-term benefit in the
majority of patients. Good clinical care integrating medical
and psychologic concepts, together with symptomatic
management, may prevent significant secondary impairment in
the majority of patients. Future treatment studies should
examine differential response rates for possible subtypes of
the disorder (eg, documented viral onset, concurrent clinical
depression), evaluate the extent of any synergistic effects
between therapies (ie, medical and psychologic), and employ a
wide range of biologic and psychologic parameters as markers
of treatment response. [References: 77]

MCM: A good broad and broad-minded view of CFS Rx, with
emphasis on multidisciplinary approach.

Wilson A, Hickie I, Lloyd A, Wakefield D




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