Chronic Fatigue Syndrome (CFS): have flawed assumptions been derived from treatment-based studies?

Chronic fatigue syndrome is a disabling disorder that has been

studied primarily in clinical settings. In the absence of an

adequate epidemiological database, cultural stereotypes have

influenced the characterization of chronic fatigue syndrome as

“the yuppie flu,” similar to the 19th century characterization

of neurasthenia as a disease of the affluent. The limited

epidemiological data available and the overall

medical-sociological literature call this assumption into

question. Only a community “true” prevalence study that is

unbiased by help seeking and access to health care can provide

an accurate assessment of the risk factors for and the public

health ramifications of this disease.

Richman JA, Flaherty JA, Rospenda KM

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