No Abstract Available.
Fatigue Syndrome, Chronic* ; Fatigue* ; Prevalence*

No abstract available.
Fatigue Syndrome, Chronic* ; Fibromyalgia

No abstract available.
Fatigue Syndrome, Chronic*

No abstract available.
Fatigue Syndrome, Chronic* ; Gyeonggi-do*

Chronic fatigue syndrome has been recency reconceptualized as a bio-psycho-social disorder. Although the up-to-date pathophysiological hypothesis of this disorder in Europe & America is based on viral origin, no medical therapy has been proven effective in patients with chronic fatigue syndrome. The authors report a case with chronic fatigue syndrome treated successfully with combined psychotherapy and antidepressant. Emphasizing the effectiveness and utility of the psychiatric treatment, we also review the related literatures about the treatment of chronic fatigue syndrome.
Americas ; Europe ; Fatigue Syndrome, Chronic* ; Humans ; Psychotherapy

BACKGROUND: The mechanism of fatigue in patients with fibromyalgia (FM) and CFS (CFS) has not been clarified, but recently there are opinions that chronic pain is a major factor causing chronic fatigue. We performed this study to identify major factors related to chronic fatigue. METHODS: The subjects were 37 patients aged over 18 who visited the primary care institute of a university hospital, whose major symptoms were chronic widespread pain and chronic fatigue and who were given the diagnosis of FM or CFS. The research was carried out through four weeks of symptomatic treatment. The correlation of fatigue severity with the intensity of pain, depression level and anxiety level was analyzed, and regression analysis was conducted to examine the relation between improvement of fatigue after the four weeks' treatment and changes in the intensity of pain, depression level and anxiety level. RESULTS: After the four week treatment, only the intensity of pain was significantly correlatied with fatigue severity. In addition, only change in the intensity of pain was statistically significantly correlatied with the improvement of fatigue. CONCLUSION: In patients who complained of chronic fatigue and chronic widespread pain, the improvement of fatigue after treatment was related to the reduction of pain but not emotional factors such as depression and anxiety.
Anxiety ; Chronic Pain ; Depression ; Diagnosis ; Fatigue Syndrome, Chronic ; Fatigue* ; Fibromyalgia ; Humans ; Primary Health Care

BACKGROUND: Chronic widespread pain (CWP) is known as a common symptom of several organic and psychological disorders. Although medically unexplained CWP (MUE) has lots of clinical distress symptoms, there were no distinct symptoms or signs. Therefore, we conducted this study to investigate clinical distress symptoms of MUE distinct from those of medically explained CWP (ME). METHODS: One hundred nine patients with CWP were enrolled in the study. We classified the study subjects into three groups depending on their medical problems associated with CWP: organic group (ORG), psychological group (PSY), and MUE. All subjects were asked to fill out self-report questionnaires consisting of clinical distress scales including the Korean version of the Fibromyalgia Impact Questionnaire (FIQ-K), fatigue scale, depression scale, and stress scale. And physicians examined 18 tender points over their entire body of the subjects. RESULTS: MUE patients had higher FIQ-K and fatigue severity scores than ORG patients (all P < 0.05). The average number of tender points were 11.33 in MUE patients, 6.48 in ORG patients and 5.02 in PSY patients and statistically significant (P < 0.0001). There were no statistically different factors between MUE and PSY patients with exception for the number of tender points. Depressive symptom was the highest in PSY patients but not statistically different from MUE patients. CONCLUSION: MUE patients had higher physical impairments, fatigue severity and more number of tender points than ORG patients, but had no different clinical characteristics from PSY patients except for the number of tender points.
Chronic Pain ; Depression ; Fatigue ; Fatigue Syndrome, Chronic ; Fibromyalgia ; Humans ; Primary Health Care ; Weights and Measures

Fatigue is probably the most common symptom from both acute and chronic illnesses. It can be defined as a pervasive sense of tiredness or lack of energy that may not be related to exertion. Fatigue is transitory in most cases, however, if it is prolonged or disabling, a significant problem such as chronic fatigue syndrome (CFS) may be warranted. CFS is a complex, debilitating disorder characterized by severe persistent or relapsing fatigue for at least 6 months and a group of characteristic but nonspecific symptoms. Many researchers have proposed that CFS has a specific underlying cause. Currently, however, there is no evidence that supports this view. In addition, since there is no specific physical findings or definitive laboratory tests for consistent biological markers, the diagnosis of CFS depends on operational criteria that do not afford validity and is primarily a diagnosis by exclusion. The prognosis is poor and often the disability and impairment of daily function and performance may be prolonged. The limited understanding of CFS has complicated the management of this disorder. Therefore, the treatment of CFS may be variable and should be tailored to each patient-it should include exercise, diet, good sleep hygiene, antidepressants, and other medications, depending on the patient's clinical presentation.
Antidepressive Agents ; Biomarkers ; Chronic Disease ; Diagnosis ; Diet ; Fatigue ; Fatigue Syndrome, Chronic* ; Hygiene ; Prognosis

This paper points out that the sub-health state is not equal to chronic fatigue syndrome (CFS) on basis of elaborating the concept and category of sub-health. And the present understanding on concepts of fatigue, chronic fatigue and CFS, as well as the diagnosis criteria and differential diagnosis of CFS are discussed systematically.
Chronic Disease ; Diagnosis, Differential ; Fatigue ; diagnosis ; Fatigue Syndrome, Chronic ; diagnosis ; Fibromyalgia ; diagnosis ; Humans ; Terminology as Topic

No abstract available.
Fatigue Syndrome, Chronic* ; Humans ; Physicians, Primary Care* ; Primary Health Care*