Fatigue is a very common
symptom all over the world. However, chronic fatigue
syndrome (CFS) is more than just fatigue, it is a
complex of symptoms that is both prolonged
(persisting longer than 6 months) and severe
(associated with substantial disability).
The
term chronic fatigue syndrome was originally
proposed by the U.S. Centers for Disease Control and
Prevention in 1988 to replace numerous other names
that had been used to describe the common set of
symptoms for this syndrome, including febricula in
1750 and neurasthenia in 1869. The term myalgic
encephalomyelitis is more commonly used in the
United Kingdom to describe chronic fatigue syndrome.
It
has been estimated that chronic fatigue syndrome
affects about 0.3% of the adult U.S. population. The
syndrome is much more common in women than in men
with women representing about 75% of all cases. The
mean age of onset is between 30 and 40. Without
treatment, the overwhelming majority of patients
(95%) fail to recover and continue to suffer with
the effects of the syndrome.
Chronic
fatigue syndrome has become the focus of
considerable research since the 1980s, especially
with respect to its underlying cause which is as yet
unknown, although the cause is thought to be
multifactorial. Research is devoted to uncovering a
possible link to infectious organisms, among other
possible causes, because of the typical flu-like
symptoms that many patients experience with the
onset of chronic fatigue syndrome.
Because
the cause of chronic fatigue syndrome is unknown,
currently there is no know cure for this disorder.
Consequently, treatment is primarily aimed at better
controlling the symptoms of the syndrome. The goals
of treatment include:
Reducing the severity of fatigue and
controlling other symptoms
Helping patients gradually increase their
level of activity
In general, the treatment options for people
with chronic fatigue syndrome include
Drug therapy
Cognitive-behavioral therapy
Nutritional and lifestyle interventions
Complementary and alternative therapies
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