For those concerned with researching Chronic Fatigue Syndrome, it may be in order to search for the term Myalgic Encephalomyelitis (ME). The term is gaining currency despite the considerable controversy that surrounds both CFS and ME. I am in contact with a UK layman research analyst who deals with this disorder in her son. An abstract of one of the articles she forwarded to me on the subject is below:
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http://shortreports.rsmjournals.com/content/4/1/4.full
PDF: http://shortreports.rsmjournals.com/content/4/1/4.full.pdf+html
doi: 10.1258/shorts.2012.012051 J R Soc Med Sh Rep January 2013 vol. 4 no. 1 4
Author Affiliations
1Barts and The London School of Medicine and Dentistry, Queen Mary University London, London, UK
2Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University London, London, UK
Correspondence to: Peter D White. Email: ■■■■■■■■■■■■■■■■■■■■
Abstract
Objectives
Chronic fatigue syndrome (CFS), also known as myalgic encephalomyelitis (ME), has provoked much controversy and led to arguments between the medical profession and patient organizations. A particular focus for debate is the categorization of the condition as physical or psychological in its nature. The aim of this study was to compare how the written media, patient organizations and medical authorities regard the illness.
Design
Content analysis of newspaper articles, ME patient organization websites, and medical websites and textbooks were assessed by two independent assessors.
Setting Three national UK newspapers, UK ME websites, and UK medical websites and textbooks, were accessed during 2010.
Participants 146 source files were scored from 36 patients' organizations, 72 media articles and 38 medical authorities.
Main outcome measured
The overall opinion of an article or website was rated using a five point Likert scale, from ‘extremely psychological’ (scored as 1), ‘moderately psychological’ (2), ‘both psychological and physical’ (3), ‘moderately physical’ (4) or ‘extremely physical’ (5).
Results
Eighty-nine percent (32 of 36) of ME patient organizations considered the illness to be physical, compared with 58% (42/72) of newspaper articles, and 24% (9/38) of medical authorities. Sixty-three percent (24/38) of medical authorities regarded the illness as both physical and psychological. The inter-group differences of the Likert scores were statistically significant (χ2 = 27.37, 2 df, P < 0.001).
Conclusion
The considerable disagreement, particularly between ME patient organizations and medical authorities, may help to explain the gulf in understanding between doctors and patients and the consequent reluctance of some patients to engage in behavioural treatments.