Politics, science, and the emergence of a new disease. The case of chronic fatigue syndrome.
Politics, science, and the emergence of a new disease. The case of chronic fatigue syndrome.
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政治、科学和新疾病的出现。
DOI：
10.1037//0003-066x.52.9.973
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Jordan,KM
中科院分区：
文献类型：
--
作者：
Jason,LA;Richman,JA;Friedberg,F;Wagner,L;Taylor,R;Jordan,KM
慢性疲劳综合征（CFS）在过去十年中作为一种诊断类别出现。最初的研究表明，CFS是一种相对罕见的疾病，具有高水平的精神共病。许多医生将这种疾病的严重性降到最低，并将该综合征解释为等同于精神疾病。这些态度对CFS的治疗产生了负面影响。到20世纪90年代中期，更具代表性的流行病学研究结果表明，CFS患病率高得多。然而，使用修订后的CFS病例定义可能会产生异质性的患者群体，可能包括一些纯粹的精神疾病患者。社会科学家拥有更精确地定义这种综合征的专业知识，并为了解这种疾病制定适当和敏感的研究策略。
Chronic fatigue syndrome (CFS) emerged as a diagnostic category during the last decade. Initial research suggested that CFS was a relatively rare disorder with a high level of psychiatric comorbidity. Many physicians minimized the seriousness of this disorder and also interpreted the syndrome as being equivalent to a psychiatric disorder. These attitudes had negative consequences for the treatment of CFS. By the mid-1990s, findings from more representative epidemiological studies indicated considerably higher CFS prevalence rates. However, the use of the revised CFS case definition might have produced heterogeneous patient groups, possibly including some patients with pure psychiatric disorders. Social scientists have the expertise to more precisely define this syndrome and to develop appropriate and sensitive research strategies for understanding this disease.