Problems in defining post-exertional malaise.

Problems in defining post-exertional malaise.
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DOI:
10.1080/10852352.2014.973239
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发表时间:
2015
影响因子:
1.1
通讯作者:
Brown A
Brown A
中科院分区:
其他
文献类型:
--
作者:
Jason LA;Evans M;So S;Scott J;Brown A

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产后不适(PEM)是肌痛性脑脊髓炎(ME)、肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)和慢性疲劳综合征(CFS)的主要症状。据报道,PEM发生在许多这些患者中,并且有几个标准(例如,ME和ME/CFS),则此症状是强制性的。在本研究中,32名被诊断患有CFS的参与者对自我报告项目的反应进行了检查,这些项目是为了捕捉PEM的特征和模式而开发的。如结果所示,根据目前使用的评估CFS的自我报告标准,各种项目措辞的细微差异可能会影响是否确定患有PEM。更好地了解如何评估这种症状可能有助于提高ME,ME/CFS和CFS的诊断可靠性和有效性。
Post-Exertional Malaise (PEM) is a cardinal symptom of the illnesses referred to as Myalgic Encephalomyelitis (ME), Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS), and chronic fatigue syndrome (CFS). PEM is reported to occur in many of these patients, and with several criteria (e.g., ME and ME/CFS), this symptom is mandatory. In the present study, 32 participants diagnosed with CFS were examined on their responses to self-report items that were developed to capture the characteristics and patterns of PEM. As shown in the results, the slight differences in wording for various items may affect whether one is determined to have PEM according to currently used self-report criteria to assess CFS. Better understanding of how this symptom is assessed might help improve the diagnostic reliability and validity of ME, ME/CFS, and CFS.