COMPARISON OF PATIENTS WITH CHRONIC FATIGUE SYNDROME, FIBROMYALGIA, AND MULTIPLE CHEMICAL SENSITIVITIES
COMPARISON OF PATIENTS WITH CHRONIC FATIGUE SYNDROME, FIBROMYALGIA, AND MULTIPLE CHEMICAL SENSITIVITIES
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DOI：
10.1001/archinte.154.18.2049
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发表时间：
1994-09-26
影响因子：
--
通讯作者：
GARRITY, D
中科院分区：
文献类型：
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作者：
BUCHWALD, D;GARRITY, D
背景资料：慢性疲劳综合征（CFS），纤维肌痛（FM）和多种化学敏感性（MCS）是与疲劳和各种其他症状相关的疾病，这些症状似乎具有许多临床和人口统计学特征。我们的目的是描述CFS、FM和MCS患者之间的相似性和差异。其他目标是确定如何频繁与MCS和FM患者符合CFS的标准，如果他们不同的健康locusofControl.Methods：人口统计学，临床和心理社会措施，前瞻性收集90例患者，30例CFS，FM，MCS。患者是从一所大学的转诊诊所招募的，该诊所致力于评估和治疗慢性疲劳和三个私人诊所。变量包括人口统计学特征，症状特征的每一个条件，心理投诉，健康控制点的措施，和信息的卫生保健use.Results：总体而言，三个患者组的人口统计学特征和存在的具体症状显着相似。CFS和FM患者经常报告与MCS一致的症状。同样，70%的FM患者和30%的MCS患者符合CFS标准。CFS、FM和MCS患者的医疗保健使用量很大，上一年平均分别为22.1、39.7和23.3次就诊。健康的控制点之间没有显着差异的三个population.Conclusions：在一般情况下，人口和临床因素和健康的控制点没有明确区分CFS，FM和MCS患者。每种疾病的典型症状在其他两种疾病中普遍存在。
Background: Chronic fatigue syndrome (CFS), fibromyalgia (FM), and multiple chemical sensitivities (MCS) are conditions associated with fatigue and a variety of other symptoms that appear to share many clinical and demographic features. Our objectives were to describe the similarities and differences among patients with CFS, FM, and MCS. Additional objectives were to determine how frequently patients with MCS and FM met the criteria for CFS and if they differed in their health locus of control.Methods: Demographic, clinical, and psychosocial measures were prospectively collected in 90 patients, 30 each with CFS, FM, and MCS. Patients were recruited from a university-based referral clinic devoted to the evaluation and treatment of chronic fatigue and three private practices. Variables included demographic features, symptoms characteristic of each condition, psychological complaints, a measure of health locus of control, and information on health care use.Results: Overall, the three patient groups were remarkably similar in demographic characteristics and the presence of specific symptoms. Patients with CFS and FM frequently reported symptoms compatible with MCS. Likewise, 70% of patients with FM and 30% of those with MCS met the criteria for CFS. Health care use was substantial among patients with CFS, FM, and MCS, with an average of 22.1, 39.7, and 23.3 visits, respectively, to a medical provider during the prior year. Health locus of control did not differ among the three populations.Conclusions: In general, demographic and clinical factors and health locus of control do not clearly distinguish patients with CFS, FM, and MCS. Symptoms typical of each disorder are prevalent in the other two conditions.