Bowen, Jo, Pheby, Derek, Charlett, Andre et al. · Family practice · 2005 · DOI
This study asked general practitioners (GPs) in the UK what they knew about ME/CFS and how confident they felt diagnosing and treating it. About half of the GPs surveyed didn't feel confident making a diagnosis, and 41% didn't feel confident treating the condition. The study found that GPs who believed ME/CFS was a real medical condition had much more positive attitudes toward patients.
This study identifies a critical gap between clinical guidance availability and actual GP confidence in diagnosing and managing ME/CFS. Since GP attitudes directly influence patient outcomes and access to care, understanding these barriers is essential for improving support and developing better educational strategies for healthcare providers.
This study does not prove that improving GP attitudes will actually improve patient outcomes, only that attitudes are associated with confidence levels. The correlation between knowing someone with CFS/ME and positive attitudes does not establish causation and may reflect selection bias. The study cannot determine whether low GP confidence is the primary cause of diagnostic delays or whether other factors (like lack of biomarkers) also contribute.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Bowen, Jo, Pheby, Derek, Charlett, Andre, & McNulty, Cliodna (2005). Chronic Fatigue Syndrome: a survey of GPs' attitudes and knowledge.. Family practice. https://doi.org/10.1093/fampra/cmi019
BibTeX
@article{mecfsatlas-bowen-2005-chronic-fatigue,
author = {Bowen, Jo and Pheby, Derek and Charlett, Andre and McNulty, Cliodna},
title = {Chronic Fatigue Syndrome: a survey of GPs' attitudes and knowledge.},
journal = {Family practice},
year = {2005},
doi = {10.1093/fampra/cmi019},
note = {PubMed: 15805128},
url = {https://www.mecfsatlas.com/evidence/bowen-2005-chronic-fatigue},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/bowen-2005-chronic-fatigue
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