De Silva, R Erandie Ediriweera, Bayliss, Kerin, Riste, Lisa et al. · Journal of family medicine and primary care · 2013 · DOI
This study looked at why ME/CFS is rarely diagnosed in South Asia, even though people there experience its symptoms. By interviewing South Asian patients, doctors, and community leaders in the UK, researchers found that cultural beliefs, language barriers, and doctors' lack of knowledge about ME/CFS make it harder for people to get a proper diagnosis. The study suggests that raising awareness about ME/CFS in South Asia could help more people get diagnosed and treated.
This research highlights critical cultural and systemic barriers to ME/CFS diagnosis that extend beyond individual physiology to include healthcare access, provider knowledge, and cultural conceptualizations of illness. Understanding these barriers is essential for improving diagnosis and reducing the burden of undiagnosed ME/CFS, particularly in underserved populations where diagnostic delays can exacerbate suffering and disability.
This study does not directly establish that the identified barriers exist in South Asia itself—findings are based on UK-resident South Asian communities and are extrapolated. It does not prove causation between specific cultural factors and diagnostic outcomes, only that perceived barriers exist. The study cannot determine prevalence rates of ME/CFS in South Asia or quantify how often these barriers prevent diagnosis.
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
De Silva, R Erandie Ediriweera, Bayliss, Kerin, Riste, Lisa, & Chew-Graham, Carolyn A (2013). Diagnosing Chronic Fatigue Syndrome in South Asians: Lessons from a Secondary Analysis of a UK Qualitative Study.. Journal of family medicine and primary care. https://doi.org/10.4103/2249-4863.120765
BibTeX
@article{mecfsatlas-de-silva-2013-diagnosing-chronic,
author = {De Silva, R Erandie Ediriweera and Bayliss, Kerin and Riste, Lisa and Chew-Graham, Carolyn A},
title = {Diagnosing Chronic Fatigue Syndrome in South Asians: Lessons from a Secondary Analysis of a UK Qualitative Study.},
journal = {Journal of family medicine and primary care},
year = {2013},
doi = {10.4103/2249-4863.120765},
note = {PubMed: 24479098},
url = {https://www.mecfsatlas.com/evidence/de-silva-2013-diagnosing-chronic},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-29. https://www.mecfsatlas.com/evidence/de-silva-2013-diagnosing-chronic
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