Holmwood, C, Shannon, C · Australian family physician · 1992
This 1992 editorial confirms that ME/CFS is a real condition that significantly impacts people's quality of life, though the exact cause was not yet known. The authors suggest that treatment should focus on supportive counseling, explanation of the condition, psychiatric support when needed, and gradually increasing activity levels to help people return to normal functioning.
This editorial is significant as it represents medical consensus from the early 1990s affirming ME/CFS as a legitimate clinical entity despite its unknown cause. It provides historical perspective on how general practitioners were advised to approach diagnosis and management during a critical period when the condition was still gaining recognition.
As an editorial rather than original research, this does not provide new empirical data or prove specific causes of ME/CFS. It does not establish the relative contributions of psychiatric versus organic factors, nor does it provide evidence-based outcome data for the recommended treatment approaches.
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
Holmwood, C & Shannon, C (1992). Chronic fatigue syndrome. A review from the general practice perspective.. Australian family physician. https://pubmed.ncbi.nlm.nih.gov/1318714/
BibTeX
@article{mecfsatlas-holmwood-1992-chronic-fatigue,
author = {Holmwood, C and Shannon, C},
title = {Chronic fatigue syndrome. A review from the general practice perspective.},
journal = {Australian family physician},
year = {1992},
note = {PubMed: 1318714},
url = {https://www.mecfsatlas.com/evidence/holmwood-1992-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/holmwood-1992-chronic-fatigue
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