Jason, Leonard A, Taylor, Renee R, Plioplys, Sigita et al. · American journal of community psychology · 2002 · DOI
This study asked medical trainees to read about a patient with ME/CFS symptoms, but gave different groups different names for the illness: "chronic fatigue syndrome," "myalgic encephalopathy," or "Florence Nightingale disease." Researchers found that the name used affected how seriously the trainees thought about the illness—specifically, "myalgic encephalopathy" sounded more serious than "chronic fatigue syndrome." This suggests that what doctors call a disease can influence how much they respect and understand it.
This research highlights how disease nomenclature influences clinical perception and potentially patient care quality. Since ME/CFS patients report experiencing stigma and dismissal from healthcare providers, understanding that the disease name itself affects how seriously providers view the condition is crucial for advocacy efforts around naming and diagnostic criteria. The findings support patient and researcher arguments that terminology matters for clinical recognition and resource allocation.
This study does not prove that renaming the disease will directly improve patient outcomes or change actual clinical practice—it only measures perceptions among trainees in a laboratory setting. The study cannot establish that these attribution changes would persist in real clinical environments or translate into different treatment decisions. Correlation between name and perception does not demonstrate causation in practice outside controlled research settings.
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
Jason, Leonard A, Taylor, Renee R, Plioplys, Sigita, Stepanek, Zuzanna, & Shlaes, Jennifer (2002). Evaluating attributions for an illness based upon the name: chronic fatigue syndrome, myalgic encephalopathy and Florence Nightingale disease.. American journal of community psychology. https://doi.org/10.1023/A:1014328319297
BibTeX
@article{mecfsatlas-jason-2002-evaluating-attributions,
author = {Jason, Leonard A and Taylor, Renee R and Plioplys, Sigita and Stepanek, Zuzanna and Shlaes, Jennifer},
title = {Evaluating attributions for an illness based upon the name: chronic fatigue syndrome, myalgic encephalopathy and Florence Nightingale disease.},
journal = {American journal of community psychology},
year = {2002},
doi = {10.1023/A:1014328319297},
note = {PubMed: 11928774},
url = {https://www.mecfsatlas.com/evidence/jason-2002-evaluating-attributions},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-28. https://www.mecfsatlas.com/evidence/jason-2002-evaluating-attributions
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