Johnson, S K, DeLuca, J, Diamond, B J et al. · Perceptual and motor skills · 1996 · DOI
This study tested whether people with ME/CFS have trouble processing sounds specifically, or if they struggle with processing information in general. Researchers compared people with ME/CFS, people with multiple sclerosis, and healthy people on two similar tasks—one using sounds and one using visuals. People with ME/CFS performed worse on the sound-based task but did better on the visual task, suggesting their brains may have particular difficulty processing auditory information.
This study provides evidence that cognitive difficulties in ME/CFS may not be globally nonspecific but may target particular sensory pathways, particularly auditory processing. Understanding these domain-specific impairments could help identify underlying neurobiological mechanisms and potentially guide targeted rehabilitation or therapeutic approaches. The distinction between ME/CFS and MS profiles also reinforces that different diseases cause different patterns of cognitive dysfunction, supporting ME/CFS as a distinct condition.
This study does not establish the cause of auditory processing impairment in ME/CFS or explain the underlying neural mechanisms. It cannot determine whether auditory deficits are primary (arising from auditory system damage) or secondary to other disease processes. The small sample size and cross-sectional design limit generalizability, and the study does not prove this deficit occurs in all people with ME/CFS or is universal across the condition.
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
Johnson, S K, DeLuca, J, Diamond, B J, & Natelson, B H (1996). Selective impairment of auditory processing in chronic fatigue syndrome: a comparison with multiple sclerosis and healthy controls.. Perceptual and motor skills. https://doi.org/10.2466/pms.1996.83.1.51
BibTeX
@article{mecfsatlas-johnson-1996-selective-impairment,
author = {Johnson, S K and DeLuca, J and Diamond, B J and Natelson, B H},
title = {Selective impairment of auditory processing in chronic fatigue syndrome: a comparison with multiple sclerosis and healthy controls.},
journal = {Perceptual and motor skills},
year = {1996},
doi = {10.2466/pms.1996.83.1.51},
note = {PubMed: 8873173},
url = {https://www.mecfsatlas.com/evidence/johnson-1996-selective-impairment},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/johnson-1996-selective-impairment
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