Kovaleva, A I, Pyshnov, G Iu · Meditsina truda i promyshlennaia ekologiia · 2001
This review examines chronic fatigue syndrome and related conditions like burnout and caroshi (a Japanese term for work-related exhaustion), looking at them as forms of extreme tiredness. The authors suggest these conditions may be linked to workplace stress and occupational demands. The paper considers what these different conditions have in common and how they develop.
This study is relevant because it contextualizes ME/CFS within occupational health and comparative pathology, potentially helping explain why work-related stress and environmental factors may contribute to disease development. Understanding these connections could inform prevention strategies and occupational accommodations for affected individuals.
This review does not establish causation between specific occupational exposures and ME/CFS, nor does it prove that all CFS cases are occupationally-induced. The narrative approach cannot determine whether occupational factors are primary causes or secondary contributors to disease pathology.
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
Kovaleva, A I & Pyshnov, G Iu (2001). [Problems of chronic fatigue].. Meditsina truda i promyshlennaia ekologiia. https://pubmed.ncbi.nlm.nih.gov/11768945/
BibTeX
@article{mecfsatlas-kovaleva-2001-problems-chronic,
author = {Kovaleva, A I and Pyshnov, G Iu},
title = {[Problems of chronic fatigue].},
journal = {Meditsina truda i promyshlennaia ekologiia},
year = {2001},
note = {PubMed: 11768945},
url = {https://www.mecfsatlas.com/evidence/kovaleva-2001-problems-chronic},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-28. https://www.mecfsatlas.com/evidence/kovaleva-2001-problems-chronic
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