Rosner, I, Rozenbaum, M, Naschitz, J E et al. · The Israel Medical Association journal : IMAJ · 2000
This study compared how the nervous systems of people with ME/CFS and fibromyalgia function differently, focusing on dysautonomia—problems with the automatic nervous system that controls heart rate, blood pressure, and other body functions. Researchers used a case-control design to examine whether these two conditions show distinct patterns of autonomic dysfunction. The findings help clarify whether ME/CFS and fibromyalgia are separate conditions with different underlying nervous system problems.
Distinguishing ME/CFS from fibromyalgia is clinically important because the conditions may require different treatment approaches and have different prognoses. Understanding that ME/CFS involves specific autonomic nervous system dysfunction could help validate the biological basis of the illness and guide future diagnostic criteria and therapeutic targets. This work contributes to establishing ME/CFS as a distinct medical condition rather than a variant of fibromyalgia.
This study does not prove that dysautonomia causes ME/CFS, only that it may be associated with the condition. The case-control design cannot establish whether autonomic dysfunction precedes symptom onset or develops as a consequence of the illness. The findings may not apply to all ME/CFS patients, as the study examined a specific population in a particular time period.
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
Rosner, I, Rozenbaum, M, Naschitz, J E, Sabo, E, & Yeshurun, D (2000). Dysautonomia in chronic fatigue syndrome vs. fibromyalgia.. The Israel Medical Association journal : IMAJ. https://pubmed.ncbi.nlm.nih.gov/11344862/
BibTeX
@article{mecfsatlas-rosner-2000-dysautonomia-chronic,
author = {Rosner, I and Rozenbaum, M and Naschitz, J E and Sabo, E and Yeshurun, D},
title = {Dysautonomia in chronic fatigue syndrome vs. fibromyalgia.},
journal = {The Israel Medical Association journal : IMAJ},
year = {2000},
note = {PubMed: 11344862},
url = {https://www.mecfsatlas.com/evidence/rosner-2000-dysautonomia-chronic},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/rosner-2000-dysautonomia-chronic
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