Sharpe, M C, Johnson, B A, McCann, J · Journal of the Royal Society of Medicine · 1991 · DOI
This 1991 study examined cases where people with chronic fatigue syndrome (ME/CFS) experienced periods of unusually elevated mood and energy (mania) and whether this was connected to recovery from their illness. The researchers looked at individual case examples to explore this unusual pattern and what it might tell us about how ME/CFS develops and resolves.
Understanding unusual symptom patterns in ME/CFS—such as connections between mood changes and recovery—may provide clues about the biological mechanisms underlying the illness. This early clinical observation could inform future research into mood-related factors in ME/CFS outcomes.
This study does not prove that mania causes recovery from ME/CFS, nor that inducing manic episodes would help patients recover. It cannot establish the direction of causality, and the observations may reflect confounding factors or selection bias. The small sample size and case-control design limit generalizability to the broader ME/CFS population.
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
Sharpe, M C, Johnson, B A, & McCann, J (1991). Mania and recovery from chronic fatigue syndrome.. Journal of the Royal Society of Medicine. https://doi.org/10.1177/014107689108400123
BibTeX
@article{mecfsatlas-sharpe-1991-mania-recovery,
author = {Sharpe, M C and Johnson, B A and McCann, J},
title = {Mania and recovery from chronic fatigue syndrome.},
journal = {Journal of the Royal Society of Medicine},
year = {1991},
doi = {10.1177/014107689108400123},
note = {PubMed: 1994020},
url = {https://www.mecfsatlas.com/evidence/sharpe-1991-mania-recovery},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-29. https://www.mecfsatlas.com/evidence/sharpe-1991-mania-recovery
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