Similä, Wenche Ann, Halsteinli, Vidar, Helland, Ingrid B et al. · Health and quality of life outcomes · 2020 · DOI
This study measured how ME/CFS affects the quality of life of teenagers in Norway. Researchers found that adolescents with ME/CFS reported significantly lower quality of life compared to healthy peers, with boys reporting better outcomes than girls. Having support from teachers, attending school, participating in activities, and avoiding depression were linked with better quality of life.
This study provides evidence that ME/CFS significantly impacts adolescent quality of life and identifies modifiable factors—such as teacher support and school engagement—that may improve outcomes. Understanding these associations can inform targeted interventions and support strategies for young people with ME/CFS.
This study cannot establish causation; for example, it is unclear whether depression causes poor quality of life or vice versa, or whether rehabilitation was ineffective or assigned to more severely affected patients. The cross-sectional design means no temporal relationships can be confirmed. The authors explicitly note that causal relationships require future longitudinal research.
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
Similä, Wenche Ann, Halsteinli, Vidar, Helland, Ingrid B, Suvatne, Christer, Elmi, Hanna, & Rø, Torstein Baade (2020). Health-related quality of life in Norwegian adolescents living with chronic fatigue syndrome.. Health and quality of life outcomes. https://doi.org/10.1186/s12955-020-01430-z
BibTeX
@article{mecfsatlas-simil-2020-health-related,
author = {Similä, Wenche Ann and Halsteinli, Vidar and Helland, Ingrid B and Suvatne, Christer and Elmi, Hanna and Rø, Torstein Baade},
title = {Health-related quality of life in Norwegian adolescents living with chronic fatigue syndrome.},
journal = {Health and quality of life outcomes},
year = {2020},
doi = {10.1186/s12955-020-01430-z},
note = {PubMed: 32503553},
url = {https://www.mecfsatlas.com/evidence/simil-2020-health-related},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/simil-2020-health-related
Contribute
Private, reviewed by a human. Not a public comment thread.