Terra, J L · La Revue du praticien · 1999
This paper explains that when people have depression, they often also have other mental health or physical health problems at the same time. Examples include anxiety disorders, alcohol use problems, eating disorders, and medical conditions like heart disease, cancer, and chronic fatigue syndrome. The authors provide guidance to help doctors decide which condition to treat first when someone has multiple problems occurring together.
ME/CFS patients frequently experience comorbid depression, and understanding how to manage multiple concurrent conditions is essential for appropriate clinical care. This guideline addresses the practical challenge of treatment prioritization in patients with both ME/CFS and depressive symptoms, which is a common clinical scenario.
This guideline does not establish whether depression causes ME/CFS or vice versa, nor does it provide empirical evidence about the prevalence of depression in ME/CFS populations. It does not prove that treating depression will improve ME/CFS outcomes or address ME/CFS-specific pathophysiology.
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
Terra, J L (1999). [Symptomatic and concurrent depressions].. La Revue du praticien. https://pubmed.ncbi.nlm.nih.gov/10337217/
BibTeX
@article{mecfsatlas-terra-1999-symptomatic-concurrent,
author = {Terra, J L},
title = {[Symptomatic and concurrent depressions].},
journal = {La Revue du praticien},
year = {1999},
note = {PubMed: 10337217},
url = {https://www.mecfsatlas.com/evidence/terra-1999-symptomatic-concurrent},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-29. https://www.mecfsatlas.com/evidence/terra-1999-symptomatic-concurrent
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