ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

637 studies

141–160 of 637 studies

E0 ConsensusReviewPEM unclearSystematic-Review

Aetiological Understanding of Fibromyalgia, Irritable Bowel Syndrome, Chronic Fatigue Syndrome and Classificatory Analogues: A Systematic Umbrella Review.

Kleinstäuber, Maria, Schröder, Andreas, Daehler, Sarah et al.·Clinical psychology in Europe·2023

This study reviewed hundreds of scientific articles about ME/CFS, fibromyalgia, and irritable bowel syndrome to understand what researchers think causes these conditions. The researchers found that most studies focus on biological factors like immune system problems, while far fewer examine psychological or social causes. The review suggests that the best understanding comes from looking at multiple factors together—biological, psychological, and social—rather than just one type of cause.

Immune System

E0 ConsensusReviewPEM not requiredReview-Narrative

Cognitive dysfunction in post-COVID-19 condition: Mechanisms, management, and rehabilitation.

Möller, Marika, Borg, Kristian, Janson, Christer et al.·Journal of internal medicine·2023

Many people experience brain fog and memory problems long after COVID-19 infection, affecting thinking, attention, and processing speed. This review found that 17–28% of people have these cognitive problems more than 3 months after infection, and some experience them for years. Treatment approaches include cognitive training, memory aids, lifestyle adjustments, and education about managing these symptoms.

NeuroinflammationPost-Exertional Malaise

E0 ConsensusReviewPEM unclearSystematic-Review

Evaluation of viral infection as an etiology of ME/CFS: a systematic review and meta-analysis.

Hwang, Jae-Hyun, Lee, Jin-Seok, Oh, Hyeon-Muk et al.·Journal of translational medicine·2023

Researchers analyzed 64 studies involving nearly 5,000 ME/CFS patients to see if viral infections might cause or trigger the illness. They found that certain viruses—particularly Borna disease virus, human herpesvirus-7, parvovirus B19, enterovirus, and Coxsackie B virus—appeared more frequently in ME/CFS patients compared to healthy people and those with other diseases. While these associations are promising leads, finding a virus more often in patients doesn't prove it causes ME/CFS.

Immune System

E0 ConsensusReviewPEM unclearReview-Narrative

Antimicrobial therapies for chronic pain (part 2): the prevention and treatment of chronic pain.

Wang, Eric J, Dolomisiewicz, Edward, Karri, Jay et al.·The Korean journal of pain·2023

This review examined whether antibiotics and similar antimicrobial medications might help reduce chronic pain in certain conditions, including ME/CFS. The researchers found that some of these medications appear to reduce pain in conditions where dysbiosis (imbalanced gut bacteria) or hidden infections may play a role. However, the evidence is still observational rather than definitively proving cause-and-effect relationships.

E0 ConsensusReviewPEM not requiredEvidence-Map

Frontiers in chronic fatigue syndrome research: An analysis of the top 100 most influential articles in the field.

Wang, Xingxin, Li, Xuhao, Dong, Tiantian et al.·Medicine·2023

This study analyzed the 100 most-cited scientific papers on ME/CFS to understand what researchers have been focusing on and what directions the field is moving toward. Researchers found that ME/CFS research is a global effort involving hundreds of institutions across many countries, with studies increasingly looking at cognitive behavioral therapy, how to diagnose ME/CFS better, and the biological basis of the condition. The analysis suggests future research will likely focus on finding biological markers, understanding immune system changes, and identifying genetic risk factors.

Biomarkers

E0 ConsensusReviewPEM requiredReview-Narrative

Pathogenic mechanisms of post-acute sequelae of SARS-CoV-2 infection (PASC).

Sherif, Zaki A, Gomez, Christian R, Connors, Thomas J et al.·eLife·2023

This review examines how COVID-19 can lead to Long COVID, a condition where people experience ongoing fatigue, difficulty with exercise, and brain fog that can last months or years. The researchers explored multiple possible explanations for why this happens, including lingering virus in the body, problems with blood clotting, nerve signaling problems, immune system dysfunction, and reactivation of old viruses like Epstein-Barr. Since Long COVID affects different people in different ways, the authors suggest that different patients may need different treatments.

Immune SystemPost-Exertional Malaise

E0 ConsensusReviewPEM requiredReview-Narrative

Exercise Training in Non-Hospitalized Patients with Post-COVID-19 Syndrome-A Narrative Review.

Sick, Johanna, König, Daniel·Healthcare (Basel, Switzerland)·2023

This review looked at seven studies involving 935 people with long-COVID symptoms who were not hospitalized during their initial infection. The studies found that exercise programs improved fitness, physical function, and reduced symptoms like shortness of breath, fatigue, and depression. The exercise was generally well-tolerated, but the authors urge caution for people with post-exertional malaise or ME/CFS, since these conditions may respond differently to exercise.

Post-Exertional Malaise

E0 ConsensusReviewPEM requiredSystematic-Review

Posttreatment Lyme disease syndrome and myalgic encephalomyelitis/chronic fatigue syndrome: A systematic review and comparison of pathogenesis.

Bai, Natalie A, Richardson, Christie S·Chronic diseases and translational medicine·2023

This review examined 18 studies comparing two similar chronic illnesses: posttreatment Lyme disease syndrome (PTLDS), which affects about 10% of Lyme disease patients even after antibiotic treatment, and ME/CFS. Both conditions cause severe fatigue, cognitive problems, pain, and sleep issues that last for months or years. The researchers found that patients with PTLDS experience many of the same symptoms as ME/CFS patients, suggesting these different illnesses may develop through similar biological pathways in the body.

Severe MEPost-Exertional Malaise

E0 ConsensusReviewPEM requiredSystematic-Review

A scoping review of 'Pacing' for management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): lessons learned for the long COVID pandemic.

Sanal-Hayes, Nilihan E M, Mclaughlin, Marie, Hayes, Lawrence D et al.·Journal of translational medicine·2023

This review looked at 17 studies about 'pacing'—a strategy where people with ME/CFS carefully manage their activity level to avoid making symptoms worse. The researchers found that studies on pacing had very different designs and results: some showed pacing helped, some showed no benefit, and a few suggested it could be harmful. The evidence so far isn't strong enough to confidently say whether pacing works best for everyone.

Post-Exertional Malaise

E0 ConsensusReviewPEM unclearSystematic-Review

Identifying, synthesising and appraising existing evidence relating to myalgic encephalomyelitis/chronic fatigue syndrome and pregnancy: a mixed-methods systematic review.

Slack, Emma, Pears, Katrina Anne, Rankin, Judith et al.·BMJ open·2023

This review looked at all available research about how ME/CFS affects pregnancy and how pregnancy affects ME/CFS. Researchers found very few good quality studies on this topic. The existing studies showed mixed results: some women's ME/CFS got worse during pregnancy, some stayed the same, and some improved. The review highlights that pregnant people with ME/CFS need personalized care and extra support, but we need much more research to give clear medical guidance.

E0 ConsensusReviewPEM requiredEditorial

The Draft Report by the Institute for Quality and Efficiency in Healthcare Does Not Provide Any Evidence That Graded Exercise Therapy and Cognitive Behavioral Therapy Are Safe and Effective Treatments for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Vink, Mark, Vink-Niese, Alexandra·Diseases (Basel, Switzerland)·2023

This study examined whether a German health institute's recommendation for graded exercise therapy (GET) and cognitive behavioral therapy (CBT) to treat ME/CFS was supported by good evidence. The researchers found serious problems with the studies being used to make this recommendation, including weak study designs, reliance on patient reports rather than objective measurements, and inclusion of people who may not have had ME/CFS. They concluded these treatments should not be recommended based on the available evidence.

Post-Exertional Malaise

E0 ConsensusReviewPEM unclearReview-Narrative

Long COVID: Complications, Underlying Mechanisms, and Treatment Strategies.

Zadeh, Farigol Hakem, Wilson, Daniel R, Agrawal, Devendra K·Archives of microbiology & immunology·2023

Long COVID refers to symptoms that persist for weeks or months after an initial COVID-19 infection has cleared. This review examines how COVID-19 damages various organs in the body, what causes these problems, and what treatments might help. The authors also discuss how vaccination may affect Long COVID and identify important gaps in our understanding of the condition.

E0 ConsensusReviewPEM unclearReview-Narrative

Therapeutic Implications of the Microbial Hypothesis of Mental Illness.

Savitz, Jonathan, Yolken, Robert H·Current topics in behavioral neurosciences·2023

This review examines whether certain germs—especially viruses like EBV and CMV, and parasites—might contribute to mental illness and ME/CFS. Researchers looked at studies testing whether anti-viral and anti-parasite medications could help treat these conditions, and also explored whether changes in gut bacteria might play a role. The authors found some evidence supporting these connections, though much more research is needed to understand how they work.

Immune System

E0 ConsensusReviewPEM not requiredMeta-Analysis

DNA Methylation Changes in Blood Cells of Fibromyalgia and Chronic Fatigue Syndrome Patients.

Przybylowicz, Patrycja Kamila, Sokolowska, Katarzyna Ewa, Rola, Hubert et al.·Journal of pain research·2023

This study looked at chemical changes called 'methylation' in the blood cells of people with fibromyalgia and chronic fatigue syndrome. Researchers combined data from three previous studies and found that while the specific methylation patterns differed slightly between studies, they consistently affected genes involved in body processes that could explain symptoms like pain and exhaustion. This suggests that methylation changes may play a role in how these conditions develop.

BiomarkersImmune System

E0 ConsensusReviewPEM requiredSystematic-Review

Comparison of serum acylcarnitine levels in patients with myalgic encephalomyelitis/chronic fatigue syndrome and healthy controls: a systematic review and meta-analysis.

Jinushi, Ryuhei, Masuda, Sakue, Tanisaka, Yuki et al.·Journal of translational medicine·2023

This review combined results from seven studies comparing a chemical in the blood called acylcarnitine between people with ME/CFS and healthy people. Researchers found that people with ME/CFS have significantly lower levels of this chemical. These lower levels might one day help doctors diagnose ME/CFS, though more research is needed before it can be used as a reliable test.

BiomarkersEnergy Metabolism

E0 ConsensusReviewPEM requiredReview-Narrative

Fatigue in Adults: Evaluation and Management.

Latimer, Kelly M, Gunther, Althea, Kopec, Michael·American family physician·2023

Fatigue is a very common reason people visit their doctors, and it can significantly impact daily life and work safety. This guideline explains that fatigue can come from different causes—normal tiredness that improves with rest and better habits, fatigue from other medical conditions, or chronic fatigue like ME/CFS. ME/CFS is a serious, long-lasting illness with no proven cure that causes a symptom called postexertional malaise, where activity makes symptoms worse, so patients need to carefully manage their energy levels.

Long COVID OverlapPost-Exertional Malaise

E0 ConsensusReviewPEM not requiredReview-Narrative

Autoimmune autonomic nervous system imbalance and conditions: Chronic fatigue syndrome, fibromyalgia, silicone breast implants, COVID and post-COVID syndrome, sick building syndrome, post-orthostatic tachycardia syndrome, autoimmune diseases and autoimmune/inflammatory syndrome induced by adjuvants.

Malkova, A M, Shoenfeld, Y·Autoimmunity reviews·2023

This review examined whether ME/CFS, fibromyalgia, and several other conditions share a common problem: the immune system mistakenly attacks nerve controls that regulate heart rate, blood pressure, and other automatic body functions. Researchers found that people with these conditions often have similar symptoms like fatigue, dizziness, and brain fog, and some have autoantibodies (immune proteins) that target nerve receptors. The authors propose this 'autonomic nervous system imbalance' could be a unifying mechanism explaining why these diverse conditions feel so similar.

Autonomic Nervous System

E0 ConsensusReviewPEM unclearEditorial

Understanding, diagnosing, and treating Myalgic encephalomyelitis/chronic fatigue syndrome - State of the art: Report of the 2nd international meeting at the Charité Fatigue Center.

Steiner, Sophie, Fehrer, Annick, Hoheisel, Friederike et al.·Autoimmunity reviews·2023

Over 100 international researchers gathered in Berlin in May 2023 to discuss what we currently know about ME/CFS, how to diagnose it, and how to treat it. The conference highlighted that ME/CFS involves problems with the immune system, blood vessel function, and nervous system control, and that some cases may be triggered by viruses reactivating in the body. Despite growing interest due to Long COVID, ME/CFS remains under-researched and needs significantly more funding to find better diagnostic tests and targeted treatments.

Autonomic Nervous SystemImmune System

E0 ConsensusReviewPEM not requiredSystematic-Review

The effectiveness of activity pacing interventions for people with chronic fatigue syndrome: a systematic review and meta-analysis.

Casson, Sally, Jones, Matthew D, Cassar, Joanne et al.·Disability and rehabilitation·2023

This review looked at 14 high-quality studies on activity pacing—a strategy where people with ME/CFS gradually increase their daily activities at a sustainable pace. The research found that activity pacing, especially when combined with slowly increasing both physical and cognitive tasks, helped reduce fatigue and tiredness, improved people's ability to do daily activities, and decreased anxiety and depression compared to no treatment.

E0 ConsensusReviewPEM unclearMeta-Analysis

The relation between cognitive-behavioural responses to symptoms in patients with long term medical conditions and the outcome of cognitive behavioural therapy for fatigue - A secondary analysis of four RCTs.

de Gier, M, Picariello, F, Slot, M et al.·Behaviour research and therapy·2023

This study looked at how people with different long-term illnesses—including ME/CFS—think and behave in response to fatigue, and whether these patterns affect how well cognitive behavioural therapy (CBT) works. Researchers found that certain thought patterns and behaviours, like avoiding activity or believing that fatigue causes damage, were linked to less improvement with CBT. The good news is that when CBT helped patients change these patterns—by reducing fear, worry, and excessive rest—their fatigue improved significantly.

Interventions

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Aetiological Understanding of Fibromyalgia, Irritable Bowel Syndrome, Chronic Fatigue Syndrome and Classificatory Analogues: A Systematic Umbrella Review.

Cognitive dysfunction in post-COVID-19 condition: Mechanisms, management, and rehabilitation.

Evaluation of viral infection as an etiology of ME/CFS: a systematic review and meta-analysis.

Antimicrobial therapies for chronic pain (part 2): the prevention and treatment of chronic pain.

Frontiers in chronic fatigue syndrome research: An analysis of the top 100 most influential articles in the field.

Pathogenic mechanisms of post-acute sequelae of SARS-CoV-2 infection (PASC).

Exercise Training in Non-Hospitalized Patients with Post-COVID-19 Syndrome-A Narrative Review.

Posttreatment Lyme disease syndrome and myalgic encephalomyelitis/chronic fatigue syndrome: A systematic review and comparison of pathogenesis.

A scoping review of 'Pacing' for management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): lessons learned for the long COVID pandemic.

Identifying, synthesising and appraising existing evidence relating to myalgic encephalomyelitis/chronic fatigue syndrome and pregnancy: a mixed-methods systematic review.

The Draft Report by the Institute for Quality and Efficiency in Healthcare Does Not Provide Any Evidence That Graded Exercise Therapy and Cognitive Behavioral Therapy Are Safe and Effective Treatments for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Long COVID: Complications, Underlying Mechanisms, and Treatment Strategies.

Therapeutic Implications of the Microbial Hypothesis of Mental Illness.

DNA Methylation Changes in Blood Cells of Fibromyalgia and Chronic Fatigue Syndrome Patients.

Comparison of serum acylcarnitine levels in patients with myalgic encephalomyelitis/chronic fatigue syndrome and healthy controls: a systematic review and meta-analysis.

Fatigue in Adults: Evaluation and Management.

Autoimmune autonomic nervous system imbalance and conditions: Chronic fatigue syndrome, fibromyalgia, silicone breast implants, COVID and post-COVID syndrome, sick building syndrome, post-orthostatic tachycardia syndrome, autoimmune diseases and autoimmune/inflammatory syndrome induced by adjuvants.

Understanding, diagnosing, and treating Myalgic encephalomyelitis/chronic fatigue syndrome - State of the art: Report of the 2nd international meeting at the Charité Fatigue Center.

The effectiveness of activity pacing interventions for people with chronic fatigue syndrome: a systematic review and meta-analysis.

The relation between cognitive-behavioural responses to symptoms in patients with long term medical conditions and the outcome of cognitive behavioural therapy for fatigue - A secondary analysis of four RCTs.

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