ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

637 studies

301–320 of 637 studies

E0 ConsensusReviewPEM requiredMeta-Analysis

The Prospects of the Two-Day Cardiopulmonary Exercise Test (CPET) in ME/CFS Patients: A Meta-Analysis.

Lim, Eun-Jin, Kang, Eun-Bum, Jang, Eun-Su et al.·Journal of clinical medicine·2020

Researchers reviewed studies testing a two-day exercise test (called CPET) that might help diagnose ME/CFS by measuring how the body performs differently on day two compared to day one. In ME/CFS patients, performance dropped on day two, while it improved in healthy people—suggesting this test could objectively measure the characteristic crash (postexertional malaise) that follows exertion in ME/CFS. The test showed promise, but more large-scale studies are needed before it can be used clinically.

Post-Exertional Malaise

E0 ConsensusReviewPEM not requiredMeta-Analysis

Heart rate variability in patients with somatic symptom disorders and functional somatic syndromes: A systematic review and meta-analysis.

Ying-Chih, Cheng, Yu-Chen, Huang, Wei-Lieh, Huang·Neuroscience and biobehavioral reviews·2020

This large review combined results from 85 studies comparing heart rhythm patterns between people with conditions like fibromyalgia and ME/CFS (functional somatic syndromes) and healthy people. Researchers found that patients with these conditions have lower heart rate variability—meaning their heart's rhythm is less flexible and adaptive—which suggests their nervous system may not be responding normally to stress and daily activities.

Autonomic Nervous System

E0 ConsensusReviewPEM unclearSystematic-Review

Neuroimaging characteristics of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): a systematic review.

Shan, Zack Y, Barnden, Leighton R, Kwiatek, Richard A et al.·Journal of translational medicine·2020

This study reviewed 63 brain imaging research papers published over 30 years to identify what brain abnormalities are consistently found in ME/CFS patients. Researchers found that ME/CFS is commonly associated with unusual patterns of brain activity during thinking tasks and problems in the brain stem (the part controlling basic body functions). The findings suggest that the brains of people with ME/CFS may not be delivering oxygen and nutrients to active brain areas as efficiently as they should.

E0 ConsensusReviewPEM unclearSystematic-Review

Assessment of the scientific rigour of randomized controlled trials on the effectiveness of cognitive behavioural therapy and graded exercise therapy for patients with myalgic encephalomyelitis/chronic fatigue syndrome: A systematic review.

Ahmed, S A, Mewes, J C, Vrijhoef, Hjm·Journal of health psychology·2020

This review examined 18 previous studies that tested cognitive behavioural therapy (talk therapy focused on thoughts and behaviors) and graded exercise therapy (gradually increasing physical activity) for ME/CFS. The reviewers found that most of these studies had significant problems in how they were designed and conducted, which means we cannot be confident in their results. The review highlights that better, more carefully designed studies are needed with better ways of measuring improvements.

Interventions

E0 ConsensusReviewPEM unclearSystematic-Review

Interventions to treat pain in paediatric CFS/ME: a systematic review.

Ascough, Caitlin, King, Hayley, Serafimova, Teona et al.·BMJ paediatrics open·2020

This review looked at whether treatments for ME/CFS in children help reduce pain, which affects about two-thirds of young patients. Researchers searched medical databases for studies measuring pain before and after treatment. They found that most treatment studies didn't even measure pain, and the few that did weren't specifically designed to treat pain—they focused on overall ME/CFS management. The evidence suggests that children who recover from ME/CFS tend to have less pain than those who don't recover.

Pain and Sensitization

E0 ConsensusReviewPEM not requiredSystematic-Review

Cognitive behavioural therapy for myalgic encephalomyelitis/chronic fatigue syndrome is not effective. Re-analysis of a Cochrane review.

Vink, Mark, Vink-Niese, Alexandra·Health psychology open·2019

This study reviewed research on cognitive behavioural therapy (CBT) for ME/CFS and found that it helps only a small number of patients with mild symptoms experience temporary subjective fatigue improvement. The improvement didn't translate into better physical fitness, job status, or disability benefits. Safety concerns were largely unreported in the original studies, but patient reports suggest about 1 in 5 people experienced negative outcomes.

Interventions

E0 ConsensusReviewPEM not requiredReview-Narrative

Shared microglial mechanisms underpinning depression and chronic fatigue syndrome and their comorbidities.

Chaves-Filho, Adriano José Maia, Macedo, Danielle S, de Lucena, David Freitas et al.·Behavioural brain research·2019

This review examined how depression and ME/CFS might share common causes in the brain, specifically through immune cells called microglia. Researchers found that when these brain immune cells become overactive, they may trigger both depression and the fatigue characteristic of ME/CFS. The study suggests that reducing this immune activation could potentially help treat both conditions.

NeuroinflammationImmune System

E0 ConsensusReviewPEM unclearReview-Narrative

How have selection bias and disease misclassification undermined the validity of myalgic encephalomyelitis/chronic fatigue syndrome studies?

Nacul, Luis, Lacerda, Eliana M, Kingdon, Caroline C et al.·Journal of health psychology·2019

This study examines why ME/CFS research has been inconsistent and controversial. The main problem is that doctors and researchers use different definitions to diagnose ME/CFS, which means different groups of patients are studied in different research projects. The authors explain how using clearer, more consistent diagnostic criteria could help researchers better understand the disease and make progress in finding treatments.

Diagnostics

E0 ConsensusReviewPEM not requiredSystematic-Review

Acupuncture for chronic fatigue syndrome: a systematic review and meta-analysis.

Zhang, Qing, Gong, Jing, Dong, Haoxu et al.·Acupuncture in medicine : journal of the British Medical Acupuncture Society·2019

This review examined 16 studies testing whether acupuncture helps people with ME/CFS. The researchers found that acupuncture appeared to reduce fatigue more than fake acupuncture or herbal medicine treatments. However, most studies had quality problems, so the results may not be reliable, and the authors say we need better-designed studies before drawing firm conclusions.

E0 ConsensusReviewPEM unclearMeta-Analysis

Peak Oxygen Uptake in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Meta-Analysis.

Franklin, John Derek, Atkinson, Greg, Atkinson, Janet M et al.·International journal of sports medicine·2019

This research review analyzed 32 studies comparing how much oxygen people with ME/CFS can use during maximum exercise compared to healthy people. On average, people with ME/CFS used about 5 milliliters less oxygen per kilogram of body weight per minute than healthy controls—a meaningful difference that likely affects real-world functioning. This reduced oxygen capacity is one of the measurable physical differences between ME/CFS patients and healthy individuals.

Post-Exertional Malaise

E0 ConsensusReviewPEM unclearReview-Narrative

Fatigue, Sleep, and Autoimmune and Related Disorders.

Zielinski, Mark R, Systrom, David M, Rose, Noel R·Frontiers in immunology·2019

Severe fatigue is one of the most disabling symptoms reported by people with autoimmune diseases, including ME/CFS. This review examines how inflammation and the brain contribute to fatigue in these conditions. The authors explain that fatigue involves multiple body systems—including energy supply, metabolism, mood, and sleep—all of which can be disrupted by inflammation.

Immune System

E0 ConsensusReviewPEM not requiredSystematic-Review

The clinical value of cytokines in chronic fatigue syndrome.

Yang, Tiansong, Yang, Yan, Wang, Delong et al.·Journal of translational medicine·2019

This review examined whether immune system signaling molecules called cytokines could help doctors diagnose or treat ME/CFS. While researchers found that cytokines are abnormal in ME/CFS patients' blood and fluid around the brain, the current evidence shows these markers are not reliable enough to use alone for diagnosis. The review suggests that measuring multiple cytokines together might help doctors better understand what's happening in individual patients, but cytokines are not yet proven as effective treatment targets.

BiomarkersImmune System

E0 ConsensusReviewPEM unclearReview-Narrative

Myalgic encephalomyelitis/chronic fatigue syndrome and the biopsychosocial model: a review of patient harm and distress in the medical encounter.

Geraghty, Keith J, Blease, Charlotte·Disability and rehabilitation·2019

This review examines why many ME/CFS patients feel harmed or upset after seeing doctors. The researchers found seven main problems: difficulty getting diagnosed, being misdiagnosed with other conditions, trouble accessing medical support, poor quality of care, negative experiences with treatments like cognitive behavioral therapy and exercise programs, doctors not believing patients' descriptions of their illness, and emotional distress. The authors suggest that doctors should listen more carefully to patients and adopt approaches centered on what patients actually experience.

Diagnostics

E0 ConsensusReviewPEM not requiredSystematic-Review

Post-bacterial infection chronic fatigue syndrome is not a latent infection.

Melenotte, Cléa, Drancourt, Michel, Gorvel, Jean Pierre et al.·Medecine et maladies infectieuses·2019

This review examined whether bacteria that stay dormant (inactive) in the body after an infection could cause chronic fatigue syndrome symptoms. The researchers looked at scientific evidence and found no proof that dormant bacteria cause the ongoing fatigue and other symptoms people experience after bacterial infections. The study suggests that psychological trauma and unknown causes may play a role in post-infection fatigue, rather than persistent bacterial infection.

E0 ConsensusReviewPEM not requiredReview-Narrative

Pathophysiology of interstitial cystitis.

Birder, Lori A·International journal of urology : official journal of the Japanese Urological Association·2019

Interstitial cystitis is a chronic bladder pain condition with no clear cause and no universally accepted treatment. This review examines how bladder pain occurs without obvious damage to bladder tissue or nerves, and notes that patients with this condition often have overlapping symptoms with other chronic pain syndromes like fibromyalgia, irritable bowel syndrome, and chronic fatigue syndrome. Researchers use animal models and look for biomarkers in urine to better understand the condition and develop new treatments.

Pain and Sensitization

E0 ConsensusReviewPEM unclearSystematic-Review

A systematic review of natural killer cells profile and cytotoxic function in myalgic encephalomyelitis/chronic fatigue syndrome.

Eaton-Fitch, Natalie, du Preez, Stanley, Cabanas, Hélène et al.·Systematic reviews·2019

This review examined research on natural killer cells, which are immune cells that help fight infections and abnormal cells in the body. Scientists found that people with ME/CFS consistently have natural killer cells that don't work as well as they should. This discovery was the most reliable and consistent finding across all the studies reviewed, suggesting it could be an important marker for understanding ME/CFS.

Immune System

E0 ConsensusReviewPEM not requiredReview-Narrative

Psychological impact of fibromyalgia: current perspectives.

Galvez-Sánchez, Carmen M, Duschek, Stefan, Reyes Del Paso, Gustavo A·Psychology research and behavior management·2019

Fibromyalgia is a chronic pain condition that often comes with fatigue, sleep problems, and difficulty concentrating. This review found that people with fibromyalgia frequently experience depression, anxiety, and other mental health challenges, and these psychological symptoms can make the physical illness worse. The study suggests that combining talk therapy or other psychological support with medication may help patients feel better and improve their quality of life.

Cognitive Impairment

E0 ConsensusReviewPEM not requiredSystematic-Review

General medical services by non-medical health professionals: a systematic quantitative review of economic evaluations in primary care.

Anthony, Bethany F, Surgey, Alun, Hiscock, Julia et al.·The British journal of general practice : the journal of the Royal College of General Practitioners·2019

This review looked at whether nurses, pharmacists, and other healthcare professionals can provide medical care more cheaply than doctors in primary care settings. The researchers found very limited evidence about costs and outcomes, with some nurse-led care for minor problems being cost-effective, but nurse-led care for chronic fatigue syndrome was not cost-effective compared to doctor care.

E0 ConsensusReviewPEM requiredReview-Narrative

Pathological Mechanisms Underlying Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Missailidis, Daniel, Annesley, Sarah J, Fisher, Paul R·Diagnostics (Basel, Switzerland)·2019

ME/CFS is a complex condition affecting multiple body systems, and researchers are working to understand what causes it. This review shows that evidence points to problems in the immune system, nervous system, muscle function, metabolism, and gut health in ME/CFS patients. Because patients experience different symptoms and may develop the condition in different ways, finding reliable diagnostic tests remains a key challenge that researchers are actively pursuing.

Immune SystemPost-Exertional Malaise

E0 ConsensusReviewPEM not requiredReview-Narrative

Myalgic encephalomyelitis/chronic fatigue syndrome: From pathophysiological insights to novel therapeutic opportunities.

Morris, Gerwyn, Puri, Basant K, Walker, Adam J et al.·Pharmacological research·2019

This review examines what goes wrong in the bodies of ME/CFS patients and looks at treatments that might help. Researchers found that ME/CFS involves several biological problems, including inflammation, increased cellular stress, gut problems, and energy production issues. The review highlights five promising supplements—coenzyme Q10, melatonin, curcumin, molecular hydrogen, and N-acetylcysteine—that target these problems, though much more testing is needed.

Energy Metabolism

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The Prospects of the Two-Day Cardiopulmonary Exercise Test (CPET) in ME/CFS Patients: A Meta-Analysis.

Heart rate variability in patients with somatic symptom disorders and functional somatic syndromes: A systematic review and meta-analysis.

Neuroimaging characteristics of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): a systematic review.

Assessment of the scientific rigour of randomized controlled trials on the effectiveness of cognitive behavioural therapy and graded exercise therapy for patients with myalgic encephalomyelitis/chronic fatigue syndrome: A systematic review.

Interventions to treat pain in paediatric CFS/ME: a systematic review.

Cognitive behavioural therapy for myalgic encephalomyelitis/chronic fatigue syndrome is not effective. Re-analysis of a Cochrane review.

Shared microglial mechanisms underpinning depression and chronic fatigue syndrome and their comorbidities.

How have selection bias and disease misclassification undermined the validity of myalgic encephalomyelitis/chronic fatigue syndrome studies?

Acupuncture for chronic fatigue syndrome: a systematic review and meta-analysis.

Peak Oxygen Uptake in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Meta-Analysis.

Fatigue, Sleep, and Autoimmune and Related Disorders.

The clinical value of cytokines in chronic fatigue syndrome.

Myalgic encephalomyelitis/chronic fatigue syndrome and the biopsychosocial model: a review of patient harm and distress in the medical encounter.

Post-bacterial infection chronic fatigue syndrome is not a latent infection.

Pathophysiology of interstitial cystitis.

A systematic review of natural killer cells profile and cytotoxic function in myalgic encephalomyelitis/chronic fatigue syndrome.

Psychological impact of fibromyalgia: current perspectives.

General medical services by non-medical health professionals: a systematic quantitative review of economic evaluations in primary care.

Pathological Mechanisms Underlying Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Myalgic encephalomyelitis/chronic fatigue syndrome: From pathophysiological insights to novel therapeutic opportunities.

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