Chronic fatigue: risk factors for symptom persistence in a 2 1/2-year follow-up study.
Clark, M R, Katon, W, Russo, J et al.·The American journal of medicine·1995
This study followed 78 patients with chronic fatigue for about 2.5 years to understand why some people recover while others continue to struggle. Researchers found that people were more likely to have ongoing symptoms if they had multiple unexplained physical symptoms, a history of depression-like mood disorder, longer-lasting fatigue, less formal education, and were older than 38. Importantly, standard blood tests and immune system measurements did not predict who would improve.