ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

2782 studies

501–520 of 2,782 studies

E2 ModerateCohortPEM unclearObservational

Predictors for Developing Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Following Infectious Mononucleosis.

Jason, Leonard A, Cotler, Joseph, Islam, Mohammed F et al.·Journal of rehabilitation therapy·2022

This study followed 238 college students who developed infectious mononucleosis to see who would recover and who would develop ME/CFS. Researchers found that students who had stomach problems (pain, bloating, irritable bowel) before getting sick, combined with certain low immune markers and severe digestive symptoms when they got mononucleosis, had about an 80% chance of developing severe ME/CFS that lasted six months. This suggests that pre-existing gut problems and immune differences may help predict who is at highest risk.

Immune System

E2 ModerateCohortPEM requiredObservational

A 2-day cardiopulmonary exercise test in chronic fatigue syndrome patients who were exposed to humidifier disinfectants.

Leem, Jong-Han, Jeon, Hyoung-Eun, Nam, Hun et al.·Environmental analysis, health and toxicology·2022

This study tested whether a special two-day exercise test could detect post-exertional malaise (PEM)—the worsening of symptoms after physical activity—in people with ME/CFS who had been exposed to humidifier disinfectants. The researchers had 29 participants complete an exercise test, rest for 24 hours, then repeat it. They found that performance noticeably declined on the second day, showing that PEM is real and measurable.

Post-Exertional Malaise

E2 ModerateBehavioralPEM not requiredCross-Sectional

The psychological features of distinct somatic syndromes: A cluster analysis according to population-based somatic symptom profiles in Taiwan.

Huang, Wei-Lieh, Chang, Shu-Sen, Liao, Shih-Cheng·Journal of the Formosan Medical Association = Taiwan yi zhi·2022

This study looked at whether different types of physical symptoms (like fatigue, pain, digestive problems, and heart-related symptoms) represent separate conditions or are all part of one bigger syndrome. Researchers analyzed survey data from 550 people in Taiwan and found that people tend to cluster into four different groups based on their symptom patterns, and each group had different levels of depression, anxiety, and health worry.

E2 ModerateCohortPEM not requiredLongitudinal

Predictors of Chronic Fatigue Syndrome and Mood Disturbance After Acute Infection.

Sandler, Carolina X, Cvejic, Erin, Valencia, Braulio M et al.·Frontiers in neurology·2022

This study followed people who had acute viral infections (EBV, Ross River virus, or Q fever) to see who developed ME/CFS-like symptoms by 6 months. About 1 in 5 participants met CFS criteria. The researchers found that people who felt more severely ill during their acute infection, and those with mood problems during that time, were more likely to have prolonged fatigue and continued mood difficulties afterward.

E2 ModerateCohortPEM unclearCross-Sectional

Orthostatic intolerance and neurocognitive impairment in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).

Gaglio, Caroline L, Islam, Mohammed F, Cotler, Joseph et al.·Epidemiologic methods·2022

This study looked at how often people with ME/CFS experience two symptoms that doctors use to diagnose the condition: difficulty thinking clearly (brain fog, memory problems) and dizziness when standing up. The researchers found that nearly all participants reported thinking and memory problems, while only a small number had standing-up dizziness without also having cognitive problems. This suggests these two symptoms overlap heavily in ME/CFS patients.

Autonomic Nervous SystemDiagnostics

E2 ModerateCohortPEM unclearCross-Sectional

Long-term sequelae of COVID-19 (myalgic encephalomyelitis): An international cross-sectional study.

Shaheen, Nour, Shaheen, Ahmed·Medicine·2022

This study examined how COVID-19 affects people's health long after the initial infection, including whether some people develop ME/CFS (myalgic encephalomyelitis) as a result. Researchers planned to survey 20,000 people worldwide about their ongoing symptoms weeks to months after COVID-19 infection, using detailed questionnaires to capture a wide range of both common and unusual long-term effects. The goal was to understand who develops long-term problems and whether COVID-19 can trigger ME/CFS in previously healthy people.

Post-Exertional Malaise

E2 ModerateMechanismPEM requiredObservational

Plasma metabolomics reveals disrupted response and recovery following maximal exercise in myalgic encephalomyelitis/chronic fatigue syndrome.

Germain, Arnaud, Giloteaux, Ludovic, Moore, Geoffrey E et al.·JCI insight·2022

Researchers studied 60 ME/CFS patients and 45 healthy people by measuring thousands of chemical substances in their blood before and after intense exercise tests done 24 hours apart. They found that ME/CFS patients had very different chemical patterns in their blood, especially after exercise and during the 24-hour recovery period, suggesting their bodies struggle to respond to and recover from physical exertion in ways that may explain post-exertional malaise (the worsening of symptoms after activity).

Energy MetabolismPost-Exertional Malaise

E2 ModerateBehavioralPEM not requiredLongitudinal

Subjective and objective cognitive function in adolescent with chronic fatigue following Epstein-Barr virus infection.

Øie, Merete Glenne, Rødø, Astrid Sofie Buer, Bølgen, Maria Sletten et al.·Journal of psychosomatic research·2022

This study followed 195 teenagers who had Epstein-Barr virus infection for six months to see if they developed persistent fatigue and cognitive problems. While teenagers with ongoing fatigue reported much more trouble with thinking and memory than healthy teenagers, standard cognitive tests showed no actual differences in their thinking abilities. This suggests that cognitive difficulties in ME/CFS may feel very real to patients but are not always detectable by traditional testing methods.

Cognitive Impairment

E2 ModerateCohortPEM requiredProtocol

Multimodal MRI of myalgic encephalomyelitis/chronic fatigue syndrome: A cross-sectional neuroimaging study toward its neuropathophysiology and diagnosis.

Shan, Zack Y, Mohamed, Abdalla Z, Andersen, Thu et al.·Frontiers in neurology·2022

This study used advanced brain imaging to investigate whether ME/CFS is caused by a problem with how the brain's blood vessels respond to neural activity. Researchers scanned the brains of 288 people—including those with ME/CFS, chronic fatigue, fibromyalgia, and healthy controls—while they performed tasks and held their breath, measuring blood flow and brain chemicals. The goal was to find distinctive brain patterns that could objectively diagnose ME/CFS and understand what goes wrong in this disease.

Biomarkers

E2 ModerateCohortPEM not requiredCross-Sectional

Small-Fiber Polyneuropathy Is Prevalent in Patients With Interstitial Cystitis/Bladder Pain Syndrome.

Wolff, Dylan T, Xu, Raymond, Overholt, Tyler et al.·Urogynecology (Philadelphia, Pa.)·2022

Researchers found that about one-third of people with bladder pain syndrome (IC/BPS) have small-fiber polyneuropathy (SFPN), a condition where tiny nerves in the skin are damaged or reduced. Notably, people with SFPN were significantly more likely to also have chronic fatigue syndrome (31% vs 10.6%). This suggests these two painful conditions may share a common nerve-related mechanism.

E2 ModerateCohortPEM unclearCross-Sectional

The Significance of Pain Drawing as a Screening Tool for Cervicogenic Headache and Associated Symptoms in Chronic Fatigue.

Bernhoff, Gabriella, Huhmar, Helena M, Rasmussen-Barr, Eva et al.·Journal of pain research·2022

This study looked at whether a simple drawing tool could help identify a specific type of headache (cervicogenic headache) in people with ME/CFS. Researchers found that 42% of ME/CFS patients had a particular pain pattern on their drawings that suggested their headache came from their neck. Patients with this neck-related pain pattern also experienced more dizziness, worse pain, and lower quality of life compared to others.

Pain and Sensitization

E2 ModerateCohortPEM not requiredCross-Sectional

The Fatigue-Related Symptoms Post-Acute SARS-CoV-2: A Preliminary Comparative Study.

Thomas, Marie·International journal of environmental research and public health·2022

This study compared fatigue and related symptoms in 26 people experiencing Long COVID with two groups: people without fatigue and people with ME/CFS. The Long COVID group reported severe fatigue, brain fog, sleep problems, and difficulty concentrating—similar to what people with ME/CFS experience. The findings suggest Long COVID and ME/CFS may share some common features.

SleepCognitive Impairment

E2 ModerateCohortPEM not requiredLongitudinal

Incidence of Lyme disease in the United Kingdom and association with fatigue: A population-based, historical cohort study.

Brellier, Florence, Pujades-Rodriguez, Mar, Powell, Emma et al.·PloS one·2022

This study tracked over 2,100 people in the UK who were diagnosed with Lyme disease and compared them to similar people without Lyme disease. Researchers found that people with Lyme disease were much more likely to develop fatigue symptoms afterward, and some developed ME/CFS. Interestingly, the risk was highest when Lyme disease occurred in autumn or winter, though fatigue risks remained elevated even months after the initial infection.

E2 ModerateCohortPEM not requiredObservational

Characteristics of Sleep Disturbance in Patients with Long COVID: A Retrospective Observational Study in Japan.

Sunada, Naruhiko, Nakano, Yasuhiro, Otsuka, Yuki et al.·Journal of clinical medicine·2022

This study looked at sleep problems in 363 long COVID patients in Japan and found that about 16.5% had significant sleep disturbance. People infected during the Omicron wave were twice as likely to have sleep problems compared to those infected during the Delta wave. Patients with sleep disturbance also reported more fatigue, brain fog, headaches, and anxiety, and had abnormal stress hormone levels suggesting their bodies were under persistent stress.

SleepCognitive Impairment

E2 ModerateCohortPEM requiredObservational

A prospective observational study of post-COVID-19 chronic fatigue syndrome following the first pandemic wave in Germany and biomarkers associated with symptom severity.

Kedor, Claudia, Freitag, Helma, Meyer-Arndt, Lil et al.·Nature communications·2022

This study followed 42 people with long-lasting fatigue after COVID-19 infection for six months and compared them to people with similar chronic fatigue from other causes. Most participants experienced moderate to severe fatigue that interfered with daily life. The researchers found that many of these post-COVID patients had reduced hand grip strength and blood markers suggesting possible inflammation and poor blood flow, which may help explain why their bodies struggle to recover.

Immune SystemPost-Exertional Malaise

E2 ModerateCohortPEM requiredCross-Sectional

Clinical Characteristics of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Diagnosed in Patients with Long COVID.

Tokumasu, Kazuki, Honda, Hiroyuki, Sunada, Naruhiko et al.·Medicina (Kaunas, Lithuania)·2022

This study examined patients with long COVID who developed ME/CFS, a serious condition causing extreme fatigue and worsening after activity. Researchers found that about 17% of long COVID patients met standardized medical criteria for ME/CFS, with fatigue and post-exertional malaise being the most common symptoms. Interestingly, men and women were affected equally in this group, which differs from typical ME/CFS patterns.

Post-Exertional Malaise

E2 ModerateCohortPEM not requiredCross-Sectional

Intersections between pneumonia, lowered oxygen saturation percentage and immune activation mediate depression, anxiety, and chronic fatigue syndrome-like symptoms due to COVID-19: A nomothetic network approach.

Al-Jassas, Hawraa Kadhem, Al-Hakeim, Hussein Kadhem, Maes, Michael·Journal of affective disorders·2022

This study examined 60 COVID-19 patients and 30 healthy controls to understand why some people develop depression, anxiety, and fatigue-like symptoms after COVID-19 infection. The researchers found that lung damage (seen on CT scans), low oxygen levels, and an overactive immune response are connected to these mental health and fatigue symptoms. Essentially, the physical damage to the lungs may trigger immune system activation, which then leads to depression, anxiety, and fatigue.

Immune System

E2 ModerateCohortPEM requiredCross-Sectional

ME/CFS and Post-Exertional Malaise among Patients with Long COVID.

Jason, Leonard A, Dorri, Joseph A·Neurology international·2022

Researchers studied 465 people with long-term COVID symptoms to see how many also had ME/CFS (a serious condition causing extreme fatigue and worsening after activity). They found that about 6 in 10 people with long COVID met the medical criteria for ME/CFS. Interestingly, some people thought they had ME/CFS when they didn't, while others had ME/CFS without realizing it—showing that self-diagnosis alone isn't reliable.

Long COVID OverlapPost-Exertional Malaise

E2 ModerateCohortPEM not requiredCross-Sectional

Post-acute sequelae of SARS-CoV-2 infection: relationship of central nervous system manifestations with physical disability and systemic inflammation.

Busatto, Geraldo F, de Araujo, Adriana Ladeira, Castaldelli-Maia, João Mauricio et al.·Psychological medicine·2022

Researchers studied 749 people who had been hospitalized with COVID-19 and assessed them 6-11 months later. They found that 30 different symptoms—including fatigue, brain fog, depression, and anxiety—tend to occur together as part of one underlying condition. People with more severe symptoms also showed signs of ongoing inflammation in their blood and had greater physical disability, suggesting a real biological basis for their illness.

Cognitive Impairment

E2 ModerateCohortPEM not requiredLongitudinal

Chronic fatigue syndrome and cognitive deficit are associated with acute-phase neuropsychiatric manifestations of COVID-19: A 9-month follow-up study.

Mirfazeli, Fatemeh Sadat, Sarabi-Jamab, Atiye, Pereira-Sanchez, Victor et al.·Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·2022

This study followed 95 COVID-19 patients for 9 months to see which ones developed long-COVID symptoms like fatigue and brain fog. The most common symptom was extreme tiredness (affecting about half the patients), followed by anxiety, shortness of breath, and headaches. Interestingly, how sick someone was during acute COVID didn't predict whether they'd have long-COVID problems—but certain early warning signs (like psychiatric symptoms during the acute phase) did predict who would develop chronic fatigue and memory problems later.

Cognitive Impairment

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Evidence Atlas

Evidence browser

Predictors for Developing Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Following Infectious Mononucleosis.

A 2-day cardiopulmonary exercise test in chronic fatigue syndrome patients who were exposed to humidifier disinfectants.

The psychological features of distinct somatic syndromes: A cluster analysis according to population-based somatic symptom profiles in Taiwan.

Predictors of Chronic Fatigue Syndrome and Mood Disturbance After Acute Infection.

Orthostatic intolerance and neurocognitive impairment in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).

Long-term sequelae of COVID-19 (myalgic encephalomyelitis): An international cross-sectional study.

Plasma metabolomics reveals disrupted response and recovery following maximal exercise in myalgic encephalomyelitis/chronic fatigue syndrome.

Subjective and objective cognitive function in adolescent with chronic fatigue following Epstein-Barr virus infection.

Multimodal MRI of myalgic encephalomyelitis/chronic fatigue syndrome: A cross-sectional neuroimaging study toward its neuropathophysiology and diagnosis.

Small-Fiber Polyneuropathy Is Prevalent in Patients With Interstitial Cystitis/Bladder Pain Syndrome.

The Significance of Pain Drawing as a Screening Tool for Cervicogenic Headache and Associated Symptoms in Chronic Fatigue.

The Fatigue-Related Symptoms Post-Acute SARS-CoV-2: A Preliminary Comparative Study.

Incidence of Lyme disease in the United Kingdom and association with fatigue: A population-based, historical cohort study.

Characteristics of Sleep Disturbance in Patients with Long COVID: A Retrospective Observational Study in Japan.

A prospective observational study of post-COVID-19 chronic fatigue syndrome following the first pandemic wave in Germany and biomarkers associated with symptom severity.

Clinical Characteristics of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Diagnosed in Patients with Long COVID.

Intersections between pneumonia, lowered oxygen saturation percentage and immune activation mediate depression, anxiety, and chronic fatigue syndrome-like symptoms due to COVID-19: A nomothetic network approach.

ME/CFS and Post-Exertional Malaise among Patients with Long COVID.

Post-acute sequelae of SARS-CoV-2 infection: relationship of central nervous system manifestations with physical disability and systemic inflammation.

Chronic fatigue syndrome and cognitive deficit are associated with acute-phase neuropsychiatric manifestations of COVID-19: A 9-month follow-up study.

Curated Collections

Neuroinflammation Evidence

Metabolism & Mitochondria

Biomarkers

PEM-Specific Research