ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

2795 studies

781–800 of 2,795 studies

E2 ModerateCohortPEM not requiredObservational

Prediction of Discontinuation of Structured Exercise Programme in Chronic Fatigue Syndrome Patients.

Kujawski, Sławomir, Cossington, Jo, Słomko, Joanna et al.·Journal of clinical medicine·2020

This study looked at why some people with ME/CFS could complete a gradual exercise programme while others had to stop. Researchers measured several body functions—like nervous system activity, reaction time, and heart rate—before the programme started. They found that people whose bodies showed higher stress responses and slower reaction times were more likely to drop out of the exercise programme.

Autonomic Nervous System

E2 ModerateCohortPEM unclearCross-Sectional

Signs of Intracranial Hypertension, Hypermobility, and Craniocervical Obstructions in Patients With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Bragée, Björn, Michos, Anastasios, Drum, Brandon et al.·Frontiers in neurology·2020

Researchers studied 229 people with severe ME/CFS to see if three physical conditions—unusual flexibility in joints, increased pressure around the brain, and blockages in the neck—might be connected to ME/CFS symptoms. They found these conditions were much more common in ME/CFS patients than in the general population. The study suggests these physical changes could help explain why people with ME/CFS experience their symptoms, though more research is needed to confirm this connection.

E2 ModerateCohortPEM unclearCross-Sectional

Cytokine profiling of extracellular vesicles isolated from plasma in myalgic encephalomyelitis/chronic fatigue syndrome: a pilot study.

Giloteaux, Ludovic, O'Neal, Adam, Castro-Marrero, Jesús et al.·Journal of translational medicine·2020

This study looked at tiny particles called extracellular vesicles (EVs) in the blood of ME/CFS patients and compared them to healthy people. The researchers found that ME/CFS patients had more of these small particles, and the chemical messengers (cytokines) inside and around them showed unusual patterns of interaction that differed from healthy controls. This suggests that immune system signaling may be working differently in ME/CFS.

Immune System

E2 ModerateCohortPEM unclearCross-Sectional

Reductions in Cerebral Blood Flow Can Be Provoked by Sitting in Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Patients.

Campen, C Linda Mc van, Rowe, Peter C, Visser, Frans C·Healthcare (Basel, Switzerland)·2020

This study tested whether a simple sitting test could detect blood flow problems in the brains of severely ill ME/CFS patients. Researchers found that 90% of severe ME/CFS patients had significant drops in brain blood flow when sitting upright—dropping by about 24.5%—while healthy people's brain blood flow barely changed. This sitting test was easier to tolerate than standard tilt tests and could be useful for diagnosing blood flow problems in the most severely affected patients.

Autonomic Nervous System

E2 ModerateCohortPEM unclearCross-Sectional

Health-related quality of life in patients with myalgic encephalomyelitis/chronic fatigue syndrome: an Australian cross-sectional study.

Eaton-Fitch, N, Johnston, S C, Zalewski, P et al.·Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation·2020

This Australian study of 480 people with ME/CFS found that the condition severely impacts quality of life across all major areas—physical functioning, emotional well-being, pain, and energy levels. People with ME/CFS scored much lower on quality of life measures compared to the general population, with the lowest scores for physical activities and fatigue. The study identified specific symptoms like cognitive difficulties, sleep problems, and cardiovascular issues that are most strongly linked to reduced quality of life.

Pain and SensitizationSleepCognitive Impairment

E2 ModerateBehavioralPEM not requiredLongitudinal

The association between exposure to childhood maltreatment and the subsequent development of functional somatic and visceral pain syndromes.

Chandan, Joht Singh, Keerthy, Deepiksana, Zemedikun, Dawit Tefra et al.·EClinicalMedicine·2020

This study looked at whether people who experienced childhood maltreatment are more likely to develop chronic pain and fatigue conditions like ME/CFS, fibromyalgia, and irritable bowel syndrome as adults. Researchers compared over 80,000 people with a history of childhood maltreatment to 161,000 similar people without this history and found that those with maltreatment exposure had a significantly higher risk of developing several of these conditions. The findings suggest that childhood trauma may be an important risk factor for developing these debilitating syndromes.

E2 ModerateCohortPEM requiredCross-Sectional

Post-exertional Malaise in People With Chronic Cancer-Related Fatigue.

Twomey, Rosie, Yeung, Samuel T, Wrightson, James G et al.·Journal of pain and symptom management·2020

This study looked at whether people with long-lasting cancer-related fatigue experience post-exertional malaise (PEM)—a condition where symptoms get worse after physical or mental activity. Researchers asked 18 people with severe, ongoing fatigue to report their experiences over six months and during exercise testing. They found that up to one-third of participants showed signs of PEM, including fatigue that worsened after minimal effort and recovery taking more than 24 hours.

Post-Exertional Malaise

E2 ModerateBehavioralPEM not requiredObservational

Posttraumatic Stress Disorder and Chronic Pain Conditions in Men: A Twin Study.

Gasperi, Marianna, Panizzon, Matthew, Goldberg, Jack et al.·Psychosomatic medicine·2020

This study looked at whether trauma-related stress (PTSD) and chronic pain conditions share common causes in twins. Using data from nearly 5,000 male twins, researchers found that both genetics and life experiences contribute to why people with PTSD often also develop chronic pain. The study suggests these two problems frequently occur together because they share some of the same underlying risk factors.

E2 ModerateBehavioralPEM not requiredCross-Sectional

The unifying diagnostic construct of bodily distress syndrome (BDS) was confirmed in the general population.

Petersen, Marie Weinreich, Schröder, Andreas, Jørgensen, Torben et al.·Journal of psychosomatic research·2020

This study looked at whether a diagnostic framework called Bodily Distress Syndrome (BDS) can help organize the overlapping symptoms seen in conditions like ME/CFS, fibromyalgia, and irritable bowel syndrome. Researchers interviewed nearly 1,600 people from the general population about their symptoms and found that symptoms naturally grouped into four clusters (heart/lung, stomach, muscle/joint, and general fatigue symptoms). The BDS framework successfully categorized people based on how many symptom clusters they experienced, suggesting it could be a useful way to diagnose and understand these complex multi-system conditions.

Diagnostics

E2 ModerateBehavioralPEM not requiredLongitudinal

The Relationship Between Childhood Trauma and the Response to Group Cognitive-Behavioural Therapy for Chronic Fatigue Syndrome.

De Venter, Maud, Illegems, Jela, Van Royen, Rita et al.·Frontiers in psychiatry·2020

This study looked at whether people with ME/CFS who experienced trauma in childhood respond differently to a specific talking therapy called cognitive-behavioural therapy (CBT). Researchers followed 105 patients receiving group CBT sessions over 9-12 months and tracked their fatigue levels and physical function at different time points. They found that having a history of childhood trauma did not affect how well people improved with CBT.

Interventions

E2 ModerateCohortPEM requiredCross-Sectional

The Economic Impacts of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in an Australian Cohort.

Close, Shara, Marshall-Gradisnik, Sonya, Byrnes, Joshua et al.·Frontiers in public health·2020

This Australian study calculated how much ME/CFS costs patients, their families, and the healthcare system. Researchers surveyed people with ME/CFS and found the total annual cost was approximately $14.5 billion, including medical visits, treatments, medicines, and lost income. The study shows that ME/CFS places a heavy financial burden on individuals and society.

E2 ModerateBehavioralPEM unclearCross-Sectional

Emotional Awareness Correlated With Number of Awakenings From Polysomnography in Patients With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome-A Pilot Study.

Bileviciute-Ljungar, Indre, Friberg, Danielle·Frontiers in psychiatry·2020

This study examined the connection between emotional awareness and sleep problems in ME/CFS patients. Researchers found that patients who had difficulty recognizing and understanding their own emotions also experienced more frequent awakenings during sleep. The study involved 23 ME/CFS patients and 30 healthy controls who completed questionnaires about emotions, while the ME/CFS patients also underwent overnight sleep monitoring.

Sleep

E2 ModerateCohortPEM not requiredObservational

Breathing pattern disorders (dysfunctional breathing) characteristics and outcomes of children and young people attending a secondary care respiratory clinic.

Newson, Timothy P, Elias, Annie·Pediatric pulmonology·2020

This study looked at 18 young people (ages 11-16) who had breathing pattern disorders—abnormal ways of breathing that caused problems like chest tightness, difficulty breathing during exercise, or feeling like their throat was closing. Most of these young people also had asthma, anxiety, or other conditions. When properly diagnosed and treated by a speech therapist, most improved significantly and felt more confident managing their symptoms, though it often took months to get the right diagnosis.

Post-Exertional Malaise

E2 ModerateCohortPEM unclearObservational

Pressure Point Thresholds and ME/CFS Comorbidity as Indicators of Patient's Response to Manual Physiotherapy in Fibromyalgia.

Falaguera-Vera, Francisco Javier, Garcia-Escudero, María, Bonastre-Férez, Javier et al.·International journal of environmental research and public health·2020

This study tested whether hands-on physiotherapy (manual therapy) could help people with fibromyalgia (FM) by reducing pain sensitivity and improving quality of life. Researchers measured pain sensitivity before and after treatment using a special device called an algometer. The main finding was that people with fibromyalgia alone responded better to the therapy than those who had both fibromyalgia and ME/CFS.

Pain and Sensitization

E2 ModerateBehavioralPEM not requiredCross-Sectional

Attentional Processing and Interpretative Bias in Functional Neurological Disorder.

Keynejad, Roxanne C, Fenby, Edward, Pick, Susannah et al.·Psychosomatic medicine·2020

This study looked at how people with ME/CFS and a related condition called functional neurological disorder (FND) process information and interpret bodily sensations differently than healthy people. Researchers gave participants three types of tests: one measuring whether they automatically notice illness-related information, another testing how well they can control their attention, and a third examining whether they interpret unclear bodily sensations as signs of illness. The findings suggest that both ME/CFS and FND involve similar difficulties with attention control and a tendency to interpret bodily sensations as illness-related.

Cognitive Impairment

E2 ModerateBehavioralPEM not requiredObservational

Post-exertional malaise is associated with greater symptom burden and psychological distress in patients diagnosed with Chronic Fatigue Syndrome.

May, Marcella, Milrad, Sara F, Perdomo, Dolores M et al.·Journal of psychosomatic research·2020

This study compared people with ME/CFS who experience severe post-exertional malaise (PEM—getting much worse after activity) with those who experience mild PEM. People with severe PEM reported more intense symptoms, greater disruption to their daily lives and social activities, and higher levels of depression and mood problems. Importantly, people in both groups had similarly stressful life experiences, suggesting that PEM severity itself—not just general stress—drives these differences.

Post-Exertional Malaise

E2 ModerateCohortPEM not requiredCross-Sectional

Autonomic Phenotypes in Chronic Fatigue Syndrome (CFS) Are Associated with Illness Severity: A Cluster Analysis.

Słomko, Joanna, Estévez-López, Fernando, Kujawski, Sławomir et al.·Journal of clinical medicine·2020

This study looked at 131 ME/CFS patients to see if different types of autonomic nervous system problems (the system that controls heart rate, blood pressure, and digestion) exist. Researchers found four distinct patterns: some patients had sympathetic overactivity with dysfunction, some had sympathetic symptoms alone, some had parasympathetic issues, and some had an imbalance between the two systems. Patients with sympathetic overactivity had the most severe symptoms and worst quality of life, while those with balanced autonomic function were younger, less fatigued, and reported better quality of life.

Autonomic Nervous System

E2 ModerateReviewPEM unclearReview-Narrative

Phytotherapy for Cachexia: Where Do We Stand?

Kuchta, Kenny, Cameron, Silke·Frontiers in pharmacology·2020

This review examines herbal medicines used in Japan and Russia to treat cachexia—a condition of muscle loss, weight loss, and fatigue. The researchers found that three traditional plant-based preparations (Hochuekkito, Juzentaihoto, and Rikkunshito) showed promise in clinical studies for reducing fatigue, increasing weight, and improving overall health in patients with cancer, COPD, dementia, and chronic fatigue syndrome. Since no approved medications currently exist for cachexia in Western medicine, the authors suggest these herbal treatments deserve further research and potential use in Europe and North America.

E2 ModerateCohortPEM not requiredObservational

Hospital Records of Pain, Fatigue, or Circulatory Symptoms in Girls Exposed to Human Papillomavirus Vaccination: Cohort, Self-Controlled Case Series, and Population Time Trend Studies.

Thomsen, Reimar Wernich, Öztürk, Buket, Pedersen, Lars et al.·American journal of epidemiology·2020

This large Danish study looked at whether the HPV vaccine (which prevents cervical cancer) was linked to symptoms like pain, fatigue, or heart problems in girls. Researchers compared vaccinated and unvaccinated girls over 14 years and found no increase in hospital visits for these symptoms in vaccinated girls. The symptoms they tracked increased over time in both vaccinated and unvaccinated children, suggesting other factors were responsible.

E2 ModerateCohortPEM not requiredCross-Sectional

Functional gastrointestinal disorders are increased in joint hypermobility-related disorders with concomitant postural orthostatic tachycardia syndrome.

Tai, Foong Way David, Palsson, Olafur S, Lam, Ching Y et al.·Neurogastroenterology and motility·2020

This study looked at people with joint hypermobility disorders (including Ehlers-Danlos syndrome) to understand how often they experience stomach and digestive problems. The researchers found that those who also have POTS (a condition affecting heart rate and blood pressure when standing) had significantly more digestive issues than those without POTS. The digestive problems remained worse in the POTS group even after accounting for other conditions like chronic fatigue syndrome.

Autonomic Nervous System

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Prediction of Discontinuation of Structured Exercise Programme in Chronic Fatigue Syndrome Patients.

Signs of Intracranial Hypertension, Hypermobility, and Craniocervical Obstructions in Patients With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Cytokine profiling of extracellular vesicles isolated from plasma in myalgic encephalomyelitis/chronic fatigue syndrome: a pilot study.

Reductions in Cerebral Blood Flow Can Be Provoked by Sitting in Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Patients.

Health-related quality of life in patients with myalgic encephalomyelitis/chronic fatigue syndrome: an Australian cross-sectional study.

The association between exposure to childhood maltreatment and the subsequent development of functional somatic and visceral pain syndromes.

Post-exertional Malaise in People With Chronic Cancer-Related Fatigue.

Posttraumatic Stress Disorder and Chronic Pain Conditions in Men: A Twin Study.

The unifying diagnostic construct of bodily distress syndrome (BDS) was confirmed in the general population.

The Relationship Between Childhood Trauma and the Response to Group Cognitive-Behavioural Therapy for Chronic Fatigue Syndrome.

The Economic Impacts of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in an Australian Cohort.

Emotional Awareness Correlated With Number of Awakenings From Polysomnography in Patients With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome-A Pilot Study.

Breathing pattern disorders (dysfunctional breathing) characteristics and outcomes of children and young people attending a secondary care respiratory clinic.

Pressure Point Thresholds and ME/CFS Comorbidity as Indicators of Patient's Response to Manual Physiotherapy in Fibromyalgia.

Attentional Processing and Interpretative Bias in Functional Neurological Disorder.

Post-exertional malaise is associated with greater symptom burden and psychological distress in patients diagnosed with Chronic Fatigue Syndrome.

Autonomic Phenotypes in Chronic Fatigue Syndrome (CFS) Are Associated with Illness Severity: A Cluster Analysis.

Phytotherapy for Cachexia: Where Do We Stand?

Hospital Records of Pain, Fatigue, or Circulatory Symptoms in Girls Exposed to Human Papillomavirus Vaccination: Cohort, Self-Controlled Case Series, and Population Time Trend Studies.

Functional gastrointestinal disorders are increased in joint hypermobility-related disorders with concomitant postural orthostatic tachycardia syndrome.

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