ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

41–60 of 238 studies

E2 ModeratePEM requiredPreliminaryCross-SectionalEditor reviewed

Exploratory study on autoantibodies to arginine-rich human peptides mimicking Epstein-Barr virus in women with post-COVID and myalgic encephalomyelitis/chronic fatigue syndrome.

Hoheisel, Friederike, Fleischer, Kathrin Maria, Rubarth, Kerstin et al.·Frontiers in immunology·2025

This study looked for certain antibodies in the blood of women with post-COVID and ME/CFS that might mistakenly attack the body's own proteins. The researchers found that patients with these conditions had more of these problematic antibodies than healthy people, and these antibodies were linked to common ME/CFS symptoms like fatigue, brain fog, pain, and autonomic problems. The results suggest that a virus (EBV) may trigger the immune system to attack human proteins that look similar to viral proteins.

Pain and SensitizationAutonomic Nervous SystemCognitive Impairment

E2 ModeratePEM not requiredPreliminaryObservationalEditor reviewed

Nonpelvic comorbid symptoms of 45 patients with pain of pelvic venous origin, before and after treatment.

Smith, Steven J, Smith, B Holly, Sichlau, Michael J et al.·Phlebology·2025

This study looked at 45 women with chronic pelvic pain caused by abnormal blood pooling in pelvic veins. These patients experienced many symptoms beyond pelvic pain—including brain fog, fatigue, migraines, constipation, and anxiety. After receiving a catheter-based procedure to fix the blood pooling, most of these systemic symptoms improved significantly (by 50% or more).

Pain and SensitizationAutonomic Nervous SystemCognitive Impairment

E2 ModeratePEM unclearPreliminaryObservationalEditor reviewed

Low-dose Naltrexone Improves post-COVID-19 condition Symptoms.

Tamariz, Leonardo, Bast, Elizabeth, Klimas, Nancy et al.·Clinical therapeutics·2024

This study looked at whether treatments used for ME/CFS could help people with long COVID. Researchers reviewed records from 108 patients who tried different treatments including low-dose naltrexone, amitriptyline, duloxetine, and physical therapy. They found that patients taking low-dose naltrexone were about 5 times more likely to improve compared to those doing physical therapy alone, with improvements in both fatigue and pain.

Pain and SensitizationCognitive Impairment

E2 ModeratePEM not requiredModerate confidenceCross-SectionalEditor reviewed

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Impact on Quality of Life (QoL) of Persons with ME/CFS.

Muirhead, Nina L, Vyas, Jui, Ephgrave, Rachel et al.·Medicina (Kaunas, Lithuania)·2024

This study surveyed 876 people with ME/CFS from 26 countries to understand how the condition affects their daily lives. People with ME/CFS reported very poor quality of life, with an average health rating of 36 out of 100. The most common problems were difficulty doing everyday activities (97%), pain (92%), and trouble with movement (83%).

Pain and Sensitization

E2 ModeratePEM requiredModerate confidenceCross-SectionalEditor reviewed

Dry eye symptoms and signs in United States Gulf War era veterans with myalgic encephalomyelitis/chronic fatigue syndrome.

Sanchez, Victor, Kim, Colin K, Locatelli, Elyana V T et al.·Clinical & experimental ophthalmology·2024

Researchers studied eye dryness and discomfort in Gulf War veterans with ME/CFS and compared them to veterans without the condition. They found that people with ME/CFS reported significantly more eye pain and dryness symptoms, even though physical examination of their eyes showed similar amounts of tear production and surface damage as the control group. This suggests that the eye pain experienced by ME/CFS patients may come from causes beyond just dry eyes.

Pain and Sensitization

E2 ModeratePEM not requiredModerate confidenceCross-SectionalEditor reviewed

Presence of endometriosis and chronic overlapping pain conditions negatively impacts the pain experience in women with chronic pelvic-abdominal pain: A cross-sectional survey.

Bartley, Emily J, Alappattu, Meryl J, Manko, Kelsey et al.·Women's health (London, England)·2024

This study looked at 525 women with chronic pelvic and abdominal pain to understand how endometriosis (a condition where tissue grows outside the uterus) affects their pain experience. Women with endometriosis reported more severe pain, greater interference with daily life, and were more likely to have other overlapping pain conditions like fibromyalgia and chronic fatigue syndrome. The more pain conditions a woman had, the worse her overall pain burden became, regardless of whether she had endometriosis.

Pain and Sensitization

E2 ModeratePEM not requiredModerate confidenceCross-SectionalEditor reviewed

A comparison of pain, fatigue, and function between post-COVID-19 condition, fibromyalgia, and chronic fatigue syndrome: a survey study.

Haider, Saman, Janowski, Adam J, Lesnak, Joseph B et al.·Pain·2023

This study surveyed 707 people with post-COVID-19, fibromyalgia, and/or ME/CFS to compare their symptoms. Researchers found that all three conditions share similar patterns of pain, fatigue, brain fog, anxiety, and depression that impact daily life. People with post-COVID-19 reported somewhat less severe pain and fatigue than those with fibromyalgia or ME/CFS, but those with multiple diagnoses had worse symptoms overall.

Pain and SensitizationCognitive Impairment

E2 ModeratePEM requiredPreliminaryEditor reviewed

Brainstem volume changes in myalgic encephalomyelitis/chronic fatigue syndrome and long COVID patients.

Thapaliya, Kiran, Marshall-Gradisnik, Sonya, Barth, Markus et al.·Frontiers in neuroscience·2023

Researchers used advanced MRI scans to examine a part of the brain called the brainstem in patients with ME/CFS and long COVID, comparing them to healthy people. They found that both patient groups had larger volumes in certain brainstem areas compared to healthy controls. The size of specific brainstem regions also correlated with symptom severity, particularly pain and breathing difficulties.

Pain and Sensitization

E2 ModeratePEM not requiredPreliminaryCross-SectionalEditor reviewed

Effect of Central Sensitization in Patients with Familial Mediterranean Fever, Axial Spondyloarthritis, and Both Diseases.

Kaya, Mehmet Nur, Kılıç, Özlem, Doğan, Abdullah et al.·Cureus·2023

This study looked at whether three groups of patients—those with familial Mediterranean fever (FMF), a type of spinal arthritis (axSpA), or both conditions—experience heightened pain sensitivity and related symptoms like fatigue and fibromyalgia compared to healthy people. Researchers used a questionnaire to measure 'central sensitization,' which is when the nervous system amplifies pain signals. They found that patients with these conditions did score higher on pain sensitivity measures than healthy controls, and chronic fatigue was particularly common in the FMF group.

Pain and Sensitization

E2 ModeratePEM unclearModerate confidenceMethods-PaperEditor reviewed

Assessing sleep and pain among adults with myalgic encephalomyelitis/chronic fatigue syndrome: psychometric evaluation of the PROMIS® sleep and pain short forms.

Yang, Manshu, Keller, San, Lin, Jin-Mann S·Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation·2022

This study tested whether two questionnaires (PROMIS scales) accurately measure sleep problems and pain in people with ME/CFS. Researchers surveyed over 600 ME/CFS patients and 338 healthy people at seven clinics across the USA. The questionnaires worked well—they consistently measured what they were supposed to measure, and they clearly showed the difference between ME/CFS patients (who had worse sleep and pain) and healthy controls.

Pain and SensitizationSleep

E2 ModeratePEM not requiredModerate confidenceObservationalEditor reviewed

The incidence and characteristics of chronic pain and fatigue after 12 months later admitting with COVID-19; The Post- COVID 19 syndrome.

Janbazi, Lobaneh, Kazemian, Alireza, Mansouri, Kourosh et al.·American journal of physical medicine & rehabilitation·2022

Researchers followed 157 people who were hospitalized with COVID-19 and checked on them 12 months later. They found that about 27% still had chronic fatigue and muscle weakness, and about 15% experienced chronic pain, mostly in the lower back and legs. Women were more likely than men to report these symptoms, and many patients were only using pain medications rather than receiving rehabilitation or mental health support.

Pain and Sensitization

E2 ModeratePEM not requiredModerate confidenceCase-ControlEditor reviewed

The Impact of Micro RNA-320a Serum Level on Severity of Symptoms and Cerebral Processing of Pain in Patients with Fibromyalgia.

Hussein, Mona, Fathy, Wael, Abdelaleem, Enas A et al.·Pain medicine (Malden, Mass.)·2022

Researchers measured a molecule called miR-320a in the blood of people with fibromyalgia and compared it to healthy people. They found that fibromyalgia patients had higher levels of this molecule, and those with higher levels tended to have worse symptoms like pain, fatigue, sleep problems, and depression. However, this molecule did not appear to affect how the brain processes pain signals.

Pain and SensitizationSleep

E2 ModeratePEM unclearModerate confidenceCross-SectionalEditor reviewed

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 ModeratePEM not requiredModerate confidenceRegistry-ResourceEditor reviewed

Sarcoidosis among US Hispanics in a Nationwide Registry.

Innabi, Ayoub, Alzghoul, Bashar N, Kalra, Saminder et al.·Respiratory medicine·2021

This study looked at how sarcoidosis (a disease that causes inflammation in the body) affects Hispanic patients in the United States compared to non-Hispanic patients. Researchers surveyed nearly 3,835 people and found that Hispanic patients with sarcoidosis experience more depression, chronic pain, sleep problems, and job loss than non-Hispanic patients. The findings suggest that doctors may need to approach treatment differently for Hispanic patients with this condition.

Pain and SensitizationSleep

E2 ModeratePEM unclearPreliminaryCross-SectionalEditor reviewed

Clinical Profile and Aspects of Differential Diagnosis in Patients with ME/CFS from Latvia.

Krumina, Angelika, Vecvagare, Katrine, Svirskis, Simons et al.·Medicina (Kaunas, Lithuania)·2021

This study looked at 65 people with ME/CFS in Latvia to understand their main symptoms and how the condition differs from simple tiredness. Researchers found that people with ME/CFS commonly experience fatigue, muscle pain, joint pain, and sleep problems—more often than people without ME/CFS. When patients had other health conditions alongside ME/CFS, their symptoms tended to be more severe.

Pain and SensitizationSleepDiagnostics

E2 ModeratePEM not requiredModerate confidenceObservationalEditor reviewed

Do patients with central sensitivity syndromes have poor subjective outcomes despite anatomical cure from pelvic organ prolapse surgery?

Vij, Monika, Dua, Anu, Davies, Anthony et al.·International urogynecology journal·2021

This study looked at whether women with ME/CFS, fibromyalgia, or IBS (conditions involving central nervous system sensitivity) had worse outcomes after surgery for pelvic organ prolapse compared to women without these conditions. The researchers found that women with these central sensitivity syndromes reported more persistent symptoms, more pain, and lower satisfaction with surgery even when the surgery was technically successful.

Pain and Sensitization

E2 ModeratePEM unclearPreliminaryLongitudinalEditor reviewed

Impact of Life Stressors on Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Symptoms: An Australian Longitudinal Study.

Balinas, Cassandra, Eaton-Fitch, Natalie, Maksoud, Rebekah et al.·International journal of environmental research and public health·2021

This Australian study followed 36 ME/CFS patients over five months to see how life stressors affected their symptoms. The researchers found that major life changes like work disruptions or money problems were linked to worsening symptoms like brain fog, stomach issues, pain, and sleep problems. Interestingly, patients who had better access to healthcare and support services experienced fewer severe symptoms.

Pain and SensitizationSleep

E2 ModeratePEM unclearPreliminaryCross-SectionalEditor reviewed

High Prevalence of Perineural Cysts in Patients with Fibromyalgia and Chronic Fatigue Syndrome.

Hulens, Mieke, Bruyninckx, Frans, Dankaerts, Wim et al.·Pain medicine (Malden, Mass.)·2021

Researchers found that small fluid-filled sacs called perineural cysts (Tarlov cysts) near nerve roots in the spine were present in 39% of patients diagnosed with fibromyalgia or ME/CFS—three times more common than in the general population. These cysts may irritate nerves and could potentially explain why some patients with these conditions experience widespread pain and fatigue. This finding suggests that fibromyalgia, ME/CFS, and symptomatic Tarlov cysts might share a similar underlying cause related to spinal fluid pressure.

Pain and Sensitization

E2 ModeratePEM not requiredModerate confidenceLongitudinalEditor reviewed

The association between exposure to domestic abuse in women and the development of syndromes indicating central nervous system sensitization: A retrospective cohort study using UK primary care records.

Chandan, Joht Singh, Keerthy, Deepiksana, Gokhale, Krishna Margadhamane et al.·European journal of pain (London, England)·2021

This study looked at whether women who experienced domestic abuse were more likely to develop conditions involving chronic pain and nervous system sensitivity, such as fibromyalgia and ME/CFS. Researchers compared health records of over 22,000 women who had experienced abuse with nearly 45,000 women who had not. They found that abuse survivors had significantly higher rates of several pain-related conditions, suggesting that trauma may trigger or worsen these syndromes.

Pain and Sensitization

E2 ModeratePEM unclearModerate confidenceCase-ControlEditor reviewed

Health, Wellbeing, and Prognosis of Australian Adolescents with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): A Case-Controlled Follow-Up Study.

Josev, Elisha K, Cole, Rebecca C, Scheinberg, Adam et al.·Journal of clinical medicine·2021

This study followed Australian teenagers with ME/CFS for about two years after diagnosis to see how they were doing. While many young people improved in mood and some symptoms, fatigue, pain, and overall quality of life stayed significantly worse compared to healthy teenagers. About two-thirds of the teens still had ME/CFS at follow-up, suggesting the condition often persists in the early years after diagnosis.

Pain and Sensitization

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Exploratory study on autoantibodies to arginine-rich human peptides mimicking Epstein-Barr virus in women with post-COVID and myalgic encephalomyelitis/chronic fatigue syndrome.

Nonpelvic comorbid symptoms of 45 patients with pain of pelvic venous origin, before and after treatment.

Low-dose Naltrexone Improves post-COVID-19 condition Symptoms.

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Impact on Quality of Life (QoL) of Persons with ME/CFS.

Dry eye symptoms and signs in United States Gulf War era veterans with myalgic encephalomyelitis/chronic fatigue syndrome.

Presence of endometriosis and chronic overlapping pain conditions negatively impacts the pain experience in women with chronic pelvic-abdominal pain: A cross-sectional survey.

A comparison of pain, fatigue, and function between post-COVID-19 condition, fibromyalgia, and chronic fatigue syndrome: a survey study.

Brainstem volume changes in myalgic encephalomyelitis/chronic fatigue syndrome and long COVID patients.

Effect of Central Sensitization in Patients with Familial Mediterranean Fever, Axial Spondyloarthritis, and Both Diseases.

Assessing sleep and pain among adults with myalgic encephalomyelitis/chronic fatigue syndrome: psychometric evaluation of the PROMIS® sleep and pain short forms.

The incidence and characteristics of chronic pain and fatigue after 12 months later admitting with COVID-19; The Post- COVID 19 syndrome.

The Impact of Micro RNA-320a Serum Level on Severity of Symptoms and Cerebral Processing of Pain in Patients with Fibromyalgia.

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

Sarcoidosis among US Hispanics in a Nationwide Registry.

Clinical Profile and Aspects of Differential Diagnosis in Patients with ME/CFS from Latvia.

Do patients with central sensitivity syndromes have poor subjective outcomes despite anatomical cure from pelvic organ prolapse surgery?

Impact of Life Stressors on Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Symptoms: An Australian Longitudinal Study.

High Prevalence of Perineural Cysts in Patients with Fibromyalgia and Chronic Fatigue Syndrome.

The association between exposure to domestic abuse in women and the development of syndromes indicating central nervous system sensitization: A retrospective cohort study using UK primary care records.

Health, Wellbeing, and Prognosis of Australian Adolescents with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): A Case-Controlled Follow-Up Study.

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