ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

421–440 of 6,187 studies

E0 ConsensusReviewPEM not requiredSystematic-Review

Sleep Disturbances in Pediatric Chronic Fatigue Syndrome: A Review of Current Research.

Snodgrass, Kelli, Harvey, Adrienne, Scheinberg, Adam et al.·Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine·2015

Children and teens with ME/CFS commonly struggle with sleep problems, but we don't know much about exactly what types of sleep issues they experience or how severe they are. This review looked at six studies comparing sleep in young people with ME/CFS to healthy children, and found that most studies showed children with ME/CFS have more sleep disturbances. However, the researchers note that more high-quality studies are needed to truly understand sleep problems in pediatric ME/CFS.

Sleep

E0 ConsensusReviewPEM not requiredSystematic-Review

Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop.

Smith, M E Beth, Haney, Elizabeth, McDonagh, Marian et al.·Annals of internal medicine·2015

This study reviewed 35 clinical trials testing different treatments for ME/CFS to see what actually works. The researchers found that a few treatments showed promise—particularly a drug called rintatolimod for exercise performance, and talking therapies plus graded exercise programs for improving fatigue and daily functioning—but most other treatments tested didn't have enough evidence to prove they help. Overall, doctors still need better studies to know for sure which treatments work best for different patients.

Interventions

E0 ConsensusReviewPEM not requiredSystematic-Review

Chronic fatigue syndrome and circulating cytokines: A systematic review.

Blundell, S, Ray, K K, Buckland, M et al.·Brain, behavior, and immunity·2015

Researchers reviewed 38 studies looking at whether immune proteins called cytokines are elevated in people with ME/CFS. They found that one specific cytokine, TGF-β, was consistently higher in people with ME/CFS compared to healthy people in about 63% of studies. However, most other immune proteins measured were normal, and exercise did not change cytokine levels differently between people with ME/CFS and healthy controls.

Immune SystemPost-Exertional Malaise

E0 ConsensusReviewPEM not requiredSystematic-Review

Differential effects of behavioral interventions with a graded physical activity component in patients suffering from Chronic Fatigue (Syndrome): An updated systematic review and meta-analysis.

Marques, M M, De Gucht, V, Gouveia, M J et al.·Clinical psychology review·2015

This review looked at 16 studies testing whether combining talking therapy with gradually increased physical activity helps ME/CFS patients feel less tired and function better. The researchers found small to medium improvements in fatigue, daily functioning, and mood, especially when treatments involved less frequent face-to-face contact with providers or were delivered by psychologists in hospital settings.

E0 ConsensusReviewPEM unclearSystematic-Review

Patient Outcomes in Association With Significant Other Responses to Chronic Fatigue Syndrome: A Systematic Review of the Literature.

Band, Rebecca, Wearden, Alison, Barrowclough, Christine·Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association·2015

This review looked at 14 studies examining how the people close to ME/CFS patients respond to their illness and how these responses affect patient outcomes. The researchers found that when loved ones blame patients for causing or worsening their illness, patients experience more emotional distress. Interestingly, both overly caring responses and negative responses from significant others were linked to worse symptoms and disability.

E0 ConsensusReviewPEM not requiredReview-Narrative

Algo-dysfunctional syndromes: a critical digest of the recent literature.

Talotta, Rossella, Atzeni, Fabiola, Bazzichi, Laura et al.·Clinical and experimental rheumatology·2015

This review examines three related conditions—ME/CFS, fibromyalgia, and irritable bowel syndrome—that share similar patterns of pain and fatigue. Researchers found that these conditions likely develop from a combination of factors: genetic predisposition, infections, inflammation, stress hormone problems, changes in how the brain processes pain, and damage to small nerves throughout the body. Treatment works best when doctors use multiple approaches together, including both medications and lifestyle changes.

Immune System

E0 ConsensusReviewPEM not requiredSystematic-Review

Effectiveness of body awareness interventions in fibromyalgia and chronic fatigue syndrome: a systematic review and meta-analysis.

Courtois, Imke, Cools, Filip, Calsius, Joeri·Journal of bodywork and movement therapies·2015

This review looked at 29 studies testing whether body awareness exercises—activities that help you tune into and understand your body's signals—might help people with fibromyalgia and ME/CFS. The researchers found that these interventions did show modest improvements in pain, fatigue impact, mood, anxiety, and overall quality of life. However, the results varied quite a bit between studies, so it's not yet clear which approaches work best or for whom.

E0 ConsensusReviewPEM not requiredSystematic-Review

Chronic fatigue syndrome.

Cleare, Anthony J, Reid, Steven, Chalder, Trudie et al.·BMJ clinical evidence·2015

This research review looked at treatments for chronic fatigue syndrome (ME/CFS) and found that the condition affects between 0.006% and 3% of people depending on how it's diagnosed, with women more commonly affected than men. The researchers searched multiple medical databases for studies on four main treatments: antidepressants, cognitive behavioral therapy (a type of talk therapy), corticosteroids (anti-inflammatory drugs), and graded exercise therapy. They carefully reviewed 15 high-quality studies to evaluate how well these treatments work and whether they're safe.

Interventions

E0 ConsensusGuidelinePEM requiredGuideline

Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness

Institute of Medicine Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome·National Academies Press·2015

The US Institute of Medicine reviewed over 9,000 scientific articles to establish new diagnostic criteria for ME/CFS. The report introduced SEID (Systemic Exertion Intolerance Disease) as a proposed name and established that ME/CFS is a serious, chronic, complex systemic disease. New criteria require PEM, unrefreshing sleep, plus cognitive impairment or orthostatic intolerance.

DiagnosticsPost-Exertional Malaise

E0 ConsensusGuidelinePEM requiredGuideline

Beyond myalgic encephalomyelitis/chronic fatigue syndrome: an IOM report on redefining an illness.

Clayton, Ellen Wright·JAMA·2015

This influential 2015 report from the Institute of Medicine recommended that doctors use a new name and definition for ME/CFS to better reflect what the illness actually is. The report emphasized that ME/CFS is a serious medical condition with real biological causes, not a psychological problem. It called for improved recognition, diagnosis, and research to help the millions of people living with this debilitating illness.

Post-Exertional Malaise

E0 ConsensusReviewPEM unclearSystematic-Review

Neurological aspects of human parvovirus B19 infection: a systematic review.

Barah, Faraj, Whiteside, Sigrid, Batista, Sonia et al.·Reviews in medical virology·2014

This review examined published cases where parvovirus B19 (a common virus) was linked to neurological problems like brain inflammation and nerve damage. Researchers found 129 documented cases in medical literature, with the majority involving brain-related symptoms. The study suggests doctors should consider B19 testing when patients have unexplained brain inflammation, and that certain treatments (immunoglobulins and steroids) may help in severe cases.

E0 ConsensusReviewPEM not requiredReview-Narrative

Can stress trigger Parkinson's disease?

Djamshidian, Atbin, Lees, Andrew J·Journal of neurology, neurosurgery, and psychiatry·2014

This review examines whether chronic stress might trigger Parkinson's disease in people who are genetically vulnerable. The authors searched medical literature to understand how stress affects the brain's dopamine system and whether stress-related symptoms can mimic Parkinson's disease. They also explored connections between stress and other conditions like ME/CFS, fibromyalgia, and irritable bowel syndrome that share similar nervous system dysfunction.

E0 ConsensusReviewPEM not requiredSystematic-Review

Diagnosis and Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Smith, M E Beth, Nelson, Heidi D, Haney, Elizabeth et al.·Evidence report/technology assessment·2014

This review examined research on how doctors diagnose ME/CFS and which treatments help patients. Researchers looked at 71 studies and found that there is no single agreed-upon way to diagnose ME/CFS, and different diagnostic criteria identify somewhat different groups of patients. Some treatments like counseling and graded exercise showed benefits for fatigue and quality of life, though graded exercise was associated with more reported side effects.

Post-Exertional Malaise

E0 ConsensusReviewPEM not requiredMeta-Analysis

Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis.

Afari, Niloofar, Ahumada, Sandra M, Wright, Lisa Johnson et al.·Psychosomatic medicine·2014

This large analysis of 71 studies found that people who have experienced psychological trauma are about 2.7 times more likely to develop functional somatic syndromes like ME/CFS, fibromyalgia, and irritable bowel syndrome. The connection was even stronger in people with PTSD (post-traumatic stress disorder). This suggests that traumatic experiences are linked to increased risk of developing these chronic conditions.

E0 ConsensusReviewPEM not requiredSystematic-Review

A review of the predisposing, precipitating and perpetuating factors in Chronic Fatigue Syndrome in children and adolescents.

Lievesley, Kate, Rimes, Katharine A, Chalder, Trudie·Clinical psychology review·2014

This review looked at 79 studies to understand what factors might contribute to ME/CFS in children and teenagers. The researchers found that young people with ME/CFS are more likely to also experience anxiety or depression than healthy peers. Many patients reported their illness started after an infection, and some families seemed to have multiple members with ME/CFS, though the research on these patterns is still developing.

E0 ConsensusReviewPEM not requiredSystematic-Review

Traditional Chinese medicine for chronic fatigue syndrome: a systematic review of randomized clinical trials.

Wang, Yu-Yi, Li, Xin-Xue, Liu, Jian-Ping et al.·Complementary therapies in medicine·2014

This review examined 23 studies testing traditional Chinese medicine (TCM) treatments for chronic fatigue syndrome, involving 1,776 patients. The treatments included herbal medicines, acupuncture, qigong, and other TCM approaches. Most studies found that TCM helped reduce fatigue symptoms, though the quality of these studies was often poor, and it's unclear if TCM improves overall quality of life for patients.

Interventions

E0 ConsensusReviewPEM not requiredReview-Narrative

Irritable bowel syndrome: relations with functional, mental, and somatoform disorders.

Hausteiner-Wiehle, Constanze, Henningsen, Peter·World journal of gastroenterology·2014

This review looked at how irritable bowel syndrome (IBS) relates to other conditions like ME/CFS and fibromyalgia, as well as depression and anxiety. The authors found that IBS often occurs alongside these other conditions and that about half of IBS patients have no mental health symptoms, while the other half do. They suggest that doctors should treat IBS as a complex condition that affects multiple body systems and the mind, rather than separating physical symptoms from mental ones.

E0 ConsensusReviewPEM not requiredSystematic-Review

Sympathetic nervous system dysfunction in fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome, and interstitial cystitis: a review of case-control studies.

Martínez-Martínez, Laura-Aline, Mora, Tania, Vargas, Angélica et al.·Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases·2014

This review examined whether ME/CFS, fibromyalgia, IBS, and interstitial cystitis share a common problem: an overactive stress-response system in the nervous system. Researchers looked at 196 published studies that compared patients with these conditions to healthy controls. They found that about 65% of studies showed these patients have a nervous system stuck in 'overdrive,' which could explain why these conditions often occur together.

Autonomic Nervous System

E0 ConsensusReviewPEM unclearReview-Narrative

Biological phenotypes underpin the physio-somatic symptoms of somatization, depression, and chronic fatigue syndrome.

Anderson, G, Berk, M, Maes, M·Acta psychiatrica Scandinavica·2014

This review examined research showing that the physical symptoms experienced in ME/CFS, depression, and somatization (medically unexplained symptoms) have real biological causes, not just psychological ones. The authors found that inflammation, immune system activation, and changes in how the body breaks down certain nutrients are linked to symptoms like fatigue, pain, and autonomic problems. Understanding these biological pathways may help explain why these conditions overlap and why symptoms feel so physically real.

Immune System

E0 ConsensusReviewPEM not requiredSystematic-Review

Defining recovery in chronic fatigue syndrome: a critical review.

Adamowicz, Jenna L, Caikauskaite, Indre, Friedberg, Fred·Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation·2014

This review looked at 22 studies about ME/CFS to understand how researchers decide if someone has recovered. The researchers found that different studies use very different definitions of recovery—some only look at fatigue levels, others look at function, and some use simple yes/no assessments. The authors suggest that the word 'recovery' might not be accurate for many cases, and recommend using clearer terms like 'clinically significant improvement' instead.

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Sleep Disturbances in Pediatric Chronic Fatigue Syndrome: A Review of Current Research.

Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop.

Chronic fatigue syndrome and circulating cytokines: A systematic review.

Differential effects of behavioral interventions with a graded physical activity component in patients suffering from Chronic Fatigue (Syndrome): An updated systematic review and meta-analysis.

Patient Outcomes in Association With Significant Other Responses to Chronic Fatigue Syndrome: A Systematic Review of the Literature.

Algo-dysfunctional syndromes: a critical digest of the recent literature.

Effectiveness of body awareness interventions in fibromyalgia and chronic fatigue syndrome: a systematic review and meta-analysis.

Chronic fatigue syndrome.

Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness

Beyond myalgic encephalomyelitis/chronic fatigue syndrome: an IOM report on redefining an illness.

Neurological aspects of human parvovirus B19 infection: a systematic review.

Can stress trigger Parkinson's disease?

Diagnosis and Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis.

A review of the predisposing, precipitating and perpetuating factors in Chronic Fatigue Syndrome in children and adolescents.

Traditional Chinese medicine for chronic fatigue syndrome: a systematic review of randomized clinical trials.

Irritable bowel syndrome: relations with functional, mental, and somatoform disorders.

Sympathetic nervous system dysfunction in fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome, and interstitial cystitis: a review of case-control studies.

Biological phenotypes underpin the physio-somatic symptoms of somatization, depression, and chronic fatigue syndrome.

Defining recovery in chronic fatigue syndrome: a critical review.

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