Evidence browser

SleepCognitive Impairment

Long COVID and chronic fatigue syndrome: A survey of elderly female survivors in Egypt.

Aly, Menna A E G, Saber, Heba G·International journal of clinical practice·2021

This study looked at 115 elderly women in Egypt who had recovered from COVID-19 to see if their lingering symptoms might lead to chronic fatigue syndrome (ME/CFS). Most women reported problems like fatigue, muscle pain, and sleep trouble after COVID, and the study found that stress, sadness, and poor sleep were most strongly linked to developing CFS-like symptoms. Only one person in the study actually met full criteria for probable CFS, but the researchers suggest doctors should watch for these warning signs in long COVID patients.

DiagnosticsSleepPain and Sensitization

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.

Cognitive ImpairmentSleepPain and Sensitization

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.

E2 ModerateCohortPEM not requiredCase-Control

Sleep problems in adolescents with CFS: A case-control study nested within a prospective clinical cohort.

Loades, Maria Elizabeth, Rimes, Katharine A, Chalder, Trudie·Clinical child psychology and psychiatry·2020

This study looked at sleep problems in teenagers with ME/CFS compared to healthy teenagers and those with asthma. Teenagers with ME/CFS reported significantly more sleep difficulties than both comparison groups. When researchers checked in 3 months later without any treatment, sleep problems remained largely unchanged, suggesting that sleep issues in ME/CFS don't improve on their own and may need specific attention during treatment.

The presence of overlapping quality of life symptoms in primary antibody deficiency (PAD) and chronic fatigue syndrome (CFS).

Bansal, Rhea A, Tadros, Susan, Bansal, Amolak S·Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology·2020

This study looked at whether people with primary antibody deficiency (PAD)—a condition where the immune system doesn't make enough protective proteins—also experience ME/CFS-like symptoms. Researchers sent questionnaires to over 680 PAD patients and found that about 16% of those who responded had symptoms matching ME/CFS criteria, which is much higher than the general population. The study also found that sleep problems, fatigue, anxiety, and low mood were very common in PAD patients.

E2 ModerateBehavioralPEM not requiredCross-Sectional

Health Conditions and Psychotic Experiences: Cross-Sectional Findings From the American Life Panel.

Oh, Hans, Smith, Lee, Koyanagi, Ai·Frontiers in psychiatry·2020

This study looked at whether people who experience psychotic symptoms (like unusual beliefs or perceptions) also tend to have more physical health problems. Researchers surveyed a representative group of American adults and found that people reporting lifetime psychotic experiences were more likely to have conditions like chronic fatigue syndrome, chronic pain, sleep disorders, migraines, and gastrointestinal problems. The more health conditions someone had, the stronger the association with psychotic experiences.

SleepPain and Sensitization

E2 ModerateBehavioralPEM not requiredCross-Sectional

Associations of occupational stress, workplace violence, and organizational support on chronic fatigue syndrome among nurses.

Li, Mengyao, Shu, Qianyi, Huang, Hao et al.·Journal of advanced nursing·2020

This study examined whether workplace stress, violence, and lack of organizational support increase the risk of ME/CFS in nurses. Researchers surveyed 1,080 Chinese nurses and found that those experiencing high levels of overcommitment, workplace violence, and little support from their employers were significantly more likely to have ME/CFS. The findings suggest that improving workplace safety, support, and reducing internal stress could help prevent ME/CFS in this high-risk group.

SleepCognitive Impairment

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.

E2 ModerateBehavioralPEM not requiredLongitudinal

Fatigue in Epstein-Barr virus infected adolescents and healthy controls: A prospective multifactorial association study.

Pedersen, Maria, Asprusten, Tarjei Tørre, Godang, Kristin et al.·Journal of psychosomatic research·2019

This study followed teenagers with acute Epstein-Barr virus (EBV) infection and compared them to healthy teenagers to understand what causes fatigue. Researchers measured 148 different factors including symptoms, quality of life, sleep, emotions, immune markers, and heart rate control at the start of infection and again six months later. They found that fatigue was consistently linked to sleep problems, negative emotions, and poor quality of life, but surprisingly, markers of active infection were not associated with how tired people felt.

Autonomic Nervous SystemSleep

E2 ModerateBehavioralPEM not requiredObservational

Sleep education in primary school prevents future school refusal behavior.

Maeda, Tsutomu, Oniki, Kentaro, Miike, Teruhisa·Pediatrics international : official journal of the Japan Pediatric Society·2019

This study tested whether teaching primary school children about healthy sleep habits could prevent school refusal (persistent avoidance of attending school) later on. Researchers in Japan had students track their sleep for 2 weeks, gave them feedback, and taught them and their parents about the importance of regular sleep schedules. After the program started, school refusal rates dropped dramatically—from 10% of graduates in 2007 to 0% by 2012.

Prevalence and characteristics of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) in Poland: a cross-sectional study.

Słomko, Joanna, Newton, Julia L, Kujawski, Sławomir et al.·BMJ open·2019

Researchers in Poland studied 1,400 people who reported feeling very tired to understand how common ME/CFS really is. They found that 69 people actually had ME/CFS based on standard diagnostic criteria. These patients experienced severe fatigue that lasted years, had trouble staying awake during the day, problems with dizziness when standing up, anxiety, and depression—all of which seriously affected their quality of life.

Unemployment and work disability in individuals with chronic fatigue syndrome/myalgic encephalomyelitis: a community-based cross-sectional study from Spain.

Castro-Marrero, Jesús, Faro, Mónica, Zaragozá, María Cleofé et al.·BMC public health·2019

This Spanish study looked at 1,086 people with ME/CFS to understand why some are unable to work. Researchers found that more than half (58.6%) were unemployed due to illness. Several factors made work disability more likely, including severe fatigue and pain, autonomic problems (like dizziness or heart issues), neurological symptoms, depression, sleep problems, and having pain start at an older age.

E2 ModerateBehavioralPEM not requiredCross-Sectional

Hematological and Psychophysiological Correlates of Anomalous Information Reception in Mediums: A Preliminary Exploration.

Beischel, Julie, Tassone, Shawn, Boccuzzi, Mark·Explore (New York, N.Y.)·2019

This study looked at whether people who identify as mediums (those who report communicating with deceased individuals) experience more health problems than people who don't. Researchers found that mediums reported significantly more autoimmune diseases, sleep problems, gastrointestinal issues, and other symptoms compared to non-mediums. However, blood tests and heart rate measurements taken during mediumship sessions showed no unusual changes.

Physical Activity and Sleep in Chronic Fatigue Syndrome and Fibromyalgia Syndrome: Associations with Symptom Severity in the General Population Cohort LifeLines.

Joustra, Monica L, Zijlema, Wilma L, Rosmalen, Judith G M et al.·Pain research & management·2018

This study looked at how physical activity and sleep relate to symptom severity in ME/CFS and fibromyalgia by comparing nearly 91,000 people from a large population study. Patients with ME/CFS and fibromyalgia were less active and slept longer than healthy controls. Interestingly, both too little and too much physical activity or sleep were linked to worse symptoms, suggesting that finding the right balance is important for managing these conditions.

E2 ModerateCohortPEM not requiredLongitudinal

Childhood sleep and adolescent chronic fatigue syndrome (CFS/ME): evidence of associations in a UK birth cohort.

Collin, Simon M, Norris, Tom, Gringras, Paul et al.·Sleep medicine·2018

This study tracked children from birth through their teenage years to see if sleep problems in childhood were linked to developing ME/CFS later on. Researchers found that children who slept less at night during early childhood were more likely to develop chronic disabling fatigue as teenagers, and those with trouble falling asleep were at higher risk. Each extra hour of sleep at age 9 or 11 was associated with a significantly lower chance of developing the condition.

E2 ModeratePEM not requiredRegistry-Resource

Improvement in mood, oxidative stress, fatigue, and insomnia following supplementary management with Robuvit®.

Belcaro, Gianni, Saggino, Aristide, Cornelli, Umberto et al.·Journal of neurosurgical sciences·2018

This study tested whether a supplement made from French oak wood called Robuvit® could help people with ME/CFS who experience fatigue, sleep problems, mood difficulties, and high levels of oxidative stress (cellular damage). Eighteen patients took 300 mg of Robuvit® daily for 8 weeks, while 22 others received standard care. The Robuvit® group showed significant improvements in mood, fatigue, sleep, and oxidative stress levels, with no safety concerns reported.

Sleep patterns among patients with chronic fatigue: A polysomnography-based study.

Pajediene, Evelina, Bileviciute-Ljungar, Indre, Friberg, Danielle·The clinical respiratory journal·2018

This study looked at sleep problems in people with chronic fatigue by using a sleep monitoring test called polysomnography. Researchers found that more than half of the fatigued patients who also felt excessively sleepy had treatable sleep disorders like sleep apnea, restless legs, or periodic leg movements. The authors suggest that people with these symptoms should be tested for sleep disorders and treated before being diagnosed with ME/CFS, since fixing the sleep problem might help with fatigue.

E2 ModerateBehavioralPEM not requiredLongitudinal

Reciprocal associations between daily need-based experiences, energy, and sleep in chronic fatigue syndrome.

Campbell, Rachel, Vansteenkiste, Maarten, Delesie, Liesbeth et al.·Health psychology : official journal of the Division of Health Psychology, American Psychological Association·2018

This study tracked 120 ME/CFS patients for 14 days to understand how their daily psychological needs, energy levels, and sleep quality relate to each other. Researchers found that on days when patients felt their needs were met (feeling in control, capable, and connected to others), they had more energy and better sleep. On days when patients felt frustrated in meeting these needs, they experienced more fatigue and worse sleep quality.

SleepAutonomic Nervous SystemPain and Sensitization

Poor self-reported sleep quality and health-related quality of life in patients with chronic fatigue syndrome/myalgic encephalomyelitis.

Castro-Marrero, Jesús, Zaragozá, Maria C, González-Garcia, Sergio et al.·Journal of sleep research·2018

This study looked at sleep problems in 1,455 Spanish ME/CFS patients and found that nearly all of them reported poor sleep quality that wasn't refreshing, even when they slept. The researchers discovered that poor sleep was strongly linked to worse pain, fatigue, anxiety, depression, and lower quality of life overall. Several factors—including pain intensity, mood problems, fibromyalgia, and autonomic nervous system dysfunction—were particularly associated with sleep difficulties.

[Sleep disturbances - an important factor in combination 'minor' symptoms of multiple sclerosis].

Yakupov, E Z, Troshina, Yu V·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·2017

This study looked at sleep problems in 54 people with multiple sclerosis (MS) compared to 54 healthy people. Researchers found that people with MS had much more trouble sleeping, and that poor sleep was connected to anxiety, depression, and fatigue. The study suggests that sleep disturbances may play an important role in how MS affects quality of life and fatigue symptoms.