Luthra A, Wessely S
King's College School of Medicine, Institute of Psychiatry, 103 Denmark Hill, London SE5 8AZ, UK.
Soc Sci Med. 2004 Jun;58(11):2363-9. doi: 10.1016/j.socscimed.2003.08.031.
The aetiologies of both chronic fatigue syndrome (CFS) and its predecessor neurasthenia, have been linked to technological advances in 'developed' countries. This paper discusses how this has led to a form of race thinking within discussions about fatigue which has persisted for more than a century. We review the historical development of this race thinking from neurasthenia to CFS and describe how it is manifested in both the lay- and medical literature. We also review the epidemiological literature on CFS and ethnicity to better understand the relatively low percentage of non-white patients seen in tertiary referral clinics for CFS. The aim of this paper is to act as a starting point for a debate on race and CFS.
慢性疲劳综合征（CFS）及其前身神经衰弱的病因，都与“发达国家”的技术进步有关。本文讨论了这是如何在关于疲劳的讨论中导致了一种持续了一个多世纪的种族思维形式。我们回顾了这种从神经衰弱到慢性疲劳综合征的种族思维的历史发展，并描述了它在大众和医学文献中的表现方式。我们还回顾了关于慢性疲劳综合征和种族的流行病学文献，以便更好地理解在慢性疲劳综合征三级转诊诊所中，非白人患者所占比例相对较低的情况。本文旨在作为关于种族与慢性疲劳综合征辩论的一个起点。
