Dörr Johanna, Nater Urs
Psychologie, Universität Marburg.
Psychother Psychosom Med Psychol. 2013 Feb;63(2):69-76. doi: 10.1055/s-0032-1327706. Epub 2013 Feb 13.
This article aims at giving a general view of fatigue syndromes, their description, and their differentiation. The syndromes neurasthenia, chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), and burnout are discussed. First, the historical background of fatigue classification is shortly reviewed. Each syndrome is introduced in terms of definition and classification as well as differentiation from each other. The article discusses the differentiation of the syndromes from each other as well as differentiation of CFS/ME and burnout from depression. We conclude that it is difficult to differentiate criteria due to insufficient empirical evidence. More research is needed concerning integration of the diagnoses in classification systems as well as differentiation between syndromes. High comorbidity of depression with CFS and Burnout can be shown, but diagnoses also comprise distinct symptoms.
本文旨在对疲劳综合征、其描述及鉴别进行概述。文中讨论了神经衰弱、慢性疲劳综合征/肌痛性脑脊髓炎（CFS/ME）和职业倦怠等综合征。首先，简要回顾了疲劳分类的历史背景。从定义、分类以及相互鉴别等方面对每种综合征进行了介绍。本文探讨了这些综合征之间的相互鉴别，以及CFS/ME和职业倦怠与抑郁症的鉴别。我们得出结论，由于经验证据不足，难以区分标准。在分类系统中关于诊断的整合以及综合征之间的鉴别，还需要更多研究。抑郁症与CFS和职业倦怠的共病率较高，但诊断也包括不同的症状。
