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肌痛性脑脊髓炎/慢性疲劳综合征和多发性硬化症患者感觉超敏反应的健康结果。

Health outcomes of sensory hypersensitivities in myalgic encephalomyelitis/chronic fatigue syndrome and multiple sclerosis.

机构信息

Center for Community Research, DePaul University, Chicago, IL, USA.

Department of Psychology, Chicago State University, Chicago, IL, USA.

出版信息

Psychol Health Med. 2023 Dec;28(10):3052-3063. doi: 10.1080/13548506.2023.2195670. Epub 2023 Mar 28.

Abstract

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a poorly understood chronic illness with many case definitions that disagree on key symptoms, including hypersensitivities to noise and lights. The aim of the current study was to understand the prevalence rates and characteristics of these symptoms amongst people with ME/CFS and to compare them to people with another chronic illness, multiple sclerosis (MS). International datasets consisting of 2,240 people with either ME/CFS or MS have completed the DePaul Symptom Questionnaire (DSQ) and the Short Form Health Survey Questionnaire (SF-36). Hypersensitivities to noise and lights were indicated from items on the DSQ, and participants were analyzed against DSQ and SF-36 subscales through a multivariate analysis of covariance. There were significantly higher percentages of people with hypersensitivities in the ME/CFS sample compared to the MS sample. Regardless of illness, participants that exhibited both hypersensitivities reported greater symptomology than those without hypersensitivities. Healthcare providers and researchers should consider these symptoms when developing treatment plans and evaluating ME/CFS case diagnostic criteria.

摘要

肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)是一种病因不明的慢性疾病,有许多不同的病例定义,这些定义在关键症状上存在分歧,包括对噪音和光线的过敏。本研究的目的是了解 ME/CFS 患者和另一种慢性疾病多发性硬化症(MS)患者中这些症状的患病率和特征,并对其进行比较。国际数据集包括 2240 名 ME/CFS 或 MS 患者,他们完成了德保罗症状问卷(DSQ)和简明健康调查问卷(SF-36)。DSQ 上的项目表明对噪音和光线过敏,通过协方差的多变量分析,根据 DSQ 和 SF-36 分量表对参与者进行分析。与 MS 样本相比,ME/CFS 样本中对噪音和光线过敏的人比例明显更高。无论疾病如何,同时表现出这两种过敏症状的参与者报告的症状比没有过敏症状的参与者更多。医疗保健提供者和研究人员在制定治疗计划和评估 ME/CFS 病例诊断标准时应考虑这些症状。

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