Białyszewski A
IV Kliniki Psychiatrycznej Instytutu Psychiatrii i Neurologii, Warszawie.
Psychiatr Pol. 1993 Nov-Dec;27(6):601-11.
The chronic fatigue syndrome (CFS) including myalgic encephalomyelitis and the postviral syndrome is a term used today to describe a not fully recognized disease characterized primarily by chronic or recurrent debilitating fatigue and various combinations of neuromuscular and neuropsychological symptoms. The term CFS has been introduced and defined by the Centers for Disease Control (CDC) in Atlanta. Fatigue is one of the most common symptoms in medicine, but CFS as defined by CDC has appeared to be quite rare in the general population. Researchers have suggested that the syndrome is a heterogenous immunologic disorder that follows viral infection, but despite numerous studies on the subject the etiologic factor of the syndrome is unknown. CFS is a controversial diagnosis. In a very high percentage of patients with the CFS depression, phobias or anxiety disorders have frequently preceded the onset of the chronic fatigue. There are many overlapping symptoms between CFS and major depression. Some clinicians suggest that it is not obvious that CFS can be distinguished from neurasthenia.
慢性疲劳综合征（CFS），包括肌痛性脑脊髓炎和病毒感染后综合征，是如今用于描述一种尚未被充分认识的疾病的术语，其主要特征为慢性或复发性使人衰弱的疲劳以及神经肌肉和神经心理症状的各种组合。“慢性疲劳综合征”这一术语由亚特兰大的疾病控制中心（CDC）提出并定义。疲劳是医学中最常见的症状之一，但按照疾病控制中心的定义，慢性疲劳综合征在普通人群中似乎相当罕见。研究人员认为该综合征是一种继发于病毒感染的异质性免疫紊乱，但尽管对此进行了大量研究，该综合征的病因仍不明。慢性疲劳综合征是一个有争议的诊断。在很大比例的慢性疲劳综合征患者中，抑郁、恐惧症或焦虑症常在慢性疲劳发作之前出现。慢性疲劳综合征和重度抑郁症之间有许多重叠症状。一些临床医生认为，慢性疲劳综合征能否与神经衰弱区分开来并不明显。
