Sharpe M
Department of Psychiatry, University of Oxford, United Kingdom.
Psychiatr Clin North Am. 1996 Sep;19(3):549-73. doi: 10.1016/s0193-953x(05)70305-1.
Chronic fatigue syndrome (CFS) is a medically unexplained illness characterized by chronic, disabling fatigue, impaired concentration, muscle pain, and other somatic symptoms. The conceptual difficulties associated with all medically unexplained illnesses contribute to the controversy surrounding CFS, which has centered around whether it is best regarded as a medical or as a psychiatric condition. Clinically, such an approach is not helpful, and current research suggests that both pathophysiologic changes and psychosocial factors are important. Pragmatic management based on a detailed assessment of the individual is outlined.
慢性疲劳综合征（CFS）是一种医学上无法解释的疾病，其特征为慢性、使人衰弱的疲劳、注意力不集中、肌肉疼痛及其他躯体症状。与所有医学上无法解释的疾病相关的概念难题导致了围绕慢性疲劳综合征的争议，该争议主要集中在它最好被视为一种医学病症还是精神病症。在临床上，这种方法并无帮助，而目前的研究表明病理生理变化和心理社会因素都很重要。文中概述了基于对个体进行详细评估的务实管理方法。
