Heyll U, Wachauf P, Senger V, Diewitz M
Gesellschaftsärztliche Abteilung der Deutschen Krankenversicherung, Köln.
Med Klin (Munich). 1997 Apr 15;92(4):221-7. doi: 10.1007/BF03043262.
The definition of "Chronic Fatigue Syndrome" (CFS) in 1988 was an attempt to establish a uniform basis for the previously heterogeneous approaches to research of this severe and inexplicable state of fatigue. At the same time, researchers wished to narrow down a pathogenetically founded disease entity a priori by specifying precise disease criteria. The empirical data gathered in accordance with the CFS definition, however, have failed to confirm the assumption that the disease entity is pathogenetically uniform. Furthermore, the originally selected criteria have proven to be impracticable ore theoretically questionable. In the period that followed, modifications that permitted a more comprehensive and yet more differentiated classification of fatigue states of unclear etiology were proposed. The new research approach avoids postulation of causal entities and puts CFS back in a category with other descriptive states of fatigue.
1988年对“慢性疲劳综合征”(CFS)的定义,旨在为此前针对这种严重且原因不明的疲劳状态的研究中存在的异质性方法建立统一基础。与此同时,研究人员希望通过明确精确的疾病标准,预先缩小一个基于发病机制的疾病实体范围。然而,按照CFS定义收集的实证数据未能证实该疾病实体在发病机制上具有一致性这一假设。此外,最初选定的标准已被证明不切实际或在理论上存在问题。在随后的时期,有人提出了一些修改建议,以便对病因不明的疲劳状态进行更全面且更具区分性的分类。新的研究方法避免了对因果实体的假设,并将CFS重新归为其他描述性疲劳状态的类别。