Talk:ME/CFS controversies

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[edit] Controversies at Creation

problematic sections:

I'm not too sure about the whole (sub)article. Is this about the (mis)classification only? In that case say so. or is it about the psychiatric/physical causation question in general, in which case the classification example is a little narrow for the purpose.

And more specifically:

"This result could, however, not be replicated in a population-based study, where fatigue in psychiatric disorders, but not in CFS, proved to be a match.[3]"

this is an overly concise summary. Did the study show NO correlation at all? Is this the last word, accepted by everyone? The ref is 2005, and somehow I doubt that the discussion is quite finished yet. It's worded here to give as the definitive conclusion that psychological factors are NOT significant in ME/CFS. I don't think everyone actually agrees on that one.

"A common misconception is that ME was initially classified at G93.3 due to political activist pressure; however this is not true. The WHO recognised ME in 1965 at a time it was well established with many supporting papers and inclusion medical textbooks. The WHO classified ME in 1969, some years before the first patient support/activist groups were formed. Again in 1992 the WHO maintained their rubric with no need of patient pressure; the only interference has of late come from psychiatric disgruntlement and the only propaganda a distortion of these facts." (last paragraph)

this is an OR conclusion. either find someone who said it, or just give the dates in the text.

Please note that I have no personal opinion at all about the actual controversy. DGG (talk) 04:02, 13 April 2008 (UTC)

Agree, the article needs a summary of scope. I simply removed the last paragraph in article as OR. Removed paragraph should be rewritten at some point with NPOV and sources. Will try to work on other items as time permits and also post to Chronic fatigue syndrome talk for editors to put this article on to-do list. Thanks. Ward20 (talk) 04:42, 13 April 2008 (UTC)


At the moment this article is simply the existing text from the main article, which is far too narrow in scope. Paradoxically, the summary we created for this contains far more useful information as a result, and as such this article needs a very serious overhaul. Please feel more than free to dive in! -- Strangelv (talk) 12:48, 13 April 2008 (UTC)


Is there anything from this dispute that has not been resolved? -- Strangelv (talk) 20:23, 19 April 2008 (UTC)

I believe all the points above have been addressed. Ward20 (talk) 21:09, 19 April 2008 (UTC)
Removed the tag under the belief it's resolved. -- Strangelv (talk) 22:31, 19 April 2008 (UTC)

[edit] Depression in CFS

Perhaps we need a heading on the controversial place of depression in CFS, I have posted some material below for consideration,

The role of depression in ME/CFS has been extensively researched, and there is still controversy whether depression is a cause or a comorbid effect of CFS. One of the great difficulties has been that different research definitions are used to conduct CFS studies that include or exclude patient populations with clinical depression.[citation needed]
The 1994 Centers for Disease Control and Prevention Fukuda scientific research criteria specifies, "All other known causes of chronic fatigue must have been ruled out, specifically clinical depression"[1] But, a study published in 2002 found that physicians have a tendency to underrecognize psychiatric illness, especially when assessing patients whose chronic fatigue is fully explainable by a psychiatric disorder and who may be misdiagnosed with CFS.[2]
A review published in Dialogues Clin Neurosci. in 2006 says depression can occur in association with virtually all the other psychiatric and physical diagnoses. Somatic presentations test the conventional distinction between physical and mental disorder and are a perennial source of controversy. [3]
A meta-analysis published in Psychosom Med. in 2003 on the association of medically unexplained physical symptoms, anxiety, and depression. Two hundred forty-four studies were included on the basis of consensus ratings. It concluded that meta-analytic integration confirmed the four functional somatic syndromes (IBS, NUD, FM, CFS) are related to (but not fully dependent on) depression and anxiety. Furthermore in view of the relative independence from depression and anxiety, classification and treatment of these symptoms and syndromes as "common mental disorders" does not seem fully appropriate. [4]

Jagra (talk) 01:17, 19 April 2008 (UTC)

Added more material but it needs a lot of work to integrate it properly. Ward20 (talk) 20:05, 19 April 2008 (UTC)

[edit] Lead Para

Added lead para from CFS talk page as intro. If anyone objects by all means remove or modify it Jagra (talk) 05:35, 8 June 2008 (UTC)

[edit] ref section for convenience, please keep on bottom of talk page

  1. ^ Fukuda K, Straus S, Hickie I, Sharpe M, Dobbins J, Komaroff A (1994). "The chronic fatigue syndrome: a comprehensive approach to its definition and study. International Chronic Fatigue Syndrome Study Group.". Ann Intern Med 121 (12): 953-9. PMID 7978722. 
  2. ^ Torres-Harding SR, Jason LA, Cane V, Carrico A, Taylor RR (2002). "Physicians' diagnoses of psychiatric disorders for people with chronic fatigue syndrome.". Int J Psychiatry Med 32 (2): 109-24. PMID 12269593. 
  3. ^ Goodwin GM (2006). "Depression and associated physical diseases and symptoms". Dialogues Clin Neurosci 8 (2): 259–65. PMID 16889110. 
  4. ^ Henningsen P, Zimmermann T, Sattel H (2003). "Medically unexplained physical symptoms, anxiety, and depression: a meta-analytic review". Psychosom Med 65 (4): 528–33. PMID 12883101. 


Ward20 (talk) 19:06, 19 April 2008 (UTC)