Neuraesthenia revisited: ICD-10 and DSM-III-R psychiatric syndromes in chronic fatigue patients and comparison subjects.

摘要: BACKGROUND Different definitions of chronic fatigue syndrome (CFS) have different psychiatric exclusion criteria and this affects the type frequency associated morbidity found. The operational for neuraesthenia in ICD-10 vary other respects from Centers Disease Control Prevention (CDC) CFS. Neuraesthenia CDC-defined CFS are evaluated. METHOD subjects controls were interviewed with Schedule Clinical Assessment Neuropsychiatry (SCAN). computerised scoring program SCAN (CATEGO5) facilitates assignment according to DSM-III-R ICD-10. Subjects re-interviewed an average 11 months later. No specific treatments or interventions given during period. RESULTS majority fulfilled had two a half times rate as healthy comparison group CATEGO5 Index Definition (ID). Approximately 80% both sleep disorders. There was significant fall number fulfilling depression anxiety disorders increase no diagnosis over time. changes time any overall levels psychopathology reflected ID levels. CONCLUSIONS 'neuraesthenia' definition identifies almost all Fifty percent also depressive disorders, some categories which remit spontaneously