Buchwald's Comparison fo Patients with Chronic Fatigue Syndrome, Fibromyalgia, and Multiple Chemical

Buchwald's - Comparison of Patients With Chronic Fatigue Syndrome Fibromyalgia and Multiple Chemical Sensitivities Dedra Buchwald MD Deborah

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: Comparison of Patients With Chronic Fatigue Syndrome, Fibromyalgia, and Multiple Chemical Sensitivities Dedra Buchwald, MD, Deborah Garrity, MD Background: Chronic fatiguesyndrome(CFS), fibro- myalgia (FM), and multiple chemical sensitivities (MCS) are conditions associatedwith fatigue and a variety of other symptoms that appear to share many clinical and demo- graphic features. Our objectives w e re to describe the simi- larities and differences among patients with CFS, FM, and MCS. Additional objectives w e re to determine how fre- quentlypatients with MCS and FM m e t the criteria for CFS and if they differed in their health locus of control. Methods: Demographic, clinical, and psychosocial m e a - s u re s w e re prospectively collected in 90 patients, 30 each with CFS, FM, and MCS. Patients w e re recruited from a university-based referral clinic devoted to the evalua- tion and treatm ent of chronic fatigue and three private practices. Variables included demographic features, symp- toms characteristic of each condition, psychological c o m - plaints, a m e a s u re of health locus of control, and infor- mation o n health care use. Results: Overall, the three patient groups w e r e remarkably similar in demographic characteristics and the presence of specificsymptoms. Patients with CFS and FM frequently reported symptoms compatible with MCS. Likewise, 70% of patients with FM and 30% of those with MCS m e t the crite ria for CFS. Health care u s e w a s substantial among patients with CFS, FM, and MCS, with a n average of 22.1, 39.7, and 23.3 visits, respectively, to a medical provider during the prior year. Health locus of control did n o t differ among the three populations. Conclusions: In general, demographic and clinical fac- tors and health locus of control do not clearly distin- guishpatients with CFS, FM, and MCS. Symptomstypi- cal of each disorder are prevalent in the other tw o conditions. (Arch Intern Med. 1994;154:2049-2053) Ch ron ic f a t i g u e syn¬ drome (CFS) is a disor¬ der that has received a n increasing am ount of at¬ tention o v e r the last few years. The hallmark of CFS is debilitat¬ ing fatigue of at least 6 months' duration accompanied by other symptoms such as fever, pharyngitis, painful lymph nodes, headache, myalgias, sleep disturbances, neurocognitive complaints, and depres¬ sion.12 It is m o re c o m m o n in w o m e n and frequently has its onset following a "flu-" like illness.2 Findings o n physical exami¬ nation a re infrequentand, at present, there is n o diagnostic test for CFS.23 Recently, the Centers for Disease Control and Pre¬ vention, Atlanta, Ga, has formulated spe¬ cific diagnostic criteria for CFS consist¬ ing of a combination of a m in im u m number of signs and symptoms.14 Fibromyalgia (FM) is a c o m m o n rheumatologic condition characterized by chronic myalgias, fatigue, and disrupted sleep, often associated with headache, ir¬ ritable bowel syndrome, and interstitial cystitis.5 It o c c u r s m o s t...
View Full Document

This note was uploaded on 04/13/2010 for the course PSYCH 101 taught by Professor Gabbart during the Spring '08 term at Union College.

Page1 / 5

Buchwald's - Comparison of Patients With Chronic Fatigue Syndrome Fibromyalgia and Multiple Chemical Sensitivities Dedra Buchwald MD Deborah

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online