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The fatigue must have lasted for 6 months or longer, and be present at least 50% of the time; Other symptoms are possible, such as muscle pain, mood problems, or sleep disturbance; Conditions known to cause severe fatigue and some mental conditions exclude a diagnosis. Post-infectious fatigue syndrome also requires evidence of a prior infection ...
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. This list is by no means exhaustive or complete. This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.
[2]: 12, 57, 95 [31] [32] The fatigue experienced in ME/CFS is of a longer duration and greater severity than in other conditions characterized by fatigue. [ 10 ] : 5–6 The hallmark feature of ME/CFS is a worsening of symptoms after exertion, known as post-exertional malaise or post-exertional symptom exacerbation . [ 6 ]
Fatigue is currently measured by many different self-measurement surveys. [119] Examples are the Fatigue Symptom Inventory (FSI) [120] [121] [122] and the Fatigue Severity Scale. [123] [124] [125] There is no consensus on best practice, [126] and the existing surveys do not capture the intermittent nature of some forms of fatigue.
Pacing (activity management) is a management strategy rather than a therapy. Pacing encourages behavioral change, but unlike cognitive behavioural therapy, acknowledge the typical patient fluctuations in symptom severity and experience delayed exercise recovery. [8]
Mild unsteadiness or fatigue 1 Needs assistance 0 Cannot do 10. Dyspnea (new) 4 None 3 Occurs when walking 2 Occurs with one or more of the following: eating, bathing, dressing (ADL) 1 Occurs at rest, difficulty breathing when either sitting or lying 0 Significant difficulty, considering using mechanical respiratory support 11. Orthopnea (new ...
The SSS rates the severity of the person's fatigue, unrefreshed waking, cognitive symptoms, and general somatic symptoms, [b] each on a scale from 0 to 3, for a composite score ranging from 0 to 12. [9] The revised criteria for diagnosis were: WPI ≥ 7 and SSS ≥ 5 OR WPI 3–6 and SSS ≥ 9,
The Canadian Consensus Criteria require "post exertional malaise and/or [post exertional] fatigue" instead. [20] [21] [22] [18] [23] On the other hand, the older Oxford Criteria lack any mention of PEM, [24] and the Fukuda Criteria consider it optional. Depending on the definition of ME/CFS used, PEM is present in 60 to 100% of ME/CFS patients. [6]
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