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Premorbid functioning, welfare issues and ethics in chronic fatigue syndrome

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Objective:

 To assess former activity levels in chronic fatigue syndrome (CFS) subjects, identify differentiating variables and discuss ethical issues arising. Method:

 File review of 91 CFS patients from a private psychiatric practice, presenting multiple case reports, with limited case comparison data. Results:

 The CFS subjects appeared formerly more athletically inclined than controls. Other helpful differentiating variables included exercise intolerance, excessive need for sleep, hopefulness and subjective memory problems. Conclusions:

 Former exercise and other achievement levels warrant systematic research study and consideration in the assessment of CFS patients. Omissions of consideration of premorbid functioning in medicolegal evaluations raise ethical concerns.
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Keywords: athleticism; chronic fatigue; ethics; exercise; overtraining syndrome

Document Type: Research Article

Publication date: 01 September 2003

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