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A report—Chronic fatigue syndrome: Guidelines for research
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“The Oxford criteria were developed at a consensus meeting [46]. They do not require the presence of any symptom other than disabling fatigue.”
From Systematic review of mind‐body interventions to treat myalgic encephalomyelitis/chronic fatigue syndrome (2021) · cites this paper as [46]
In the citing paper
“Consequently, the statements made apply primarily to CFS according to the Oxford criteria [22] and Centers for Disease Control and Prevention (CDC) definition [1], but not for myalgic encephalomyelitis/CFS according to the definition by the NICE guidelines [14].”
From Efficacy and Acceptance of Cognitive Behavioral Therapy in Adults with Chronic Fatigue Syndrome: A Meta-analysis. (2024) · cites this paper as [22]
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“Prior to year 1994, many case definitions were used in research to aid in the diagnosis of this condition, thus limiting comparisons of published studies ((3)).”
Factor analysis of symptoms among subjects with unexplained chronic fatigue
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“All published CFS research case definitions [1–4] represent clinical consensus.”
BackgroundNijs, J., Aelbrecht, S., Meeus, M., Oosterwijck, J. V., Zinzen, E., & Clarys, P. (2010) · Disability and Rehabilitation · doi:10.3109/09638288.2010.541543 · Cited by 76
“Compared to the 1994 case definition for CFS [1], the Oxford criteria for CFS [33] do not include symptoms of depressive illness and anxiety disorders as exclusion factors, and use fewer symptom criteria.”
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“Some 2 years later, researchers and clinicians in the UK developed the 1991 Oxford Case Definition for CFS [25]; the Oxford definition was developed to address concerns regarding the breadth of inclusion of the Australian definition [22] and the too restrictive nature of the 1988 CDC Case Definition [17].”
BackgroundMethodPersonality and social attitudes in chronic fatigue syndrome
Wood, B. L., & Wessely, S. C. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00025-2 · Cited by 73
Studies on Enterovirus in Patients with Chronic Fatigue Syndrome
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Patient education to encourage graded exercise in chronic fatigue syndrome
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Skeletal muscle bioenergetics in the chronic fatigue syndrome.
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“Other case-definitions in current use are the socalled Oxford-definition (4), the Australian definition (5) and the Canadian definition (6).”
BackgroundSleep in the chronic fatigue syndrome
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“The diagnosis of CFS was made by an experienced consultant psychiatrist (SW) according to Oxford (Sharpe et al., 1991) and US Centre for Disease Control (Fukuda et al., 1994) case definitions.”
MethodRay, C., Jefferies, S., & Weir, W. R. C. (1995) · Psychological Medicine · doi:10.1017/s0033291700037429 · Cited by 71
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Chronic fatigue, abuse-related traumatization, and psychiatric disorders in a community-based sample
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Exercise therapy for chronic fatigue syndrome
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Hypothesis: Cytokines may be activated to cause depressive illness and chronic fatigue syndrome
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Enterovirus related metabolic myopathy: a postviral fatigue syndrome
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“In clinical practice, family doctors may present a biopsychosocial model rationale of ME/CFS [125], with CBT/ GET professed as the only viable treatment options [10,13].”
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Personality and perfectionism in chronic fatigue syndrome: A closer look
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Myalgic encephalomyelitis or chronic fatigue syndrome: how could the illness develop?
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Do Patients With "Pure" Chronic Fatigue Syndrome (Neurasthenia) Have Abnormal Sleep?
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Muscle fibre characteristics and lactate responses to exercise in chronic fatigue syndrome
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“Similar criteria have subsequently been proposed in New Zealand in 1987 [12], in Australia in 1988 [13], in the United States in 1988 [14], and in Britain in 1990 [15, 16].”
BackgroundThe role of acceptance in chronic fatigue syndrome
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“Chronic fatigue syndrome (CFS) is a disorder defined by persistent severe fatigue, unrelated to exertion and not relieved by rest, lasting at least 6 months [1,2].”
BackgroundHeterogeneity in chronic fatigue syndrome: evidence from magnetic resonance spectroscopy of muscle
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Illness perceptions and mood in chronic fatigue syndrome
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Cognitive performance and complaints of cognitive impairment in chronic fatigue syndrome (CFS)
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Mitochondria and immunity in chronic fatigue syndrome
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Pharmacological treatment of chronic fatigue syndrome: focusing on the role of antidepressants
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Chronic fatigue syndrome: a clinical and laboratory study with a well matched control group
Swanink, C. M. A., Vercoulen, J. H., Bleijenberg, G., Fennis, J. F. M., Galama, J. M. D., & van der Meer, J. W. M. (1995) · Journal of Internal Medicine · doi:10.1111/j.1365-2796.1995.tb00876.x · Cited by 64
Illness perception and symptom components in chronic fatigue syndrome
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Clinical Presentation of Chronic Fatigue Syndrome
Komaroff, A. L. (2007) · Novartis Foundation symposium · doi:10.1002/9780470514382.ch4 · Cited by 64
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Navaneetharaja, N., Griffiths, V., Wileman, T., & Carding, S. R. (2016) · Journal of Clinical Medicine · doi:10.3390/jcm5060055 · Cited by 61
“The diagnosis of ME/CFS is commonly based on the Fukuda [11], Oxford [12] and/or the International Consensus Criteria (ICC) classifications [13], that identify the core symptoms of the condition as the presence of neuropsychological features such as a distinguishing post-exertional malaise, sleep disturbance and auton…”
MethodThe Origins of Health and Disease
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“Not so for CFS, for which there are UK (or Oxford) criteria (Sharpe et al., 1991), US criteria (Fakuda et al.”
BackgroundDetection of enterovirus‐specific RNA in serum: The relationship to chronic fatigue
Clements, G. B., McGarry, F., Nairn, C., & Galbraith, D. N. (1995) · Journal of Medical Virology · doi:10.1002/jmv.1890450208 · Cited by 63
CHRONIC FATIGUE SYNDROME AND FIBROMYALGIA
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Chronic fatigue syndrome in patients with macrophagic myofasciitis
Authier, F., Sauvat, S., Champey, J., Drogou, I., Coquet, M., & Gherardi, R. K. (2003) · Arthritis & Rheumatism · doi:10.1002/art.10740 · Cited by 62
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Enteroviruses and the Chronic Fatigue Syndrome
Swanink, C. M. A., Melchers, W. J. G., van der Meer, J. W. M., Vercoulen, J. H. M. M., Bleijenberg, G., Fennis, J. F. M., & Galama, J. M. D. (1994) · Clinical Infectious Diseases · doi:10.1093/clinids/19.5.860 · Cited by 61
“[17] were fulfilled.”
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BackgroundOrthostatic instability in a population-based study of chronic fatigue syndrome
Jones, J. F., Nicholson, A. C., Nisenbaum, R. A., Papanicolaou, D. A., Solomon, L., Boneva, R. S., Heim, C. C., & Reeves, W. C. (2005) · The American Journal of Medicine · doi:10.1016/j.amjmed.2005.06.013 · Cited by 60
Practitioner Review: Chronic fatigue syndrome in childhood
Garralda, M. E., & Chalder, T. (2005) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2005.01424.x · Cited by 60
Salivary cortisol output before and after cognitive behavioural therapy for chronic fatigue syndrome
Roberts, A. D. L., Papadopoulos, A. S., Wessely, S. C., Chalder, T., & Cleare, A. J. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.09.013 · Cited by 59
A definition‐based analysis of symptoms in a large cohort of patients with chronic fatigue syndrome
Becker, P. D., McGregor, N., & Meirleir, K. D. (2001) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2001.00890.x · Cited by 59
BUTLER, J. A., Chalder, T., & Wessely, S. C. (2001) · Psychological Medicine · doi:10.1017/s0033291799003001 · Cited by 59
“Chronic fatigue syndrome (CFS) is a disorder of uncertain aetiology that is defined by a primary symptom of fatigue causing functional impairment (Sharpe et al. 1991; Fukuda et al. 1994).”
BackgroundMethodChronic fatigue syndrome in children: a cross sectional survey
Patel, M. X. (2003) · Archives of Disease in Childhood · doi:10.1136/adc.88.10.894 · Cited by 59
Fischler, B., Dendale, P., Michiels, V., Cluydts, R., Kaufman, L., & Meirleir, K. D. (1997) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(96)00297-8 · Cited by 59
EDITORIAL Reviving the diagnosis of neurasthenia
Hickie, I. B., Hadži-Pavlović, D., & RICCI, C. (1997) · Psychological Medicine · doi:10.1017/s0033291797004893 · Cited by 59
Hickie, I. B., Davenport, T. A., Vernon, S. D., Nisenbaum, R. A., Reeves, W. C., Hadži-Pavlović, D., Lloyd, A. R., & the International Chronic Fatigue Syndrome Study Group (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670802534432 · Cited by 60
“2 74 SPHERE CFS [9,11,12] Hickie I$ PC 187 57.”
A Systematic Review of Drug Therapies for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis
Collatz, A., Johnston, S., Staines, D., & Marshall‐Gradisnik, S. (2016) · Clinical Therapeutics · doi:10.1016/j.clinthera.2016.04.038 · Cited by 57
Annotation: Chronic fatigue syndrome in children and adolescents
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Metacognitions and negative emotions as predictors of symptom severity in chronic fatigue syndrome
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“All patients were given a formal diagnosis of CFS according to the Oxford Criteria [37].”
MethodRussell, C., Wearden, A. J., Fairclough, G., Emsley, R. A., & Kyle, S. D. (2016) · Sleep · doi:10.5665/sleep.5658 · Cited by 57
Chronic fatigue syndrome: a 20th century illness?
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Self-help treatment of chronic fatigue in the community: A randomized controlled trial
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Líndal, E., Stefánsson, J. G., & Bergmann, S. (2002) · Nordic Journal of Psychiatry · doi:10.1080/08039480260242769 · Cited by 56
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Psychosocial factors and chronic fatigue syndrome
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“Although some agreement has been reached, at least for research purposes, concerning diagnostic criteria (Sharpe et al. 1991), the aetiology of CFS, as well as its symptomatology, management and prognosis, continue to be a source of controversy.”
BackgroundMethodFatigue in an adult attention deficit hyperactivity disorder population: A trans‐diagnostic approach
Rogers, D. C., Dittner, A. J., Rimes, K. A., & Chalder, T. (2017) · British Journal of Clinical Psychology · doi:10.1111/bjc.12119 · Cited by 50
“Medically unexplained fatigue that persists for longer than 6 months and is present more than 50% of the time, accompanied by significant functional impairment and psychological distress, satisfies criteria for chronic fatigue syndrome (CFS) (Sharpe et al., 1991).”
BackgroundMethodUsing Multiple Sources of Knowledge to Reach Clinical Understanding of Chronic Fatigue Syndrome
Chew-Graham, C. A., Cahill, G., Dowrick, C. F., Wearden, A. J., & Peters, S. (2008) · The Annals of Family Medicine · doi:10.1370/afm.867 · Cited by 55
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“Shortly after its recognition as an illness (6,7), clinical researchers postulated a cognitive behavioral model of CFS that hypothesized that CFS symptoms are perpetuated by the patients' cognitive and behavioral responses to the illness (8,9).”
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“…a hallmark of NK cell function (Brenu et al., 2012; Brenu et al., 2011; Curriu et al., 2013; Hardcastle et al., 2015; Huth et al., 2016a; Klimas et al., 1990; Maher et al., 2005; Natelson et al., 2002; Nijs & Frémont, 2008; Sharpe et al., 1991; Siegel et al., 2006; Stanietsky & Mandelboim, 2010).”
Relation between plasma lactate and blood cyanide concentrations in acute cyanide poisoning
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Contrasting chronic fatigue syndrome versus myalgic encephalomyelitis/chronic fatigue syndrome
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“, [31,32], but they have not been widely utilized by the research community.”
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“[40] or the Centres for Disease Control and Prevention [41] crite-”
BackgroundInfection and vaccination in chronic fatigue syndrome: Myth or reality?
Appel, S. A., Chapman, J., & Shoenfeld, Y. (2007) · Autoimmunity · doi:10.1080/08916930701197273 · Cited by 54
“Other commonly used criteria were published by the Oxford Group [4].”
MethodBoles, S. A. (1999) · Journal of Clinical Psychology · doi:10.1002/(sici)1097-4679(199904)55:4 · Cited by 28
An Empirical Delineation of the Heterogeneity of Chronic Unexplained Fatigue in Women
Vollmer-Conna, U. S., Aslakson, E., & White, P. D. (2006) · Pharmacogenomics · doi:10.2217/14622416.7.3.355 · Cited by 54
Increased prolactin response to buspirone in chronic fatigue syndrome
Sharpe, M., Clements, A., Hawton, K. E., Young, A. H., Sargent, P. A., & Cowen, P. J. (1996) · Journal of Affective Disorders · doi:10.1016/0165-0327(96)00075-4 · Cited by 54
Dent, O. F., SULWAY, M.-R., Broe, G. A., Creasey, H. M., Kos, S. C., Jorm, A. F., Tennant, C., & Fairley, M. (1997) · BMJ · doi:10.1136/bmj.314.7095.1655 · Cited by 53
Wilshire, C. E., Kindlon, T., Matthees, A., & McGrath, S. J. (2016) · Fatigue Biomedicine Health & Behavior · doi:10.1080/21641846.2017.1259724 · Cited by 54
“Clinical case definition of CFS Patients had to fail to meet the Oxford case definition for CFS [4], as well as the CDC and London case definitions [13,14].”
MethodChronic Fatigue Syndrome 1: Etiology and Pathogenesis
Farrar, D. J., Locke, S. E., & Kantrowitz, F. G. (1995) · Behavioral Medicine · doi:10.1080/08964289.1995.9933737 · Cited by 53
Defining recovery in chronic fatigue syndrome: a critical review
Adamowicz, J. L., Caikauskaite, I., & Friedberg, F. (2014) · Quality of Life Research · doi:10.1007/s11136-014-0705-9 · Cited by 53
Davenport, T. E., Lehnen, M., Stevens, S. R., VanNess, J. M., Stevens, J., & Snell, C. R. (2019) · Frontiers in Pediatrics · doi:10.3389/fped.2019.00082 · Cited by 53
The ‘cognitive behavioural model’ of chronic fatigue syndrome: Critique of a flawed model
Geraghty, K., Jason, L. A., Sunnquist, M., Tuller, D., Blease, C., & Adeniji, C. (2019) · Health Psychology Open · doi:10.1177/2055102919838907 · Cited by 56
“Review of this study suggests that many patients were likely depressed patients given a CFS diagnosis using the Oxford criteria (Sharpe et al., 1991).”
Personality and chronic fatigue syndrome: methodological and conceptual issues
van Geelen, S. M., Sinnema, G., Hermans, H. J. M., & Kuis, W. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.01.010 · Cited by 52
Metadata
- Authors
- Sharpe, M. C.
- Affiliations
- Warneford Hospital (GB)
- Corresponding author
- Sharpe, M C
- ORCID
- Sharpe, M C
- Venue
- Journal of the Royal Society of Medicine
- Publisher
- SAGE Publications
- Published
- 1991-02
- Volume
- 84
- Issue
- 2
- Pages
- 118-121
- ISSN
- 0141-0768 (ISSN-L)
- 1758-1095
- PMC
- PMC1293107
- OpenAlex
- W1538919177
- Cited by
- 1,026
- References
- 16
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 19 · 2023: 13 · 2022: 13 · 2021: 28 · 2020: 26 · 2019: 36 · 2018: 28 · 2017: 37 · 2016: 41 · 2015: 32 · 2014: 22 · 2013: 32 · 2012: 21
- FWCI
- 28.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the Royal Society of Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Coenzyme Q10 studies and effects
- Keywords
- chronic fatigue syndrome, research guidelines, research priorities
- MeSH terms
- Humans, Methods, Research, Fatigue Syndrome, Chronic
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