{"id":18093,"date":"2018-09-24T06:48:17","date_gmt":"2018-09-24T06:48:17","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=18093"},"modified":"2018-09-24T06:48:51","modified_gmt":"2018-09-24T06:48:51","slug":"defining-the-prevalence-symptom-burden-of-those-with-self-reported-severe-cfs-me","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/defining-the-prevalence-symptom-burden-of-those-with-self-reported-severe-cfs-me\/","title":{"rendered":"Defining the prevalence &#038; symptom burden of those with\u00a0self-reported severe CFS\/ME"},"content":{"rendered":"<h3><a href=\"https:\/\/bmjopen.bmj.com\/content\/8\/9\/e020775\" target=\"_blank\" rel=\"noopener\">Defining the prevalence and symptom burden of those with\u00a0self-reported severe chronic fatigue syndrome\/myalgic\u00a0encephalomyelitis (CFS\/ME): A two-phase community pilot\u00a0<\/a>study in the North East of England, by\u00a0Victoria Jane Strassheim,\u00a0\u00a0Madison Sunnquist, Leonard\u00a0A Jason, Julia L Newton <span style=\"text-decoration: underline;\">in<\/span>\u00a0<em>BMJ Open\u00a0<\/em>Vol 19, #8, p e020775 [Published: September 19, 2018]<\/h3>\n<p><strong>Research abstract:<\/strong><\/p>\n<p><strong>Objectives:<\/strong><br \/>\n<img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright size-medium wp-image-18104 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/09\/girl-in-bed-300x200.jpg?resize=300%2C200\" alt=\"\" width=\"300\" height=\"200\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/09\/girl-in-bed.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/09\/girl-in-bed.jpg?resize=150%2C100&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2018\/09\/girl-in-bed.jpg?w=400&amp;ssl=1 400w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/200;\" \/>To define the prevalence of severe chronic fatigue syndrome\/ myalgic\u00a0 encephalomyelitis (CFS\/ME) and its clinical characteristics in a\u00a0geographically defined area of Northern England. To understand the\u00a0feasibility of a community-based research study in the severely affected\u00a0CFS\/ME group.<\/p>\n<p><strong>Design:<\/strong><br \/>\nA two-phase clinical cohort study to pilot a series of investigations in\u00a0participants own homes.<\/p>\n<p><strong>Setting:<\/strong><br \/>\nParticipants were community living from the area defined by the Northern\u00a0clinical network of the UK.<\/p>\n<p><strong>Participants:<\/strong><br \/>\nAdults with either a medical or a self-reported diagnosis of CFS\/ME.<\/p>\n<p>Phase 1 involved the creation of a database.<\/p>\n<p>Phase 2: five participants\u00a0were selected from database, dependent on their proximity to Newcastle.<\/p>\n<p><strong>Interventions:<\/strong><br \/>\nThe De Paul fatigue questionnaire itemised symptoms of CFS\/ME, the\u00a0Barthel Functional Outcome Measure and demographic questions were\u00a0collected via postal return. For phase 2, five participants were\u00a0subsequently invited to participate in the pilot study.<\/p>\n<p><strong>Results:\u00a0<\/strong><br \/>\n483 questionnaire packs were requested, 63 were returned in various\u00a0stages of completion. 56 De Paul fatigue questionnaires were returned:\u00a0all but 12 met one of the CFS\/ME criteria, but 12 or 22% of individuals\u00a0did not fulfil the Fukuda nor the Clinical Canadian Criteria CFS\/ME\u00a0diagnostic criteria but 6 of them indicated that their fatigue was\u00a0related to other causes and they barely had any symptoms. The five pilot\u00a0participants completed 60% of the planned visits.<\/p>\n<p><strong>Conclusions:<\/strong><br \/>\nSeverely affected CFS\/ME individuals are keen to participate in\u00a0research, however, their symptom burden is great and quality of life is\u00a0poor. These factors must be considered when planning research and\u00a0methods of engaging with such a cohort.<\/p>\n<p><strong>Strengths and limitations of this study<\/strong><\/p>\n<ul>\n<li>Two-phase pilot study with severe chronic fatigue syndrome\/myalgic encephalomyelitis (CFS\/ME) individuals in the community, to understand the feasibility of engaging those with severe CFS\/ME with research.<\/li>\n<li>Phase 1 consisted of postal questionnaires including demographic data, Barthel Functional Outcome Score and De Paul fatigue questionnaire.<\/li>\n<li>Effort was taken to engage with this severely symptom burdened group in their own environment.<\/li>\n<li>The postal questionnaires sent to return ratio was poor; feedback from the local support group suggests in part due to the severity of impairment experienced by this group of individuals.<\/li>\n<li>This pilot study can only give an indication of possible people with severe CFS\/ME presentation in a specific, geographically defined area.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Defining the prevalence and symptom burden of those with\u00a0self-reported severe chronic fatigue syndrome\/myalgic\u00a0encephalomyelitis (CFS\/ME): A two-phase community pilot\u00a0study in the North East of England, by\u00a0Victoria Jane Strassheim,\u00a0\u00a0Madison Sunnquist, Leonard\u00a0A Jason, Julia L Newton in\u00a0BMJ Open\u00a0Vol 19, #8, p e020775 [Published: &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/defining-the-prevalence-symptom-burden-of-those-with-self-reported-severe-cfs-me\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[3064,420,2241,36,3220],"class_list":["post-18093","post","type-post","status-publish","format-standard","hentry","category-news","tag-madison-l-sunnquist","tag-prof-julia-newton","tag-prof-leonard-jason","tag-severe-me","tag-victoria-strassheim"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-4HP","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/18093","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=18093"}],"version-history":[{"count":3,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/18093\/revisions"}],"predecessor-version":[{"id":18106,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/18093\/revisions\/18106"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=18093"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=18093"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=18093"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}