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Care of the Patient with Fatigue

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Family Medicine
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Fatigue is a common complaint in the primary care setting, with reported prevalence ranging from 5 % to 10 % [1]. With such a broad differential to consider, determining the cause of fatigue and helping the patient to find the appropriate treatment can be a daunting task. Similarly, chronic fatigue syndrome (CFS) , a syndrome which arises in the setting of numerous biological, psychological, and social factors, can pose a diagnostic and treatment dilemma for the family physician.

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References

  1. Nijrolder I, van der Windt DAWM, van der Hort HE. Prognosis of fatigue and functioning in primary care: a 1 year follow-up study. Ann Fam Med. 2008;6(6):519–27.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Clauw D. Perspectives on fatigue from the study of chronic fatigue syndrome and related conditions. PM&R. 2010;2:414–30.

    Article  Google Scholar 

  3. Prins J, van der Meer JWM, Bleijenberg G. Chronic fatigue syndrome. Lancet. 2006;367:346–55.

    Article  PubMed  Google Scholar 

  4. Fukuda K, Strause SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A. The chronic fatigue syndrome: a comprehensive approach to its definition and study. Ann Intern Med. 1994;121(12):953–9.

    Article  CAS  PubMed  Google Scholar 

  5. Yancey JR, Thomas SM. Chronic fatigue syndrome: diagnosis and treatment. Am Fam Physician. 2012;86(8):741–6.

    PubMed  Google Scholar 

  6. Baker R, Shaw EJ. Diagnosis and management of chronic fatigue syndrome or myalgic encephalomyelitis (or encephalopathy): summary of NICE guidelines. BMJ. 2007;336:446–8.

    Article  Google Scholar 

  7. Bentall R, Powell P, Nye FJ, Edwards RH. Predictors of response to treatment in chronic fatigue syndrome. British J Psychtr. 2002;181:248–52.

    Article  Google Scholar 

  8. Price, JR, Mitchell E, Tidy E, Hunot V. Cognitive behavior therapy for chronic fatigue syndrome in adults; Cochrane Database of Syst Revs 2008; (3). Art No: CD001027.

    Google Scholar 

  9. Van Cauwenbergh D, De Kooning M, Ickmans K, Nihs J. How to exercise people with chronic fatigue syndrome: evidence-based practice guidelines. Eur J Clin Invest. 2012;42(10):1136–44.

    Article  PubMed  Google Scholar 

  10. Kreijkamp-Kaspers S, Brenu EW, Marshall S, Staines D, Van Driel ML. Treating chronic fatigue syndrome: a study into the scientific evidence for pharmacologic treatments. Aust Fam Physician. 2011;40(11):907–12.

    PubMed  Google Scholar 

  11. Shultz E, Malone D. A practical approach to prescribing antidepressants. Cleve Clin J Med. 2013;80(10):625–31.

    Article  PubMed  Google Scholar 

  12. Werker CI, Nijhof SL, van de Putte EM. Clinical practice: chronic fatigue syndrome. Eur J Pediatr. 2013;172:1293–8.

    Article  CAS  PubMed  Google Scholar 

  13. Morelli V. Fatigue and chronic fatigue in the elderly: definitions, diagnoses and treatment. Clin Geriatr Med. 2011;27:673–86.

    Article  PubMed  Google Scholar 

  14. Bayliss K, Riste L, Fisher L, Wearden A, Peters S, Lovell K, Chew-Graham C. Diagnosis and management of chronic fatigue syndrome/myalgic encephalitis in black and minority ethnic people: a qualitative study. Prim Health Care Res Dev. 2014;15:143–55.

    Article  PubMed  Google Scholar 

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Correspondence to Sarah Louie .

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Louie, S. (2017). Care of the Patient with Fatigue. In: Paulman, P., Taylor, R., Paulman, A., Nasir, L. (eds) Family Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-04414-9_62

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  • DOI: https://doi.org/10.1007/978-3-319-04414-9_62

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-04413-2

  • Online ISBN: 978-3-319-04414-9

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