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Definitionen des „Chronic Fatigue Syndrome” (CFS)

Definitions of “Chronic Fatigue Syndrome” (CFS)

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Zusammenfassung

Mit der Definition des „Chronic Fatigue Syndrome” (CFS) im Jahr 1988 wurde der Versuch unternommen, den bis dahin heterogenen Ansätzen zur Erforschung schwerwiegender und unerklärbarer Erschöpfungszustände eine einheitliche Grundlage zu verleihen. Damit verbunden war der Anspruch, eine pathogenetisch begründete Krankheitsentität gleichsam a priori durch Vorgabe präzisierender Krankheitskriterien eingrenzen zu können. Die auf der Basis der CFS-Definition erhobenen empirischen Daten haben die Annahme einer pathogenetisch einheitlichen Entität jedoch nicht bestätigt. Gleichzeitig haben sich die ursprünglich gewählten Kriterien als unpraktikabel oder theoretisch fragwürdig erwiesen. In der Folgezeit wurden Modifikationen vorgeschlagen, die gegenüber der ursprünglichen CFS-Definition eine zugleich umfassendere und differenziertere Einordnung unklarer Erschöpfungszustände ermöglichen. Der neue Forschungsansatz vermeidet die Postulierung kausaler Entitäten und stuft das CFS zu einer deskriptiven Erschöpfungskategorie neben anderen herab.

Summary

The definition of “Chronic Fatigue Syndrome” (CFS) in 1988 was an attempt to establish a uniform basis for the previously heterogeneous approaches to research of this severe and inexplicable state of fatigue. At the same time, researchers wished to narrow down a pathogenetically founded disease entity a priori by specifying precise disease criteria. The empirical data gathered in accordance with the CFS definition, however, have failed to confirm the assumption that the disease entity is pathogenetically uniform. Furthermore, the originally selected criteria have proven to be impracticable ore theoretically questionable. In the period that followed, modifications that permitted a more comprehensive and yet more differentiated classification of fatigue states of unclear etiology were proposed. The new research approach avoids postulation of causal entities and puts CFS back in a category with other descriptive states of fatigue.

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  1. Gesellschaftsärztliche Abteilung, Deutschen Krankenversicherung, Aachener Straße 300, D-50933, Köln

    Uwe Heyll, Peter Wachauf, Volker Senger & Manfred Diewitz

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Heyll, U., Wachauf, P., Senger, V. et al. Definitionen des „Chronic Fatigue Syndrome” (CFS). Med Klin 92, 221–227 (1997). https://doi.org/10.1007/BF03043262

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