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Viruses and Fatigue

The Current Status of the Chronic Fatigue Syndrome

  • Chapter
Psychiatry and Biological Factors

Abstract

Perhaps none of the subjects covered in the last edition of this book have changed so quickly as the vexed topic of “postviral” fatigue. When James Jones and Bruce Miller (Jones and Miller, 1987) reviewed the situation, the general theme was one of optimism, and despite an awareness of remaining uncertainties and difficulties, progress in understanding the relationship between viruses and chronic fatigue states was anticipated. Sadly, in the subsequent 3 years little of this optimism has been realized. Even the title of the current contribution is different, reflecting increasing international skepticism concerning the exclusive role of viruses. The new term favored for the condition is “chronic fatigue syndrome” (CFS) (Holmes et al., 1988; Lloyd et al.., 1988a), as it is accurate, short, and carries no unproven etiological implications. It will be used in the rest of this chapter to refer to the various illnesses described as “myalgic encephalomyelitis” or “Royal Free Disease” in Britain and Australia, and “chronic Epstein—Barr virus infection” or “chronic mononucleosis” in the United States.

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Authors and Affiliations

  1. Department of Psychological Medicine, Institute of Psychiatry, Camberwell, London, SE5 8AF, UK

    Simon Wessely

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  1. Simon Wessely
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  1. Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada

    Edouard Kurstak

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© 1991 Plenum Publishing Corporation

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Wessely, S. (1991). Viruses and Fatigue. In: Kurstak, E. (eds) Psychiatry and Biological Factors. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5811-4_22

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  • DOI: https://doi.org/10.1007/978-1-4684-5811-4_22

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