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. 2024 Jul 27;60(8):1215.
doi: 10.3390/medicina60081215.

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Impact on Quality of Life (QoL) of Persons with ME/CFS

Affiliations

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Impact on Quality of Life (QoL) of Persons with ME/CFS

Nina L Muirhead et al. Medicina (Kaunas). .

Abstract

Background and Objectives: We previously reported on the impact of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) on the QoL of persons with ME/CFS and their family members. Here, we present the findings of the impact on the QoL of individuals with ME/CFS whose family members did not participate in the survey. Materials and Methods: A prospective multinational online survey was disseminated via patient charities, support groups and social media. Persons with ME/CFS completed the EuroQoL questionnaire (EQ-5D-3L). Results: Data were analysed from 876 participants from 26 countries who reported a health care professional diagnosis of ME/CFS. In total, 742 participants identified as female, 124 male and 10 preferred not to say. The mean age of the participants was 47 years (range 18-82), and the mean time to diagnosis was 14 years. The mean overall health status on a visual analogue scale for people with ME/CFS was 36.4 (100 = best health). People with ME/CFS were most often affected by inability to perform usual activities (n = 852, 97%), followed by pain (n = 809, 92%), impaired mobility (n = 724, 83%), difficulty in self-care (n = 561, 64%) and least often affected by anxiety and depression (n = 540, 62%). Conclusions: The QoL of people with ME/CFS is significantly affected globally. There was no significant difference in quality of life compared with previously published data on those with ME/CFS who did have a family member complete the family member quality of life questionnaire (FROM16). Contrary to popular misconception, anxiety and depression are the least often affected areas in persons with ME/CFS who are most impacted by their inability to perform usual activities.

Keywords: chronic fatigue syndrome; myalgic encephalomyelitis; quality of life.

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Conflict of interest statement

AYF is joint copyright owner of FROM-16, a family member was deputy chair of the NICE ME/CFS guideline committee. Outside of this study, Cardiff University receives royalties from some use of FROM-16: AYF receives a share of these under standard university policy. NLM is a director of Doctors with ME, expert witness for NICE NG206 2021 guidelines on ME/CFS education, former member of ME education working groups ICANCME (Canada), Forward ME and the Centre for Solutions (USA). NLM has authored an online e-learning module on ME/CFS and has received consultancy fees from Learn about ME Project and Ono Pharmaceuticals as well as honorarium from GW4 ME/CFS Carers Project. RE is a member of the Patient Advisory Group to the ME Research Collaborative (MERC PAG), a member of the ME/CFS Friendship Group in Gloucestershire, was a workshop participant in the James Lind Alliance ME/CFS Priority Setting Partnership, a supporter of Action for ME and The ME Association and is both a patient with ME/CFS and a family member of a patient with ME/CFS. JV and RS have no conflicts to declare.

Figures

Figure 1
Figure 1
Participant numbers. Flow diagram demonstrating the basis for participant inclusion/exclusion from the analysis of the study and previously published data (greyscale). New data shown in bold show the remaining 876 people with ME/CFS identified for analysis. EQ-5D, Euroquol 5 Dimensions; ME/CFS: myalgic encephalomyelitis/chronic fatigue syndrome; VAS, visual analogue scale.

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