0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Chronic Fatigue: Psyche or Sleep?

RALPH F. HULLER, MD; ROY J. MOSER III, MD, ACP
Arch Intern Med. 1990;150(5):1116-1118. doi:10.1001/archinte.1990.00390170140034.
Text Size: A A A
Published online

To the Editor.—Manu and colleagues1 present interesting data in their study of patients presenting with a chief complaint of chronic fatigue. Of 100 patients with this complaint, they concluded that a psychiatric disorder was a major cause of the fatigue in 66%. In 5 patients the chronic fatigue was related to a medical condition, and in 31 it remained idiopathic. In the multicenter study of 2234 patients presenting with a complaint of excessive somnolence conducted by Coleman et al,2 fewer than 5% were felt to be due to psychiatric disease after a sleep disorders center evaluation. Admit(Continued on p 1118.) (Continued from p 1116.) tedly, chronic fatigue and excessive somnolence are not one and the same. Since patients often have trouble making the subtle distinction between fatigue and sleepiness, 3 it is likely that these studies did evaluate similar patients.

This remarkable disparity in percentage of cases attributed to

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();