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Mental health
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== ME/CFS == Brown et al (2010) found that patients with [[chronic fatigue syndrome]] who had both a mental illness before CFS and a current mental illness had greater [[pain]], great [[sleep dysfunction]], and more physical symptoms compared to patients with CFS who did not have a mental illness, or patients whose mental illness only began after they became ill with chronic fatigue syndrome.<ref name=":1">{{Cite journal | last = Brown | first = Molly M. | authorlink = Molly Brown | last2 = Kaplan | first2 = Carly | authorlink2 = Carly Kaplan | last3 = Jason | first3 = Leonard A. | authorlink3 = Leonard Jason | last4 = Keys | first4 = Christopher B. | authorlink4 = Christopher Keys | authorlink5 = | authorlink6 = | date = 2010 | title=Subgroups of chronic fatigue syndrome based on psychiatric disorder onset and current psychiatric status|url=http://www.scirp.org/journal/doi.aspx?DOI=10.4236/health.2010.22015 |journal=Health|volume=02|issue=02 | pages = 90β96|doi=10.4236/health.2010.22015 |issn=1949-4998|quote=|via=}}</ref> Level of fatigue was not significantly associated with past or current psychiatric illness, and even chronic fatigue syndrome patients with no psychiatric history had severe disability.<ref name=":1" /> McManimen et al (2018) found that CFS patients who were both depressed and suicidal experienced significantly more stigma and dismissal from doctors and family members regarding their symptoms compared to patients who were neither depressed nor suicidal. Depression and suicidal ideation were also associated with more severe CFS symptoms and a lower quality of life.<ref name=":2" /> In a study comparing functional status and well-being of CFS patients, multiple sclerosis patients, and healthy, controls, Kingdon et al (2018) found that CFS patients scored significantly lower than both MS patients and healthy controls in nearly every category that was studied, including mental health.<ref name=":3" /> Additionally, Eaton-Fitch et al (2020) found that health-related quality of life (HRQoL) in a cohort of Australian CFS patients was significantly lower than the HRQoL of healthy controls.<ref name=":5" /> Loades et al (2017) found that adolescents with CFS and depression experienced significantly more interference with school and social adjustment than adolescent CFS patients who were not depressed; anxiety was not found to have a significant effect on any of the categories studied.<ref name=":4" /> Boulazreg and Rokach (2020) discuss the implications of loneliness and isolation caused by CFS on CFS patients and their caregivers and families. Coping mechanisms for patients, families, and caregivers to deal with loneliness and isolation are also discussed.<ref name=":6" />
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