title: A common-sense approach to chronic fatigue in primary care.
abstract: Since chronic fatigue is so common, long-lasting, and fraught with functional and emotional consequences, early intervention can limit overuse of health care resources and forestall disability. To help patients, we must intervene before chronicity is established or iatrogenic harm has occurred. Care that integrates medical and psychologic concepts, together with symptom management, can prevent significant secondary impairment in most cases.
authors.affiliation: Department of Rheumatic and Immunologic Disease, Cleveland Clinic Foundation, OH 44195, USA.
authors.forename: D C
authors.initials: DC
authors.lastname: Ang
authors.forename: L H
authors.initials: LH
authors.lastname: Calabrese
mesh_terms: D000276:Adjuvants, Immunologic / Q000627:therapeutic use; D000305:Adrenal Cortex Hormones / Q000009:adverse effects / Q000627:therapeutic use; D000328:Adult; D000437:Alcoholism / Q000175:diagnosis; D000818:Animals; D000928:Antidepressive Agents / Q000627:therapeutic use; D015928:Cognitive Behavioral Therapy; D003937:Diagnosis, Differential; D018450:Disease Progression; D005081:Exercise Therapy; D015673:Fatigue Syndrome, Chronic / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D019694:Hepatitis B, Chronic / Q000175:diagnosis; D019698:Hepatitis C, Chronic / Q000175:diagnosis; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis; D011320:Primary Health Care / Q000379:methods; D011379:Prognosis; D051381:Rats; D012893:Sleep Wake Disorders / Q000175:diagnosis; D013972:Thyrotropin / Q000097:blood
chemical_list: D000276:Adjuvants, Immunologic; D000305:Adrenal Cortex Hormones; D000928:Antidepressive Agents; D013972:Thyrotropin