title: Financial, occupational, and personal consequences of disability in patients with chronic fatigue syndrome and fibromyalgia compared to other fatiguing conditions.
abstract: OBJECTIVE
  To examine the nature and degree of self-reported disability in patients with chronic fatigue syndrome (CFS) and its associated conditions, fibromyalgia (FM) and subsyndromal fatigue (CF), compared with a chronically fatiguing but unrelated medical condition (MED).
  
  
  METHODS
  Six hundred and thirty patients evaluated at the University of Washington Chronic Fatigue Clinic were sent questionnaires asking them to identify the financial, occupational, and personal consequences of their fatiguing illness. Thorough medical evaluations had previously applied accepted criteria for defining CFS, FM, and CF.
  
  
  RESULTS
  The FM groups (those with and without CFS) were among the least employed. Likewise, the FM and CFS groups, more frequently than the other groups, endorsed loss of material possessions (such as car), loss of job, and loss of support by friends and family, as well as recreational activities as a result of their fatiguing illness. There were no reliable differences between groups in use of disability benefits.
  
  
  CONCLUSIONS
  There is substantial illness-related disability among those evaluated at a specialized chronic fatigue clinic. Those reporting the most pervasive disability met criteria for FM either alone or in conjunction with CFS. Employers and personal relations of patients with chronic fatigue should make a greater effort to accommodate the illness-related limitations of these conditions, especially for those with FM and CFS.
authors.affiliation: Department of Medicine, University of Washington, Seattle, Washington, USA. nassefi@u.washington.edu
authors.forename: Nassim P
authors.initials: NP
authors.lastname: Assefi
authors.forename: Timothy V
authors.initials: TV
authors.lastname: Coy
authors.forename: Donald
authors.initials: D
authors.lastname: Uslan
authors.forename: Wayne R
authors.initials: WR
authors.lastname: Smith
authors.forename: Dedra
authors.initials: D
authors.lastname: Buchwald
mesh_terms: D000328:Adult; D017281:Cost of Illness; D004185:Disability Evaluation; D004651:Employment; D005221:Fatigue / Q000191:economics* / Q000503:physiopathology*; D015673:Fatigue Syndrome, Chronic / Q000191:economics* / Q000503:physiopathology*; D005260:Female; D005382:Financing, Personal; D006801:Humans; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014478:Unemployment