title: The expressed needs of people with chronic fatigue syndrome/myalgic encephalomyelitis: a systematic review.
abstract: BACKGROUND
  We aimed to review systematically the needs for support in managing illness and maintaining social inclusion expressed by people with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) METHODS: We carried out a systematic review of primary research and personal ('own') stories expressing the needs of people with CFS/ME. Structured searches were carried out on Medline, AMED, CINAHL, EMBASE, ASSIA, CENTRAL, and other health, social and legal databases from inception to November 2007. Study inclusion, data extraction and risk of bias were assessed independently in duplicate. Expressed needs were tabulated and a conceptual framework developed through an iterative process.
  
  
  RESULTS
  Thirty two quantitative and qualitative studies, including the views of over 2500 people with CFS/ME with mainly moderate or severe illness severity, met the inclusion criteria. The following major support needs emerged: 1) The need to make sense of symptoms and gain diagnosis, 2) for respect and empathy from service providers, 3) for positive attitudes and support from family and friends, 4) for information on CFS/ME, 5) to adjust views and priorities, 6) to develop strategies to manage impairments and activity limitations, and 7) to develop strategies to maintain/regain social participation.
  
  
  CONCLUSIONS
  Although the studies were heterogeneous, there was consistent evidence that substantial support is needed to rebuild lives. Gaining support depends - most importantly - on the ability of providers of health and social care, colleagues, friends and relatives, and those providing educational and leisure services, to understand and respond to those needs.
authors.affiliation: School of Allied Health Professions, University of East Anglia, Norwich, NR4 7TJ, UK. malu.drachler@gmail.com
authors.forename: Maria de Lourdes
authors.initials: Mde L
authors.lastname: Drachler
authors.forename: Jose Carlos de Carvalho
authors.initials: JC
authors.lastname: Leite
authors.forename: Lee
authors.initials: L
authors.lastname: Hooper
authors.forename: Chia Swee
authors.initials: CS
authors.lastname: Hong
authors.forename: Derek
authors.initials: D
authors.lastname: Pheby
authors.forename: Luis
authors.initials: L
authors.lastname: Nacul
authors.forename: Eliana
authors.initials: E
authors.lastname: Lacerda
authors.forename: Peter
authors.initials: P
authors.lastname: Campion
authors.forename: Anne
authors.initials: A
authors.lastname: Killett
authors.forename: Maggie
authors.initials: M
authors.lastname: McArthur
authors.forename: Fiona
authors.initials: F
authors.lastname: Poland
mesh_terms: D001294:Attitude to Health; D015673:Fatigue Syndrome, Chronic / Q000523:psychology / Q000628:therapy; D006801:Humans; D020380:Needs Assessment; D012944:Social Support