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Illness beliefs
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==Theory== Patients are expected to identify their own dysfunctional illness beliefs, but those referred to by proponents of this hypothesis controversially include: * The belief that ME/CFS symptoms are the result of a physical illness * The belief that ME/CFS needs medical treatment (physical treatment only)<ref name="Sharpe1995" /> * The belief that exercise or too much activity has "harmful effects"<ref name="Moss-Morris2002">{{Cite book | url =https://books.google.co.uk/books?id=5VqGAgAAQBAJ&pg=PT24 | title = Chronic Fatigue Syndrome: Experience of illness | last = Moss-Morris | first = Rona | last2 = Petrie | first2 = Keith J. | date = 2002-01-04|publisher=Routledge|isbn=9781134632831|location=|pages=12-28|language=en|chapter=Contemporary chronic fatigue syndrome: A unique entity? | author-link = Rona Moss-Morris | authorlink2 = Keith Petrie}}</ref> which leads to "fear of exercise" (kinesiophobia) A patient's belief does not in any way reduce the severe and sometimes debilitating symptoms that they experience on a daily basis. However, many of these proposed "dysfunctional beliefs" are scientific facts supported by evidence, rather than false beliefs. For example, the [[Institute of Medicine report]] in 2015 described ME/CFS as serious, complex, chronic biological (physical) disease.<ref name="SEID-IOM2015">{{Cite book | last = Institute of Medicine | authorlink = Institute of Medicine | title = Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness|location=Washington, DC|publisher=The National Academies Press | date = 2015 | url=https://www.ncbi.nlm.nih.gov/books/NBK284902/|isbn=0309316898|pmid = 25695122|doi = 10.17226/19012 }}</ref> and in recent years the [[Centers for Disease Control and Prevention|CDC]] and the UK's [[National Health Service]] have both described ME/CFS in similar terms.<ref name="CDC-clinicians">{{Cite web | url = https://www.cdc.gov/me-cfs/healthcare-providers/presentation-clinical-course/index.html | title = Presentation and Clinical Course of ME/CFS {{!}} Information for Healthcare Providers {{!}} Myalgic Encephalomyelitis/Chronic Fatigue Syndrome ME/CFS | last = Centers for Disease Control and Prevention | first = | authorlink = Centers for Disease Control and Prevention | date = 2019-11-19 | website = CDC|language=en-us|archive-url=|archive-date=|url-status=|access-date=2021-12-18}}</ref><ref name="niceng206">{{Cite web | url = https://www.nice.org.uk/guidance/ng206 | title = Myalgic Encephalomyelitis (or Encephalopathy)/Chronic Fatigue Syndrome:diagnosis and management. NICE guideline. | last = NICE Guideline Development Group | first = | authorlink = |publisher=[[National Institute for Health and Care Excellence]] | date = 2021-10-29}}</ref>
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