Oxford criteria: Difference between revisions
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The '''Oxford criteria''' are a criteria for the diagnosis [[chronic fatigue syndrome]] published in 1991 by a group of psychiatrists. They identify two broad syndromes and are used primarily for research purposes.<ref>http://www.meassociation.org.uk/about/the-symptoms-and-diagnosis-of-mecfs</ref> | |||
==Definition== | |||
===Chronic fatigue syndrome=== | |||
* fatigue is the principal symptom: it is severe, disabling and affects physical and mental functioning; it should have been present for a minimum of 6 months during which it was present for more than 50% of the time. | |||
* other symptoms may be present: particularly myalgia, mood swings and sleep disturbances. | |||
* definite onset of symptoms, not life-long. | |||
* exceptions: patients with established medical conditions known to produce chronic fatigue; also patients with a current diagnosis of schizophrenia, manic depressive illness, substance abuse, eating disorder or proven organic brain disease. | |||
===Post-infectious Fatigue Syndrome (PIFS)=== | |||
A sub-type of CFS which either follows an infection or is associated with a current infection (although whether such associated infection is of aetiological significance (i.e. whether it is the cause of the symptoms) is a topic for research). | |||
To meet the research criteria for PIFS patients must: | |||
* i. fulfil the criteria for CFS as defined above (i.e. the Oxford definition) | |||
* ii. should also fulfil the following additional criteria: | |||
* (a) There is definite evidence of infection at onset or presentation (a patient’s self-report is unlikely to be sufficiently reliable). | |||
* (b) the syndrome is present for a minimum of 6 months after onset of infection. | |||
* (c) the infection has been corroborated by laboratory evidence. | |||
==Criticisms== | |||
[[Category:Definitions]] | [[Category:Definitions]] |
Revision as of 13:48, December 10, 2015
The Oxford criteria are a criteria for the diagnosis chronic fatigue syndrome published in 1991 by a group of psychiatrists. They identify two broad syndromes and are used primarily for research purposes.[1]
Definition[edit | edit source]
Chronic fatigue syndrome[edit | edit source]
- fatigue is the principal symptom: it is severe, disabling and affects physical and mental functioning; it should have been present for a minimum of 6 months during which it was present for more than 50% of the time.
- other symptoms may be present: particularly myalgia, mood swings and sleep disturbances.
- definite onset of symptoms, not life-long.
- exceptions: patients with established medical conditions known to produce chronic fatigue; also patients with a current diagnosis of schizophrenia, manic depressive illness, substance abuse, eating disorder or proven organic brain disease.
Post-infectious Fatigue Syndrome (PIFS)[edit | edit source]
A sub-type of CFS which either follows an infection or is associated with a current infection (although whether such associated infection is of aetiological significance (i.e. whether it is the cause of the symptoms) is a topic for research).
To meet the research criteria for PIFS patients must:
- i. fulfil the criteria for CFS as defined above (i.e. the Oxford definition)
- ii. should also fulfil the following additional criteria:
- (a) There is definite evidence of infection at onset or presentation (a patient’s self-report is unlikely to be sufficiently reliable).
- (b) the syndrome is present for a minimum of 6 months after onset of infection.
- (c) the infection has been corroborated by laboratory evidence.