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Prognosis for myalgic encephalomyelitis and chronic fatigue syndrome
(section)
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=== Psychiatric comorbidity === Though some studies have reported it, no convincing evidence exists that a comorbid psychiatric diagnosis worsens the prognosis of ME/CFS. One well-controlled study ([[Lana Tiersky|Tiersky]] et al. 2002) even found an inverse relationship; patients with a concurrent psychiatric history showed more improvement over time.<ref name="Tiersky2002" /> The authors attributed this to varied presentations of symptoms in patients meeting the [[Fukuda criteria]], which allows some patients with an underlying psychiatric etiology to be diagnosed with ME/CFS. {| class="wikitable" | colspan="2" |<small>Does a psychiatric diagnosis impact prognosis?</small> |- |<small>Yes</small> |<small>No</small> |- |<small>Bombardier et al.,1995.<ref name="Bombardier1995" /> (Dysthymia)</small> |<small>Vercoulen et al., 1996.<ref name="Vercoulen1996" /></small> |- |<small>Pheley et al., 1999.<ref name="Pheley1999" /></small> |<small>Ray et al., 1997.<ref name="Ray1997" /></small> |- |<small>Nyland et al., 2014. (Depression)<ref name="Nyland2014" /></small> |<small>Hill et al. (1999)<ref name="Hill1999" /></small> |- |<small>Β </small> |<small>Tiersky et al., 2002.<ref name="Tiersky2002" /> (inverse relationship)</small> |}
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