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Postviral fatigue syndrome
(section)
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=== Independent of psychological factors === The study by White et al. demonstrated that EBV does not cause an increase in psychiatric disorder<ref name=":0" /> and that psychosocial factors were not predictors of persistent complaints.<ref>{{Cite journal | last = White | first = P. D. | last2 = Thomas | first2 = J.M. | last3 = Kangro | first3 = H.O. | last4 = Bruce-Jones | first4 = W. D. | last5 = Amess | first5 = J. | last6 = Crawford | first6 = D.H. | last7 = Grover | first7 = S.A. | last8 = Clare | first8 = A.W. | date = 2001-12-08 | title = Predictions and associations of fatigue syndromes and mood disorders that occur after infectious mononucleosis|url=https://www.ncbi.nlm.nih.gov/pubmed/11747919|journal=Lancet (London, England)|volume=358|issue=9297|pages=1946β1954|doi=10.1016/S0140-6736(01)06961-6|issn=0140-6736|pmid=11747919|quote= | author-link = Peter White|via=}}</ref> This indicated that the postviral fatigue syndrome is a distinct disease category.<ref>{{Cite journal | last = White | first = P. D. | last2 = Grover | first2 = S.A. | last3 = Kangro | first3 = H.O. | last4 = Thomas | first4 = J.M. | last5 = Amess | first5 = J. | last6 = Clare | first6 = A.W. | date = Sep 1995 | title = The validity and reliability of the fatigue syndrome that follows glandular fever |url =https://www.ncbi.nlm.nih.gov/pubmed/8588010|journal=Psychological Medicine|volume=25|issue=5 | pages = 917β924|issn=0033-2917|pmid=8588010|quote= | author-link = Peter White|via=}}</ref> According to the authors, patients with the postviral fatigue syndrome reported more severe physical fatigue, especially after exertion, than patients with psychiatric disorders. A similiar conclusion was drawn by [[Dedra Buchwald|Buchwald]] et al., who followed up on 150 patients with infectious mononucleosis in the Seattle area. After six months, 12% of the patient sample said they still were not recovered. In agreement with White, the authors stated that they βdo not believe that the postinfectious fatigue syndrome after infectious mononucleosis can be explained primarily by psychologic factors.β<ref>{{Cite journal | last = Buchwald | first= D. S. | last2 = Rea | first2 = T. D. | last3 = Katon | first3 = W.J. | last4 = Russo | first4 = J.E. | last5 = Ashley | first5 = R.L. | date=Nov 2000 | title = Acute infectious mononucleosis: characteristics of patients who report failure to recover |url =https://www.ncbi.nlm.nih.gov/pubmed/11063953|journal=The American Journal of Medicine|volume=109|issue=7 | pages = 531β537|issn=0002-9343|pmid=11063953|quote= | author-link = Dedra Buchwald|via=}}</ref>
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