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Post-COVID and ME/CFS - do we need new disease theories?

Background and Research Question: The SARS-CoV-2 pandemic often resulted in prolonged illness courses. A particular challenge today lies in the clinical presentation resembling that of Myalgic Encephalitis/Chronic Fatigue Syndrome (ME/CFS). Method: We review selected literature concerning the psycho...

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Bibliographic Details
Main Author: Schauenburg, Henning (Author)
Format: Article (Journal)
Language:English
Published: Dezember 2023
In: Zeitschrift für psychosomatische Medizin und Psychotherapie
Year: 2023, Volume: 69, Issue: 4, Pages: 304-315
ISSN:2196-8349
DOI:10.13109/zptm.2023.69.oa7
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.13109/zptm.2023.69.oa7
Verlag, kostenfrei, Volltext: https://www.webofscience.com/api/gateway?GWVersion=2&SrcAuth=DOISource&SrcApp=WOS&KeyAID=10.13109%2Fzptm.2023.69.oa7&DestApp=DOI&SrcAppSID=EUW1ED0A73cRtdRznp5QdaNEHpyb6&SrcJTitle=ZEITSCHRIFT+FUR+PSYCHOSOMATISCHE+MEDIZIN+UND+PSYCHOTHERAPIE&DestDOIRegistrantName=Vandenhoeck+%26+Ruprecht+GmbH+%26+Co%2C+KG
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Author Notes:Henning Schauenburg

MARC

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520 |a Background and Research Question: The SARS-CoV-2 pandemic often resulted in prolonged illness courses. A particular challenge today lies in the clinical presentation resembling that of Myalgic Encephalitis/Chronic Fatigue Syndrome (ME/CFS). Method: We review selected literature concerning the psychosocial factors influencing chronic courses characterized primarily by fatigue. Additionally, we explore the neurobiologically grounded theory of "Predictive Coding" as a possible explanatory framework for complex somato-psychic interactions. Results: Physical findings only partially account for the dynamics and progression of chronic fatigue syndromes, necessitating more intricate disease models that incorporate aspects of bodily perception. Conclusion: Incorporating these newer theories of perception and behavior could provide a more helpful perspective on phenomena such as fatigue, leading to improved therapeutic support measures, all without contributing to premature attributions of "psychological" causes and the associated risk of stigmatization. 
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