Adults with ME/CFS report surprisingly high rates of youth symptoms: A qualitative analysis of patient blog commentary

Work. 2023;74(4):1241-1251. doi: 10.3233/WOR-220484.

Abstract

Background: Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a debilitating chronic illness that impacts pediatric populations.

Objective: The current study aimed to better understand adult perceptions of their experiences leading up to their diagnosis of ME/CFS.

Method: Patients provided data regarding symptoms of ME/CFS they may have experienced during childhood through a popular community blog forum, with participants interacting via blog comments in real-time and across various geographical locations.

Results: Descriptive analyses indicated that roughly 43% of adult survey participants reported having developed ME/CFS prior to age 18. A standard content analysis of patient blog commentary revealed several themes, such as poor mental health, family pattern/history, healthy childhood preceding sick adulthood, feeling misunderstood, lack of clarity until adulthood, sharing of resources, poor school functioning, isolation/poor social supports, and coping mechanisms.

Conclusion: There are unique benefits and insights that can be used by investigators who collaborate with patient organizations as a means of better understanding ME/CFS illness severity, presentation, and lived experiences.

Keywords: Chronic fatigue syndrome; myalgic encephalomyelitis; qualitative research; web blog.

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Child
  • Emotions
  • Fatigue Syndrome, Chronic* / psychology
  • Humans
  • Quality of Life / psychology
  • Surveys and Questionnaires