Evidence map›Paper›PMID 40547918›Full record

ArticleFrontiers in medicine2025

Medication use and symptomology in North American women with myalgic encephalomyelitis/chronic fatigue syndrome.

Angela Pochakom, Gillian MacNevin, Robyn F Madden, Amy C Moss, Julia M Martin, Sophie Lalonde-Bester, Jill A Parnell, Eleanor Stein, Jane Shearer

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Angela PochakomDepartment of Biochemistry and Molecular Biology, Faculty of Kinesiology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Gillian MacNevinDepartment of Biochemistry and Molecular Biology, Faculty of Kinesiology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Robyn F MaddenDepartment of Health and Physical Education, Mount Royal University, Calgary, AB, Canada.
Amy C MossDepartment of Health and Physical Education, Mount Royal University, Calgary, AB, Canada.
Julia M MartinDepartment of Biochemistry and Molecular Biology, Faculty of Kinesiology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Sophie Lalonde-BesterMetabolic and Cardiovascular Disease Laboratory, University of Alberta, Edmonton, AB, Canada.
Jill A ParnellDepartment of Health and Physical Education, Mount Royal University, Calgary, AB, Canada.
Eleanor SteinDepartment of Psychiatry, Faculty of Medicine, University of Calgary, Calgary, AB, Canada.
Jane ShearerDepartment of Biochemistry and Molecular Biology, Faculty of Kinesiology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There are no known curative treatments for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and current therapeutic regimens often yield inconsistent results. Despite the profound physical and mental burden experienced by those living with ME/CFS, patients often face a trial-and-error process in finding medications that offer some relief. Method: The current study surveyed 135 North American women diagnosed with ME/CFS to characterize medication use in relation to disease features, symptomology, and function. Medications were classified into 9 categories according to their primary mechanism of action and therapeutic use. Results: Participants were primarily middle-aged (47.1 ± 15.3 years) and were diagnosed for a mean duration of 8.4 ± 9.5 years (mean ± SD). Responses showed 68.6% of participants reported taking medications specifically for ME/CFS. Of those taking ME/CFS-related symptom medications, the average use was 3.0 medications per patient, with higher use in US compared to Canadian participants. Analgesic medications (31.7%) were the most frequently used, followed by psychotropic (26.4%), and immune-related medications (10.6%). These trends persisted across different symptom profiles, apart from gastrointestinal associated medication use replacing immune-related medications in those with gastrointestinal, neurological, and psychiatric symptoms. There was no significant correlation found between the number of medications used with disease duration, age, or age at diagnosis. However, a U-shaped relationship between ME/CFS-related symptom medication use and functional capacity as assessed by self-reported physical movement (hours/week) was evident. Conclusion: Our study highlights the diverse and complex patterns in pharmacological treatment regimens for ME/CFS in women, while also underscoring the need for more tailored and evidence-based therapeutic strategies to address the varied symptom profiles.

Indexed as

clinicaldrugsfemalefunctional capacityME/CFS

Identifiers

PMID40547918
PMCPMC12179203

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.