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Forty-seven (72%) received an ICD-9 diagnosis of whom 23 had neurotic depression, with a further 5 meeting criteria for neurasthenia. Forty-nine were \u2018cases\u2019 as defined by the revised Clinical Interview Schedule (CIS-R), and 42 if the fatigue item was excluded. Psychiatric morbidity was more related to levels of social stresses than was severity of fatigue. The main difference between these subjects and those examined in hospital settings is that the former are less liable to attribute their symptoms to wholly physical causes, including viruses, as opposed to social or psychological factors. Identification and management of persistent fatigue in primary care may prevent the secondary disabilities seen in patients with chronic fatigue syndromes.<\/jats:p>","DOI":"10.1017\/s0033291700026453","type":"journal-article","created":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T10:03:06Z","timestamp":1247133786000},"page":"987-998","source":"Crossref","is-referenced-by-count":68,"title":["Chronic fatigue in primary care attenders"],"prefix":"10.1017","volume":"23","author":[{"given":"Elizabeth","family":"McDonald","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony S.","family":"David","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Pelosi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony H.","family":"Mann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2009,7,9]]},"reference":[{"key":"S0033291700026453_ref039","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.52.8.940"},{"key":"S0033291700026453_ref003","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1987"},{"key":"S0033291700026453_ref032","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700014586"},{"key":"S0033291700026453_ref006","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.54.2.153"},{"key":"S0033291700026453_ref040","first-page":"26","article-title":"The management of the chronic \u2018post-viral\u2019 fatigue syndrome","volume":"39","author":"Wessely","year":"1989","journal-title":"Journal of the Royal College of General Practitioners"},{"key":"S0033291700026453_ref031","volume-title":"Postviral Fatigue Syndrome: The Saga of Royal Free Disease","author":"Ramsay","year":"1986"},{"key":"S0033291700026453_ref035","doi-asserted-by":"publisher","DOI":"10.2190\/8R67-N9ER-XR74-9RA7"},{"key":"S0033291700026453_ref037","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1992.01820100032007"},{"key":"S0033291700026453_ref026","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-109-7-554"},{"key":"S0033291700026453_ref022","first-page":"53","article-title":"Psychiatric diagnoses in patients who have chronic fatigue syndrome","volume":"50","author":"Kruesi","year":"1989","journal-title":"Journal of Clinical Psychiatry"},{"key":"S0033291700026453_ref018","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1992.00400200042008"},{"key":"S0033291700026453_ref010","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1987.tb07907.x"},{"key":"S0033291700026453_ref029","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.304.6819.75"},{"key":"S0033291700026453_ref002","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1980"},{"key":"S0033291700026453_ref009","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.bmb.a072524"},{"key":"S0033291700026453_ref020","volume-title":"Chronic Fatigue Syndrome. 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