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R Erandie Ediriweera De Silva
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Chronic fatigue syndrome/Myalgic encephalomyelitis

The National Institute for Clinical Excellence (NICE) guideline for chronic fatigue syndrome/ myalgic encephalomyelitis emphasizes the importance of confident diagnosis and early treatment in primary care of people with this patology. Patients of South Asian, black and minority ethnic origin present with vague physical symptoms, somatisation was common, and they may also be influenced by cultural beliefs such as black magic spells.

The article was published by
El artículo fue publicado por
Journal of Family Medicine and Primary Care
Volume / Volumen: 2
Number / Número: 3
First and last pages / Páginas inicial-final: 277-282
Year / Año: 2013
Month / Mes: july


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Principal institution where the research took place
Institución principal de la investigación
Primary Care Centre, Institute of Population Health, Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK, Manchester, Manchester, United Kingdom


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Síndrome de fatiga crónica/Encefalomielitis miálgica

Las guías de práctica clínica para el síndrome de fatiga crónica/encefalomielitis miálgica hechas por el National Institute for Health and Care Excellence, enfatizan la importancia de un diagnóstico adecuado, así como una terapéutica precoz referida a la atención primaria de las personas que padecen este trastorno. Los pacientes pertenecientes a minorías étnicas y de raza negra presentan síntomas inespecíficos con somatización frecuente e influenciados, además, por ciertas creencias culturales como son los hechizos de magia negra.
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Bibliographic references
Referencias bibliográficas

1. National Institute for Clinical Excellence. Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children. NHS National Institute for Health and Clinical Excellence. NICE Clinical Guideline 7:53, 2007.

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3. Vercoulen JHMM, Swanink CMA, Fennis JFM, Galama JMD, van der Meer JWM, Bleijenberg G. Dimensional assessment of chronic fatigue syndrome. J Psychosom Res 38: 383–92, 1994.

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5. Patel V, Sumathipala A. Psychological approaches to somatization in developing countries. Adv Psychiatric Treat 12:54-62,2006.

6. Department of Health. Independent working group: A report of the CFS/ME working group. Report to the Chief Medical Officer of an independent working group. London, DH 2002. Available from: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/ documents/digitalasset/dh_4064945.pdf [Last accessed on 2012 Sep 18].

7. Sabes-Figuera R, McCrone P, Hurley M, King M, Donaldson AN, Ridsdale L. The hidden cost of chronic fatigue to patients and their families. BMC Health Serv Res 10: 56, 2010.

8. Collin SM, Crawley E, May MT, Sterne JA, Hollingworth W. UK CFS/ME National Outcomes Database. The impact of CFS/ ME on employment and productivity in the UK: A cross-sectional study based on the CFS/ME national outcomes database. BMC Health Serv Res 2011; 11:217. Available from: http://www.biomedcentral.com/1472-6963/11/217 [Last accessed on 2012 Dec 5].

9. Sharpe MC, Archard LC, Banatvala JE et al. A report - chronic fatigue syndrome: guidelines for research. Report of a consensus meeting held at Green College, Oxford. Journal of the Royal Society of Medicine, 84, 1992.

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11. Whitehead L. The lived experience of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME): Sufferers’ and families’ perspectives [Ph.D. Thesis] University of Liverpool; 2004.

12. Wearden AJ, Dowrick C, Chew-Graham C, Bentall RP, Morriss RK, Peters S, et al. Fatigue Intervention by Nurses Evaluation (FINE) trial writing group and the FINE trial group. Nurse led, home based self help treatment for patients in primary care with chronic fatigue syndrome: Randomized controlled trial. BMJ 340:c1777, 2010.

13. Guise J, McVittie C, McKinlay A. A discourse analytic study of ME/CFS Chronic Fatigue Syndrome suffers’ experiences of interactions with doctors. J Health Psychol 15:426-35, 2010.

14. Drachler ML, Leite JCC, Hooper L, Hong CS, Pheby D, Nacul L et al.: The expressed needs of people with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: a systematic review. BMC Public Health 9:458, 2009.

15. Horton SMC, Poland F, Kale S, Drachler ML, Leite JCC, McArthur MA et al.: Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) in adults: a qualitative study of perspectives from professional practice. BMC Fam Pract 11:89, 2010.

16. Dickson A, Knussen C, Flowers P: Stigma and the delegitimisation experience: an interpretative phenomenological analysis of people living with chronic fatigue syndrome. Psychol Health 22:851–867, 2007.

17. Bayliss K, Goodall M, Chisholm A, Fordham B, Chew-Graham C, Riste L et al. Overcoming the barriers to the diagnosis and management of chronic fatigue syndrome/ME in primary care: a meta synthesis of qualitative studies. BMC Family Practice 15:44, 2014.

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19. Chew-Graham CA, Cahill G, Dowrick C, Wearden A, Peters S: Using multiple sources of knowledge to reach clinical understanding of chronic fatigue syndrome. Ann Fam Med 6:340–348, 2008.


20. Szabo V, Strang VR. Secondary analysis of qualitative data. ANS Adv Nurs Sci 20:66-74, 1997.

21. Van den Berg H. Reanalyzing qualitative interviews from different angles: The risk of decontextualization and other problems of sharing qualitative data. Forum Qual Soc Res 2005;6:30. Available from: http://nbn-resolving. de/urn:nbn:de:0114-fqs0501305 [Last accessed on 2013 Aug 19].

22. K Hannon, Peters S, Fisher L, Riste L, Wearden A, Lovell K, et al. Developing resources to support the diagnosis and management of chronic fatigue syndrome/myalgic encephalitis (CFS/ME) in primary care. A qualitative study. BMC Fam Pract 13:93, 2012.

23. Streeten DH, Thomas D, Bell DS. The roles of orthostatic hypotension, orthostatic tachycardia and subnormal erythrocyte volume in the pathogenesis of the chronic fatigue syndrome. Am J Med 320:1–8, 2000.

Other articles written by the author R Erandie Ediriweera De Silva
Otros artículos de R Erandie Ediriweera De Silva

Publications in Scientific Journals
Ediriweera de Silva RE, Bayliss K, Riste L, Chew-Graham CA. Diagnosing chronic fatigue syndrome in South Asians: Lessons from a secondary analysis of a UK qualitative study. Journal of Family Medicine and Primary Care 2(3):277-282, 2003. DOI:10.4103/2249-4863.120765.
Perera DP, Ediriweera de Silva RE, Perera WLSP. Knowledge on diabetes among diabetic patients attending a primary health care setting in Sri Lanka. Eastern Mediterranean Health Journal 19(7):644-8, 2013. http://applications.emro.who.int/emhj/v19/07/EMHJ_2013_19_7_644_648.pdf
De Silva WDD, Ediriweera de Silva RE, Peiris TR. The weeping umbilicus: what lies behind the tears? Sri Lankan Family Physician 30(1):54-57, 2009-2010.
Ediriweera de Silva RE, Fernando J, Sumanasekera RND, Liyanagama SD, De Silva DP. Student perceptions of an online post graduate course in family medicine in Sri Lanka. Sri Lanka Journal of Bio-Medical Informatics 1(4):205-13, 2010.
Ediriweera de Silva RE, Tennakoon TMYK, Samaranayake TSP, Perera MSA, Sivayogan S. Perceptions and experiences related to childhood feeding practices - A peri-urban experience. WONCA MESAR - Sri Lankan Family Physician 26(1):34-37, 2005.
A descriptive study of knowledge, beliefs and practices regarding osteoporosis among female medical school entrants in Sri Lanka. Being reviewed by the Asia Pacific Family Medicine Journal (At the stage of revision).


Publications of short communications, abstracts and presentations
Wijesinghe T, Ediriweera de Silva RE, Samaranayake D, Haniffa R. Effect of school bag weight on neck and shoulder pain in a cohort of adolescent females in Sri Lanka. Annual Primary Care Conference, Harrogate,
Reino Unido, October 2013. http://www.rcgp.org.uk/~/media/Files/Events/RCGP-Annual-Conference-2013/AC2013_Posters.ashx.
Ediriweera de Silva RE, Bayliss K, Riste L, Chew-Graham CA. Diagnosing chronic fatigue syndrome in South Asians: Lessons from a secondary analysis of a UK qualitative study. 39th Annual academic sessions of The College of General Practitioners of Sri Lanka, Nov 2013.
Ediriweera de Silva RE, Henegama T, Perera WLSP, Hanwella R, De Silva V. A study on dementia patients' functional status, comorbidities and cognitive functions. Primary Care Mental Health Conference, University of Manchester, Reino Unido, March 2013.
Ediriweera de Silva RE. A study on functional status and disabilities among elderly patients attending a university family practice in Sri Lanka. Annual Primary Care Conference of the Royal College of General Practitioners, Glasgow, Reino Unido, 3-6 October 2012. http://www.rcgp.org.uk/courses-and-events/rcgp-annual-conference/~/media/Files/Events/RCGP-Annual-Conference-2012/AC2012-Poster-abstracts.ashx.
Godakandage M, Godakanda Y, Gawinda Y, Ediriweera de Silva RE. Well woman clinic attendance and factors associated with it in a semi-urban area in Colombo district. 44th APACPH Conference, Colombo, Sri Lanka, 13-18th October 2012.
Ediriweera de Silva RE, Henegama T, Perera WLSP, Hanwella R, De Silva V. Functional status and cognitive impairment among patients with dementia attending the University Psychiatry Unit, National Hospital of Sri Lanka. Annual Academic sessions, Sri Lanka College of Psychiatrists 2012, Colombo, Sri Lanka.
Ediriweera de Silva RE, Fernando EDPS, Liyanage LDS, Premarathne E, De Silva WDD, Maddumabandara K. A preliminary report on knowledge on breast cancer and screening practices for breast and cervical cancers, among female patients attending Family Practice clinics in Sri Lanka. Annual Primary Care Conference of the Royal College of General Practitioners, Liverpool, Reino Unido, October 2011.
Ediriweera de Silva RE, Haniffa MR, Gunathillaka KDK, Athukorale I, Fernando P, Perera WLSP. Knowledge on osteoporosis among female medical school entrants in Sri Lanka. 18th World Organisation of Family Doctors - Asia Pacific Conference, February 20th - 24th, 2011, Cebu City, Filipinas.
Ediriweera de Silva RE, Haniffa MR, Gunathillaka KDK, Athukorale I, Fernando P, Perera WLSP. A study on practices in preventing osteoporosis among female medical school entrants in Sri Lanka. 18th World Organisation of Family Doctors - Asia Pacific Conference, February 20 - 24th, 2011, Cebu City, Filipinas.
Ediriweera de Silva RE, Gunathilaka KDK, Fernando P, Atukorala I, Senevirathna NMIA, Perera WLSP. Calcium intake and sources of dietary calcium - A study among young female medical school entrants. Scientific sessions of the Nutrition Society of Sri Lanka, January 2011.
Dileka WSC, De Silva Sudasinghe IGK, Ediriweera de Silva RE. Attitudes and perception regarding rubella vaccine among parents of school girls in Matara district. College of General Practitioners of Sri Lanka: 35th Annual Academic Sessions: Mind Body and Soul in Family Practice. 13(1):25-26, 2009. http://pgim.srilankahealthrepository.org/handle/123456789/2338.
Perera DP, Ediriweera de Silva RE, Perera WLSP. Knowledge on diabetes mellitus among diebetic patients attending a primary care setting in Sri Lanka. A M Fernando Memorial Award - for the best research paper (36th Annual Academic Sessions of College of General Practitioners Sri Lanka - 2010).
Ediriweera de Silva RE, Fernando J, De Silva DP, Samaranayake TSP, Liyanagama SD. Objective structured clinical skills workshops in teaching Family Medicine for trainees of the online Diploma course in Family Medicine. 36th Annual Academic Sessions of College of General Practitioners, 2010.
Ediriweera de Silva RE, Fernando J, Sumanasekera RND, Liyanagama SD, De Silva DP. Student perceptions of an online post graduate course in family medicine in Sri Lanka, International conference on e Health, Sri Lanka. (Oral presentation 16th September 2010). Selected for presentation at the 8th Asia Pacific Medical Education Conference (APMEC).
Perera DP, Ediriweera de Silva RE, Perera WLSP. Knowledge on prevention of chronic complications of Diabetes among patients with diabetes attending a primary care setting in Sri Lanka. 10th South East Asia Regional Scientific Meeting of the International Epidemiological Association, 2010 (Poster presentation).
Ediriweera de Silva RE, Fernando J, Sumanasekera RND, Liyanagama SD, De Silva DP. Review of an online diploma course in family medicine - Learning from student experiences. 35th Annual Academic Sessions of College of General Practitioners, 2009.
Weliwatta CT, Wijetunga VV, Ediriweera de Silva RE, Madubashini PVP, Perera MSA. Pattern of help seeking behavior in primary care an observational study. 34th Annual Academic Sessions of College of General Practitioners, 2008.
Olupeliyawa AM, Karunathilake IM, Gooneratne IK, Munasinghe SR, De Abrew A, Ediriweera E, Kaluarachchi A. Student perceptions of a programme in family medicine at the faculty of medicine, Colombo, Sri Lanka. International Medical Education Conference [IMEC], Kuala Lumpur, Malaysia 2008.
Olupeliyawa AM, Karunathilake IM, Ediriweera de Silva RE, Gooneratne IK, Munasinghe SR, Kaluarachchi A. The Family Medicine Programme at Faculty of Medicine, Colombo, Sri Lanka: A Content Analysis. International Medical Education Conference [IMEC], Kuala Lumpur, Malaysia 2008.
Ediriweera de Silva RE, Jayaratne SD. Obesity and associated cardiovascular risk factors among diabetic patients attending a general medical clinic at the police hospital. Annual Academic Sessions, Nutrition society of Sri Lanka, 2008
Seneviratne ALPS, Perera MSA, Ediriweera E, Bandara GADD, Kosgollawatta WGRJ, Arambawela MH. Communication skills - "Communication with your patient". 27th Anniversary Academic Sessions 2007, PGIM, University of Colombo.
Ediriweera de Silva RE. Morbidity patterns in adult patients with fever: A descriptive study from the Police hospital. 33rd Annual Academic Sessions of College of General Practitioners, 2007.
De Soysa MSM, Ediriweera de Silva RE, Jayaratne SD. Monitoring LDL reduction in statin therapy: Is total cholesterol level an accepted indicator? 5th Annual Academic sessions, University of Sri Jayewardenepura, 2007.
Ediriweera de Silva RE, De Soysa MSM, Jayaratne SD. An audit on the follow up of patients with type 2 diabetes in a specialized diabetic clinic and general medical clinic at Colombo South Teaching Hospital. Sri Lanka Medical Association 120th Annual SLMA Sessions, March 2007.
Seneviratne ALPS, Perera MSA, Samaranayake TSP, Tennakoon TMYK, Ediriweera de Silva RE. Complications in newly diagnosed type 2 diabetic patients attending family practice in Sri Lanka. 30th Annual Academic Sessions of College of General Practitioners, 2004.
Ediriweera de Silva RE, Tennakoon TMYK, Samaranayake TSP, Perera MSA, Sivayogan S. Perceptions and experiences related to feeding practices - A peri urban experience. 30th Annual Academic Sessions of College of General Practitioners, 2004. (Accepted for poster presentation at the 38th Annual conference of the Nutrition Society of India).




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R Erandie Ediriweera De Silva was invited by SIIC on
R Erandie Ediriweera De Silva fue invitado por SIIC el
2014, february 18
  The authors' report was accepted on
La crónica del autor fue aprobada el
2024, july 17
The authors' report was accepted on
La crónica del autor fue aprobada el
2024, july 17
Published in siicsalud
Publicado en siicsalud
2024, october 15





The article is strictly related to the following sections of siicsalud
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Primary Care
/ Atención Primaria
 
Family Medicine
/ Medicina Familiar
 

and secondarily related to the following sections

y secundariamente con las siguientes secciones

Health Care Management
Administración Hospitalaria

Internal Medicine
Medicina Interna

Mental Health
Salud Mental

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Diagnosing Chronic Fatigue Syndrome in South Asians: Lessons From a Secondary Analysis of a UK Qualitative Study


Author / Autor
R Erandie Ediriweera De Silva1, Kerin Bayliss2, Lisa Riste3, Carolyn A Chew-Graham4

4 Professor Of General Practice, 1 National School For Primary Care Research, University Of Manchester, Manchester, England, 2 Research Institute, Primary Care And Health Sciences, Keele University, Staffordshire, Uk, Professor Of General Practice Research,


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