--- title: "Meaning & Key Takeaway of: When people with ME/CFS report symptoms…" description: "\"“When people with ME/CFS report symptoms of post-exertional malaise, those symptoms are independent of emotional distress, but when the general populat..." image: "https://sms4smile.com/quotes/i/242/leonard-a-jason-49563_cfs_when-people-with-me-cfs-report-symptoms_581176.jpg" --- # When people with ME/CFS report symptoms of post-exertional… ![“When people with ME/CFS report symptoms of post-exertional malaise, those symptoms are independent of emotional distress, but when the general population report what they think are post-exertional malaise symptoms, their symptoms of post-exertional malaise are significantly related to emotional…” quote by Leonard A. Jason](https://sms4smile.com/quotes/i/242/leonard-a-jason-49563_cfs_when-people-with-me-cfs-report-symptoms_581176.jpg) [Download](https://sms4smile.com/quotes/i/242/leonard-a-jason-49563_cfs_when-people-with-me-cfs-report-symptoms_581176.jpg) [Open image](https://sms4smile.com/quotes/i/242/leonard-a-jason-49563_cfs_when-people-with-me-cfs-report-symptoms_581176.jpg) > ““When people with ME/CFS report symptoms of post-exertional malaise, those symptoms are independent of emotional distress, but when the general population report what they think are post-exertional malaise symptoms, their symptoms of post-exertional malaise are significantly related to emotional distress. It is possible that because healthy individuals experience a relationship between emotional distress and post-exertional malaise, they might believe that these two domains are connected for themselves and by inference with patients with ME/CFS, when in fact it is not the case. This ultimately might blur the ability of healthy controls to understand the experience of post-extertional malaise for people with ME/CFS.”” [Leonard A. Jason](https://sms4smile.com/quotes/author/leonard-a-jason/) ## About This Quote This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation. Patients’ fatigue after exertion is physiologically driven, not caused by emotions; healthy people often misattribute similar symptoms to stress. **In simple terms:** Patients’ fatigue is physical, not emotional Key Takeaway Recognize physiological basis of fatigue Themes health misattribution patient perception Mood analytical concerned Type scientific informative When to use this quote - clinical assessments - patient education - research studies Key Concepts physiology psychology diagnostic bias Questions to Reflect On - How can clinicians separate physical from emotional fatigue? - What education helps patients explain their experience? A Different Perspective Emotional distress can still affect symptom reporting ★ ★ ★ ★ ★ No ratings yet [Chronic-fatigue-syndrome](https://sms4smile.com/quotes/about/chronic-fatigue-syndrome/) [Me-cfs](https://sms4smile.com/quotes/about/me-cfs/) ## Related quotes > [“Luckily, we are seeing less and less post-exertional malaise, the symptom that stops Danny’s body and brain recovering properly after expending any energy, even…](https://sms4smile.com/quotes/sonya-chowdhury/luckily-we-are-seeing-less-and-less-post-exertional-malaise-the/) Sonya Chowdhury > [“There are many reports that suggest a biomedical basis for post-exertional malaise. This is inconsistent with the assumption that there is pathological avoidance of…](https://sms4smile.com/quotes/sten-helmfrid/there-are-many-reports-that-suggest-a-biomedical-basis-for-post/) Sten Helmfrid > [“In summary, patients with CFS are not “deconditioned”. Neither their muscle strength nor their exercise capacity is different from that of other sedentary members…](https://sms4smile.com/quotes/garry-c-scroop/in-summary-patients-with-cfs-are-not-deconditioned-neither-their/) Garry C. Scroop > [ “Individuals are often stigmatized and told their illness isn’t real… People with \[ME\] CFS face an incredible burden just getting doctors to take their… ](https://sms4smile.com/quotes/barry-e-hurwitz/individuals-are-often-stigmatized-and-told-their-illness-isn-t-real/) Barry E. Hurwitz > [“The evidence of inflammation in people with ME/CFS is important because the incremental aerobic exercise recommended by the Wessely School and encapsulated in NICE’s…](https://sms4smile.com/quotes/margaret-williams/the-evidence-of-inflammation-in-people-with-me-cfs-is-important/) Margaret Williams > [“people with ME/CFS do not have “fatigue as their main symptom”; they have post-extertional fatigability accompanied by malaise as their main symptom (their voluntary…](https://sms4smile.com/quotes/margaret-williams/people-with-me-cfs-do-not-have-fatigue-as-their-main-symptom-they/) Margaret Williams > [“Severe, persisting fatigue is a prominent symptom of Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS), but individuals with this illness frequently report the occurrence of unique…](https://sms4smile.com/quotes/leonard-a-jason/severe-persisting-fatigue-is-a-prominent-symptom-of-myalgic/) [Leonard A. Jason](https://sms4smile.com/quotes/author/leonard-a-jason/) > [“The people in whom CFS often takes a hold are those driven, workaholic, goal driven, perfectionist, 'never say die' characters. This is because these…](https://sms4smile.com/quotes/sarah-myhill/the-people-in-whom-cfs-often-takes-a-hold-are-those-driven-workaholic/) Sarah Myhill > [“But for some reason, it appears that more and more people, particularly young people, are forgetting this. Numerous professors and educators have noted a…](https://sms4smile.com/quotes/mark-manson/but-for-some-reason-it-appears-that-more-and-more-people-particularly/) [Mark Manson](https://sms4smile.com/quotes/author/mark-manson/) > [“Emotional Distress (n.): A negative emotional reaction—which may include fear, anger, anxiety, and suffering”](https://sms4smile.com/quotes/whitney-gracia-williams/emotional-distress-n-a-negative-emotional-reaction-which-may-include/) [Whitney Gracia Williams](https://sms4smile.com/quotes/author/whitney-gracia-williams/) > [“In the heights of emotional distress, sometimes your loved ones can’t fill the answers you are longing for to wipe away the tears in…](https://sms4smile.com/quotes/jonathan-page-acabo/in-the-heights-of-emotional-distress-sometimes-your-loved-ones-can-t/) Jonathan Page Acabo > [“The loss or the absence of meaning in life is perhaps the most common denominator of all forms of emotional distress; it is especially…](https://sms4smile.com/quotes/paul-watzlawick/the-loss-or-the-absence-of-meaning-in-life-is-perhaps-the-most-common/) [Paul Watzlawick](https://sms4smile.com/quotes/author/paul-watzlawick/) > [I contend that most emotional distress is best understood as a rational response to sick societies.](https://sms4smile.com/quotes/oliver-james/i-contend-that-most-emotional-distress-is-best-understood-as-a/) [Oliver James](https://sms4smile.com/quotes/author/oliver-james/) > [I think everybody has had emotional distress, but yes, I think I'm pretty stable.](https://sms4smile.com/quotes/julianne-moore/i-think-everybody-has-had-emotional-distress-but-yes-i-think-i-m/) [Julianne Moore](https://sms4smile.com/quotes/author/julianne-moore/) > [Deal first with whatever is causing you the greatest emotional distress. Often this will break the logjam in your work and free you up…](https://sms4smile.com/quotes/brian-tracy/deal-first-with-whatever-is-causing-you-the-greatest-emotional/) [Brian Tracy](https://sms4smile.com/quotes/author/brian-tracy/) ## More by Leonard A. Jason > [“Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a disabling condition characterized by severe unexplained fatigue and a mixed profile of symptoms such as sore throat,…](https://sms4smile.com/quotes/leonard-a-jason/myalgic-encephalomyelitis-chronic-fatigue-syndrome-me-cfs-is-a/) [Leonard A. Jason](https://sms4smile.com/quotes/author/leonard-a-jason/) > [“Finally, individuals with severe pathological fatigue might experience states that are very different from what a healthy individual experiences when fatigued.”](https://sms4smile.com/quotes/leonard-a-jason/finally-individuals-with-severe-pathological-fatigue-might-experience/) [Leonard A. Jason](https://sms4smile.com/quotes/author/leonard-a-jason/) > [“Severe, persisting fatigue is a prominent symptom of Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS), but individuals with this illness frequently report the occurrence of unique…](https://sms4smile.com/quotes/leonard-a-jason/severe-persisting-fatigue-is-a-prominent-symptom-of-myalgic/) [Leonard A. Jason](https://sms4smile.com/quotes/author/leonard-a-jason/) > [“the disabling fatigue experienced by individuals with ME/CFS differs from that associated with other illnesses or everyday activity”](https://sms4smile.com/quotes/leonard-a-jason/the-disabling-fatigue-experienced-by-individuals-with-me-cfs-differs/) [Leonard A. Jason](https://sms4smile.com/quotes/author/leonard-a-jason/) > [“individuals with ME/CFS experience different types of fatigue than what are reported in the general populations”](https://sms4smile.com/quotes/leonard-a-jason/individuals-with-me-cfs-experience-different-types-of-fatigue-than/) [Leonard A. Jason](https://sms4smile.com/quotes/author/leonard-a-jason/) > [ “The finding that ME and CFS group had more functional limitations and more serious symptoms than those with MS \[multiple sclerosis\] provides additional evidence… ](https://sms4smile.com/quotes/leonard-a-jason/the-finding-that-me-and-cfs-group-had-more-functional-limitations-and/) [Leonard A. Jason](https://sms4smile.com/quotes/author/leonard-a-jason/) [Explore all 7 Leonard A. Jason quotes ](https://sms4smile.com/quotes/author/leonard-a-jason/) ## More Cfs quotes > [The Lord came to send fire upon the earth (cf. Lk. 12:49), and through participation in this fire He makes divine not just the…](https://sms4smile.com/quotes/gregory-palamas/the-lord-came-to-send-fire-upon-the-earth-cf-lk-12-49-and-through/) [Gregory Palamas](https://sms4smile.com/quotes/author/gregory-palamas/) > [Gluttony should be destroyed by self-control; unchastity by desire for God and longing for the blessings held in store; avarice by compassion for the…](https://sms4smile.com/quotes/john-of-damascus/gluttony-should-be-destroyed-by-self-control-unchastity-by-desire-for/) [John of Damascus](https://sms4smile.com/quotes/author/john-of-damascus/) > ["If any man thirst, let him come and drink from the rivers of living water" (cf. John 7:38). Where shall he who thirsts come?…](https://sms4smile.com/quotes/cyprian/if-any-man-thirst-let-him-come-and-drink-from-the-rivers-of-living/) [Cyprian](https://sms4smile.com/quotes/author/cyprian/) > [His Majesty knows best what is suitable for us. There's no need for us to be advising Him about what He should give us,…](https://sms4smile.com/quotes/teresa-of-vila/his-majesty-knows-best-what-is-suitable-for-us-there-s-no-need-for-us/) [Teresa of Avila](https://sms4smile.com/quotes/author/teresa-of-vila/) > [Apostolic and missionary fruitfulness is not principally due to programmes and pastoral methods that are cleverly drawn up and "efficient", but is the result…](https://sms4smile.com/quotes/pope-benedict-xvi/apostolic-and-missionary-fruitfulness-is-not-principally-due-to/) [Pope Benedict XVI](https://sms4smile.com/quotes/author/pope-benedict-xvi/) > [“The single biggest factor determining recovery and remission from Myalgic Encephalomyelitis (M.E.) at this point is undoubtedly appropriate rest in the early and/or severe…](https://sms4smile.com/quotes/jodi-bassett/the-single-biggest-factor-determining-recovery-and-remission-from/) Jodi Bassett > [We are assailed by the temptation of the love of money. If you wish to acquire riches ? they are the bait of the…](https://sms4smile.com/quotes/pachomius-the-great/we-are-assailed-by-the-temptation-of-the-love-of-money-if-you-wish-to/) [Pachomius the Great](https://sms4smile.com/quotes/author/pachomius-the-great/) > [Holy love has a way of consuming some. This is what is meant by the one who said, 'You have ravished our hearts' (Sg.…](https://sms4smile.com/quotes/john-climacus/holy-love-has-a-way-of-consuming-some-this-is-what-is-meant-by-the/) [John Climacus](https://sms4smile.com/quotes/author/john-climacus/) > [For him who is perfect in love and has reached the summit of dispassion there is no difference between his own or another's, or…](https://sms4smile.com/quotes/maximus-the-confessor/for-him-who-is-perfect-in-love-and-has-reached-the-summit-of/) [Maximus the Confessor](https://sms4smile.com/quotes/author/maximus-the-confessor/) > [“There are many reports that suggest a biomedical basis for post-exertional malaise. This is inconsistent with the assumption that there is pathological avoidance of…](https://sms4smile.com/quotes/sten-helmfrid/there-are-many-reports-that-suggest-a-biomedical-basis-for-post/) Sten Helmfrid > [“In July and August 2011 Simon Wessely ran a media campaign with the BBC and the broadsheets, successfully vilifying patients who had justifiably criticised…](https://sms4smile.com/quotes/horace-reid/in-july-and-august-2011-simon-wessely-ran-a-media-campaign-with-the/) Horace Reid > [Keep the Feast of the Resurrection. Be a Peter or a John; hasten to the Sepulchre, running together, running against one another, vying in…](https://sms4smile.com/quotes/gregory-of-nazianzus/keep-the-feast-of-the-resurrection-be-a-peter-or-a-john-hasten-to-the/) [Gregory of Nazianzus](https://sms4smile.com/quotes/author/gregory-of-nazianzus/) > [ “To replace ME/CFS, the \[Institute of Medicine\] committee proposes the name systemic exertion intolerance disease, or SEID. This name captures a central characteristic of… ](https://sms4smile.com/quotes/ellen-wright-clayton/to-replace-me-cfs-the-institute-of-medicine-committee-proposes-the/) Ellen Wright Clayton > ['The long-suffering man abounds in understanding' (Prov. 14:29), because he endures everything to the end and, while awaiting that end, patiently bears his distress.…](https://sms4smile.com/quotes/maximus-the-confessor/the-long-suffering-man-abounds-in-understanding-prov-14-29-because-he/) [Maximus the Confessor](https://sms4smile.com/quotes/author/maximus-the-confessor/) > [“Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a disabling condition characterized by severe unexplained fatigue and a mixed profile of symptoms such as sore throat,…](https://sms4smile.com/quotes/leonard-a-jason/myalgic-encephalomyelitis-chronic-fatigue-syndrome-me-cfs-is-a/) [Leonard A. Jason](https://sms4smile.com/quotes/author/leonard-a-jason/) Browse all 134 Cfs quotes ```json { "@context": "https://schema.org", "@graph": [ { "@type": "Quotation", "text": "“When people with ME/CFS report symptoms of post-exertional malaise, those symptoms are independent of emotional distress, but when the general population report what they think are post-exertional malaise symptoms, their symptoms of post-exertional malaise are significantly related to emotional distress. It is possible that because healthy individuals experience a relationship between emotional distress and post-exertional malaise, they might believe that these two domains are connected for themselves and by inference with patients with ME/CFS, when in fact it is not the case. This ultimately might blur the ability of healthy controls to understand the experience of post-extertional malaise for people with ME/CFS.”", "creator": { "@type": "Person", "name": "Leonard A. 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