Performance on tests of memory in 39 patients who met Center for Disea
se Control (CDC) criteria for chronic fatigue immune dysfunction syndr
ome (CFIDS) was compared with 23 depressed patients (DSM-III-R) and 12
9 healthy controls. Although the CFIDS patients had normal neuropsycho
logical profiles, they significantly overestimated their ability (meta
memory), performed significantly worse on tests of recall as context i
ncreased (e.g., recognition), made more errors when rehearsal was prev
ented, and had delayed mental scanning as memory load increased. The o
verall pattern indicated that CFIDS patients had a significant memory
deficit, far worse than implied by CDC criteria. The pattern for CFIDS
patients was consistent with temporal-limbic dysfunction and signific
antly different than depressed patients and control subjects.