Diagnosis of psychiatric disorder in clinical evaluation of chronic fatigue syndrome

The overlap of symptoms in chronic fatigue syndrome (CFS) and psychiatric d isorders such as depression can complicate diagnosis, Patients often compla in that they are wrongly given a psychiatric label. We compared psychiatric diagnoses made by general practitioners and hospital doctors with diagnose s established according to research diagnostic criteria. 68 CFS patients re ferred to a hospital fatigue clinic were assessed, and psychiatric diagnose s were established by use of a standardized interview schedule designed to provide current and lifetime diagnoses, These were compared with psychiatri c diagnoses previously given to patients. Of the 31 patients who had previously received a psychiatric diagnosis 21 ( 68%) had been misdiagnosed: in most cases there was no evidence of any past or current psychiatric disorder, Of the 37 patients who had not previously received a psychiatric diagnosis 13 (35%) had a treatable psychiatric diso rder in addition to CFS. These findings highlight the difficulties of routine clinical evaluation of psychiatric disorder in CFS patients. We advise doctors to focus on subtle features that discriminate between disorders and to use a brief screening instrument such as the Hospital Anxiety and Depression Scale.