Evidence map›Paper›PMID 30112249›Full record

ArticleFatigue : biomedicine, health & behavior2018

Longitudinal associations of lymphocyte subsets with clinical outcomes in chronic fatigue syndrome.

Melissa L Mehalick, Karen B Schmaling, Daniel E Sabath, Dedra S Buchwald

Abstract read
In one paragraph

Article in Fatigue : biomedicine, health & behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Recent research in myalgic encephalomyelitis/chronic fatigue syndrome: an evidence map.Health technology assessment (Winchester, England) · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Melissa L MehalickDepartment of Psychology, Washington State University, Vancouver, Washington, USA.
Karen B SchmalingDepartment of Psychology, Washington State University, Vancouver, Washington, USA.
Daniel E SabathDepartment of Laboratory Medicine, University of Washington, Seattle, Washington, USA.
Dedra S BuchwaldElson S. Floyd College of Medicine, Washington State University, Spokane, Washington, USA.
Washington State University Vancouver · USUniversity of Washington · USWashington State University Spokane · US

Funding

PROGNOSIS OF CHRONIC FATIGUE SYNDROMEU19AI038429 · NIAID · UNIVERSITY OF WASHINGTON · PI BUCHWALD, DEDRA S · 1995 to 2002
$2.8M
NIAID NIH HHS U19 AI038429
6 · The paper itself

Abstract

backgroundChronic fatigue syndrome (CFS) is characterized by prolonged fatigue and other physical and neurocognitive symptoms. Some studies suggest that CFS is accompanied by disruptions in the number and function of various lymphocytes. However, it is not clear which lymphocytes might influence CFS symptoms. PURPOSE: To determine if patient reported fatigue symptoms and physical functioning scores significantly changed across time with lymphocyte counts as evidence of a relation among chronic fatigue symptoms and the immune response.

methodsThe current longitudinal, naturalistic study assessed the cellular expression of three lymphocyte subtypes -- natural killer (NK) cells (CD3-CD16+ and CD3-CD56+) and naïve T cells (CD4+CD45RA+) -- to determine whether changes in lymphocytes at 4 time points across 18 months were associated with clinical outcomes, including CFS symptoms, physical functioning, and vitality, among patients with chronic fatigue.. Latent growth curve models were used to examine the longitudinal relationship between lymphocytes and clinical outcomes.

resultsNinety-three patients with Fukuda-based CFS and seven with non-CFS fatigue provided study data. Results indicated that higher proportions of naïve T cells and lower proportions of NK cells were associated with worse physical functioning, whereas higher proportions of NK cells (CD3-CD16+) and lower proportions of naïve T cells were associated with fewer CFS symptoms.

conclusionThese findings suggest that lymphocytes are modestly related to clinical outcomes over time.

Indexed as

chronic fatigue syndromefunctional statuslongitudinallymphocyte subsets

Identifiers

PMID30112249
PMCPMC6089525
OpenAlexW2783724201

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.