Long Covid at the crossroads: Comparisons and lessons from the treatment of patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)

J Health Psychol. 2022 Dec;27(14):3106-3120. doi: 10.1177/13591053221084494. Epub 2022 Mar 27.

Abstract

Whilst parallels have been drawn between Long Covid and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), there is a well-documented history of negative stereotyping and marginalisation of patients with ME/CFS. A socio-politically oriented comparison of scientific, clinical and societal responses to Long Covid and ME/CFS is thus important to prevent similar harms arising among Long Covid patients. We identify four reasons for injustices in the treatment of ME/CFS patients, and discuss the risk of Long Covid following a similar trajectory. We conclude with policy and practice recommendations to help prevent such injustices arising again, including consideration of critical reflexivity in medical education.

Keywords: Long Covid; chronic fatigue syndrome; health care; health inequities; myalgic encephalomyelitis.

MeSH terms

  • COVID-19*
  • Fatigue Syndrome, Chronic* / therapy
  • Humans
  • Post-Acute COVID-19 Syndrome