If a child repeatedly feels down and does not exhibit an interest in playing or going to school, it might be signs of Chronic Fatigue Syndrome (CFS). This is a complex disease identified by severe fatigue and is not improved by normal sleep. It may even be worsened by tiring physical activities or excessive mental exertion. Kids with CFS commonly functioned at a much lower level of strength even prior to the onset of the disease. A child affected by CFS may as well show indications of general weakness, muscle pain, impaired memory or below average mental concentration, sleeping disorders, and post-exertion fatigue that remains for over 24 hours.

To better understand this mysterious disease that afflicts thousands if not millions of children all over the world, a group of researchers conducted a study to identify the connection between what causes fatigue to stress and emotional abuse. According to the U.S. Centers for Disease Control (CDC), childhood trauma increases the child or adults' risk of Chronic Fatigue Syndrome by three or eight times higher. Another research according to the data from the Swedish Twin Registry tells us that stress is a triggering factor for the said fatigue syndrome. The research also explains that emotional instability is a significant CFS risk factor, although genetic and family aspects also determine whether this personality trait will cause extreme and normal fatigue. Experts from CDC support the premise that CFS represents a disorder of adaptation that is promoted by early environmental factors like malnutrition and emotional guidance which, later on, leads to failure to properly react to physical, mental, and emotional challenges.

Other researches made on more than 19,000 twins born in Sweden showed that emotional instability was connected to a 72% greater possibility of CFS conditions. Emotional instability is a personality trait and will result in low self-confidence and feelings of anxiety, depression, and guilt. In conclusion, emotional instability is a serious risk factor for CFS, whether a person having this personality trait really gets CFS will be determined by unidentified genetic and family elements. Therefore, emotional instability is an indirect risk factor for CFS, while stress is a direct cause.

The greatest challenge that researchers face is that there are still no treatments that provide complete and permanent cures for fatigue. CFS still remains a condition that is largely not comprehended. The problem is that there are simply so many causes of extreme fatigue. Despite that, step by step modern medicine is dealing with the various causes and discovers ways of minimizing - and at times even curing - this terrible disorder.

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