When a child regularly feels down and does not show an interest in playing or going to school, it might be signs of Chronic Fatigue Syndrome (CFS). This is a complex disorder characterized by profound fatigue and is not improved by bed rest. It may even be worsened by strenuous physical activities or extreme mental exertion. Kids with CFS commonly functioned at a much lower level of strength even before the onset of the illness. A child suffering from CFS may also show signs of general weakness, muscle pain, impaired memory or low mental concentration, insomnia, and post-exertion fatigue that lasts for more than 24 hours.

To better understand this mysterious illness that afflicts thousands if not millions of children all over the world, a team of researchers conducted a study to find out 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 to eightfold. A separate study based on the data from the Swedish Twin Registry shows that stress is a triggering factor for the said fatigue syndrome. The investigation in addition explains that emotional instability is a significant CFS risk factor, although genetic and family factors also determine whether this personality trait leads to excessive and normal fatigue. Researchers from CDC support the concept that CFS represents a disorder of adaptation that is promoted by early environmental factors such as inadequate nutrition and emotional support which, later on, leads to failure to properly respond to physical, mental, and emotional problems.

Other investigations made on more than 19,000 twins born in Sweden revealed that emotional instability was linked to a 72% higher risk of CFS symptoms. Emotional instability is a personality trait and tends to result in low confidence and feelings of anxiety, depression, and guilt. In conclusion, emotional instability is a serious risk factor for CFS, whether a person with this personality trait actually gets CFS depends on unknown genetic and family factors. Accordingly, emotional instability is an indirect risk factor for CFS, while stress is a direct one.

The greatest challenge that researchers face is that there are still no medicines that offer complete and permanent cures for fatigue. CFS still remains a disease that is largely not understood. The problem is that there are simply countless causes of extreme fatigue. Despite that, gradually modern medicine is dealing with the various causes and discovers ways of alleviating - and at times even curing - this horrible ailment.

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