The amount of literature, complexity of interventions, and apparent dependence of results on setting are such as to defy sweeping conclusions. However, restricting labels to the chronic fatigue and fibromyalgia specified in the VA/DoD guideline leads to a conclusion that the guideline is still in alignment with more recent research, hence requires no updating. NICE (2007) summarizes a general approach that agrees well with the earlier VA/DoD document:
“The recommendations in this guideline emphasize the importance of early symptom management, making an accurate diagnosis, ensuring that significant clinical features are investigated, and working in partnership with people with CFS/ME to manage the condition. Different combinations of approaches will be helpful for different people.”