When a child regularly feels down and does not show any desire in playing or going to school, it might be signs of Chronic Fatigue Syndrome (CFS). This is a complex disorder identified by severe fatigue and is not improved by bed rest. It may even be worsened by strenuous physical activities or extreme mental exertion. Kids with CFS usually functioned at a much lower level of strength even prior to the onset of the disease. A child experiencing CFS may also show signs of general weakness, muscle pain, weak memory or low mental concentration, insomnia, and post-exertion fatigue that remains for over 24 hours.

To better understand this mysterious disorder that afflicts thousands if not millions of children all over the world, a team of researchers conducted an investigation 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 or eight times higher. Another investigation 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 aspects also determine whether this personality trait will cause severe and normal fatigue. Researchers from CDC agree with the concept that CFS represents a disorder of adaptation that is promoted by early environmental factors such as malnutrition and emotional guidance which, later on, leads to failure to properly respond to physical, mental, and emotional problems.

Different investigations made on more than 19,000 twins born in Sweden revealed that emotional instability was tied to a 72% greater possibility of CFS symptoms. Emotional instability is a personality trait and tends to result in poor 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 unknown genetic and family factors. Accordingly, emotional instability is an indirect cause for CFS, while stress is a direct one.

The greatest challenge that researchers face is that there are still no treatments that provide complete and permanent cures for fatigue. CFS still remains an illness 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 many causes and discovers ways of alleviating - and at times even curing - this terrible disorder.

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