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Published online by Cambridge University Press: 01 March 1997
To the Editor: The paper by Chalder et al. (26, 791–800) in a cross-sectional study concludes that the diagnosis of ‘ME’, which makes an external attribution for fatigue, ‘seems to protect against psychological distress but not against disability’. We should like to offer strong support for this conclusion from the prospective data of a patient involved in a 12-year study of the outcome of neurotic disorder.