E3 PreliminaryPreliminaryPEM ?Cross-SectionalPeer-reviewedMachine draft
Using the internet to cope with chronic fatigue syndrome/myalgic encephalomyelitis in adolescence: a qualitative study.
Brigden, Amberly, Barnett, Julie, Parslow, Roxanne Morin et al. · BMJ paediatrics open · 2018 · DOI
Quick Summary
This study looked at how teenagers with ME/CFS use the internet to understand and cope with their condition. Researchers interviewed 9 young people (ages 12-17) about which websites and online spaces they visited. The teenagers found that official health websites were helpful when first diagnosed, but over time they preferred online communities where they could read other patients' stories, get emotional support, and connect with peers who understood what they were going through.
Why It Matters
This study highlights that adolescents with ME/CFS actively seek online support and that peer-led communities provide meaningful psychological and social benefits beyond what clinical websites offer. Understanding how young people with ME/CFS use online resources can help healthcare services design better digital platforms that address both informational and emotional needs while ensuring quality and evidence-based content.
Observed Findings
- Participants' internet use shifted from official health resources at diagnosis to patient-led and peer-led spaces (forums, Facebook, YouTube) for ongoing support.
- Young people valued online communities for personal stories, emotional content, and interactive features rather than factual information alone.
- Online peer spaces provided social support and helped address stigma surrounding ME/CFS.
- Participants accessed patient-led sites regularly over the long term, suggesting sustained value.
- Online resources helped adolescents maintain a sense of normality despite ME/CFS disrupting typical aspects of adolescent life such as identity and friendships.
Inferred Conclusions
- Adolescents with ME/CFS benefit from patient-led and peer-led online resources for both practical coping strategies and emotional support.
- Healthcare services should develop adolescent-appropriate online resources that combine evidence-based clinical information with social support features.
- Online communities can help young people with ME/CFS adapt to their condition while maintaining aspects of normal adolescent development.
- Current NHS and official health websites may not adequately meet the social and emotional support needs of younger users with ME/CFS.
Remaining Questions
What This Study Does Not Prove
This qualitative study describes how adolescents use online resources and their perceived benefits, but does not prove that online resource use causes better health outcomes or improved coping. The study cannot determine which specific online content is most effective, whether misinformation on these platforms causes harm, or how representative these 9 young people's experiences are of all adolescents with ME/CFS.
Tags
Symptom:Fatigue
Phenotype:Pediatric
Method Flag:Weak Case DefinitionSmall SampleExploratory Only
Metadata
- DOI
- 10.1136/bmjpo-2018-000299
- PMID
- 30167477
- Review status
- Machine draft
- Evidence level
- Early hypothesis, preprint, editorial, or weak support
- Last updated
- 8 April 2026