Figure 3.
Fatigue and postexertional malaise (PEM). Rain cloud plot52 of fatigue (Functional Assessment of Chronic Illness Therapy–Fatigue Scale [FACIT-F] score, with a lower score representing more severe fatigue) in people with PEM, identified using step 2 scoring criteria for the DePaul Symptom Questionnaire–Post-Exertional Malaise (DSQ-PEM). Participants with PEM reported more severe fatigue (PHolm [Holm-Bonferroni adjusted P value] = .011). As a crude marker of severity, the dashed line shows the threshold score of clinical relevance in oncology, recommended for the diagnosis of cancer-related fatigue.