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Sleep Problems in Chronic Fatigue Syndrome (CFS)


The Sleep Problems in Chronic Fatigue Syndrome (CFS) is a web-based training course designed to teach clinicians and other healthcare professionals about the treatment of sleep problems in persons with CFS. Lesson 1 provides a brief overview of CFS. Lesson 2 gives an overview of sleep problems in CFS. Lesson 3 reviews how to evaluate CFS patients for sleep abnormalities. Lesson 4 presents interventions to optimize sleep in CFS. After the lessons, a case study will be presented.

Technical Requirements

To run this course your browser must support frames and Javascript.

Instructions for Completing Posttest & Evaluation Online

  1. View the Sleep Problems in Chronic Fatigue Syndrome (CFS) course online.
  2. Once you completed the course, go to CDC Training and Continuing Education Online at
    1. If you have not registered as a participant, click on new participant to create a user ID and password; otherwise click on participant login and login.
    2. If you have registered in this system before, please use the same login name and password. This will ensure an accurate transcript.
  3. Once you have logged in/registered, Click on search and keyword search for course WB1889.
  4. Click on the course. The course information page will come up. Scroll down to register here. Click on the type of CE credit that you would like to receive and then submit. Three demographic questions will come up. Complete the questions and then submit.
  5. From "Participant services," click on "evaluations and tests".
  6. Answer the questions presented on posttest (all answers are in the course material).
    1. To receive continuing education credit, you must answer all of the questions.
    2. Some questions have more than one answer. Questions with more than one answer will instruct you to "indicate all that are correct."
  7. Complete the course evaluation.
  8. You will be able to immediately print your continuing education certificate from your personal transcript.
    1. A record of your completion will be located in the transcript and certificate section of your record.
  9. If you have any questions or problems contact CDC Training and Continuing Education Online at: 1-800-41TRAIN or 404-639-1292 or

Origination Date: 06/11/2012
Expiration Date: 06/11/2016

Course Objectives

After completing this course you will be able to:

  1. Describe and review sleep problems affecting CFS patients.
  2. Explain the diagnostic process for characterizing sleep problems in CFS patients.
  3. Identify sleep management strategies in CFS.

Target Audience

The Sleep Problems in Chronic Fatigue Syndrome (CFS) is intended for the following clinicians who desire a basic introduction to CFS and sleep problem diagnosis and management:

  • Nurses
  • Nurse practitioners
  • Physician assistants
  • Physicians
  • Medical Students
  • Health Educators


There are no prerequisites for this course.

Accreditation Statements

Students completing the Sleep Problems in Chronic Fatigue Syndrome (CFS) course can earn continuing education credits/contact hours in one of the following categories:

Continuing Medical Education (CME)

The Centers for Disease Control and Prevention is accredited by the Accreditation Council for Continuing Medical Education (ACCME®) to provide continuing medical education for physicians.

The Centers for Disease Control and Prevention designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Continuing Nursing Education (CNE)

The Centers for Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity provides 1 contact hours.

IACET Continuing Education Units (CEU)

The Centers for Disease Control and Prevention is authorized by IACET to offer 0.1 CEU's for this program.

To obtain continuing education credit/contact hours, go to CDC/ATSDR Training and Continuing Education Online after completing the content of this module and register for course WB1889 (Sleep Problems in Chronic Fatigue Syndrome (CFS). You will be required to complete a posttest in order to obtain the credit or contact hours.

Disclosure Statement

CDC, our planners, and our content experts wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters with the exception of Dr. Lucinda Bateman and she wishes to disclose the following relevant financial relationships: served as a speaker for Eli Lilly and Company; Forest Laboratories, Inc; and Pfizer Inc; and served as a principal investigator: Eli Lilly and Company; Forest Laboratories, Inc.; Hemispherx Biopharma, Inc; Pfizer Inc. Content will not include any discussion of the unlabeled use of a product or a product under investigational use with the exception of Dr. Bateman's discussion on sleep problems in CFS and use of medications. She will be discussing alprazolam, amitriptyline, clonazepam, cyclobenzaprine, doxepin, gabapentin, lorazepam, mirtazapine, modafinil, olanzapine, pregabalin, quetiapine, temazepam, tizanidine, topiramate, trazodone. There is no commercial support for this activity.

Support/Funding: This program was developed solely by CDC.

Fees: No fees are charged for CDC's CE activities

Author/Developer Information

Course Developers and Subject Matter Experts

Roumiana Boneva, MD, PhD
Epidemiologist, Chronic Viral Diseases Branch
Centers for Disease Control and Prevention

Lucinda Bateman, MD, MS
Director, Fatigue Consultation Clinic
Salt Lake City, Utah

Wendy Moore, RN
Nursing Supervisor, Center for Sleep Medicine
Mayo Clinic

Benjamin Natelson, MD
Professor of Neurology
Albert Einstein College of Medicine

Fumiharu Togo, PhD
Associate Professor
University of Tokyo


Dana Brimmer, PhD, MPH

Sharon Hall, PhD, RN

Trang Nguyen, MPH, CHES

Andy Miller, MD

Eric Olson, MD

Elizabeth Unger, PhD, MD

Contact Information

For assistance with registration, completing the course assessment and posttest, transcripts, and printing continuing education certificates, please contact OWCD Training and Continuing Education. OWCD can be reached via:



Phone: 1-800-41-TRAIN (Monday- Friday 8:00am-4:00pm ET)

Fax: 404-498-6045

Please email with any questions regarding this course.

Continuing Education Policies


CDC has no advertising within the educational content of CME activities on the internet or included within enduring materials. This includes, but is not limited to, banner ads, subliminal ads, and pop-up window ads. See Training and Continuing Education OnLine (TCEO) disclaimer.

Policy on Privacy and Confidentiality

The Continuing Education Accreditation and Learner Support (CEALS) office at the Centers for Disease Control and Prevention (CDC) is committed to protecting the privacy and confidentiality of its customers. All information is locked and secured per CDC's policies. CEALS keeps only information necessary to provide you with the participant services necessary to honor your request for Continuing Education.

The CDC maintains its internet site as an information resource and to provide participants a platform to evaluate CE activities, receive a certificate, and print-out an on-going transcript of all their TCEO CE credits/contact hours.

The CDC site provides links to Policies and Regulations, which contain the Privacy Policy and Privacy Rules for government information. Use of Cookies; Privacy Rule, Legislation and Regulation, Additional Information; Accessibility, Report an accessibility problem, Section 508, and Assistance with accessing CDC information. There is a link to Web Site Disclaimers.


CDC is a federal government public health agency. In general all information presented and all items are available for download and for public use. This information is identified at Policies and Regulations; please see Guidelines for Ensuring the Quality of Information Disseminated to the Public.


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