Psychiatric Adjustment in Adolescents With a History of Chronic Fatigue Syndrome
Abstract
Objective To ascertain psychiatric adjustment in youngsters with a history of childhood chronic fatigue syndrome (CFS).Method Subjects were 25 children and adolescents with CFS who were seen in tertiary pediatric/psychiatric clinics (mean age 15.6 years, seen a mean of 45.5 months after illness onset; 17 subjects had recovered and 8 were still ill) and 15 healthy matched controls. Youngsters and their parents (usually mothers) were interviewed and completed questionnaires. Instruments used included the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS), the Child Behavior Checklist (CBCL), and the Harter Self-Esteem Questionnaire.Results At assessment, psychiatric disorders (mainly anxiety and depressive disorders) were present in half the subjects with a history of CFS, a rate significantly higher than in healthy controls. On the CBCL youngsters with a history of CFS had an excess of psychological symptoms and decreased social competence. On the Harter Self-Esteem Questionnaire they reported reduced self-esteem, especially in social competence. Anxiety disorders were significantly more common in recovered subjects than in those with active CFS illness status.Conclusions Psychiatric disorders were found to be increased in adolescents with a history of severe CFS; CFS may enhance the risk for or share common predisposing factors with anxiety disorders.
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FSS are often comorbid with anxiety and depression.
“Often comorbid anxiety and depression exist [3–5].”
From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [3]
Patients with comorbidity of anxiety and depression were included, which increases the generalisability as these are common in youth with FSS.
“Patients with comorbidity of anxiety and depression were included, which increases the generalisability as these are common in youth with FSS [3–5].”
From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [3]
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- Authors
- GARRALDA, E., RANGEL, L., LEVIN, M., ROBERTS, H., & UKOUMUNNE, O.
- Affiliations
- St Thomas' Hospital (GB)
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1999-12
- Volume
- 38
- Issue
- 12
- Pages
- 1515-1521
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2077684469
- Cited by
- 79
- References
- 25
- Citations by year
- 2022: 1 · 2021: 2 · 2020: 6 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 5 · 2012: 4
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- chronic fatigue syndrome, adolescents, anxiety disorders, depressive disorders, self-esteem, social competence, psychological symptoms, childhood diseases, recovery from illness
- MeSH terms
- Adaptation, Psychological, Adolescent, Adolescent Behavior, Psychology, Adolescent, Mental Disorders, Family, Female, Humans, Interview, Psychological, Male, Parents, Severity of Illness Index, Social Adjustment, Fatigue Syndrome, Chronic, Parenting
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