A Comparison of Individual and Family Psychology of Adolescents with Chronic Fatigue Syndrome, Rheumatoid Arthritis, and Mood Disorders
作者:
DOUG GRAY,
NINA PARKER-COHEN,
TONYA WHITE,
SHERLENE CLARK,
SHARI SEINER,
JENNIFER ACHILLES,
WILLIAM MCMAHON,
期刊:
Journal of Developmental & Behavioral Pediatrics
(OVID Available online 2001)
卷期:
Volume 22,
issue 4
页码: 234-242
ISSN:0196-206X
年代: 2001
出版商: OVID
关键词: chronic fatigue syndrome;psychological tests;children;juvenile rheumatoid arthritis;mood disorders
数据来源: OVID
摘要:
Chronic fatigue syndrome (CFS) is a controversial diagnosis with unknown cause. Adult studies indicate high rates of psychosocial dysfunction and psychiatric comorbidity. The authors compared three groups of pediatric patients selected by diagnosis-(1) CFS (n = 15), (2) juvenile rheumatoid arthritis (n = 15), and (3) mood disorders (n = 15)-across many psychological measures. CFS subjects had dramatic elevation of the Somatic Complaints subscale (mean T score = 75), whereas the mood disorders group had higher externalizing scores (mean T score = 68) on the Child Behavior Checklist. The CFS subjects missed significantly more school compared with the two control groups. After the onset of CFS, 13 of 15 of the CFS patients required significant educational accommodation. Only 4 of the 15 CFS patients had an Axis I psychiatric diagnosis, as determined by the Computerized Diagnostic Interview for Children. Despite a low rate of psychiatric diagnosis in the CFS sample, these data attest to their psychosocial and school dysfunction.
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