Fatigue, depression, and social adjustment in chronic fatigue syndrome.

Walford, G A; Nelson, W. M.; McCluskey, David

doi:10.1136/adc.68.3.384

Cited by 71 publications

(53 citation statements)

References 21 publications

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“…In addition, the present study found no specific thought and attention problems, normal achievement motivation, and elevated positive and reduced negative fear of failure, reflecting an adaptive way of coping with stressful circumstances. Several of these findings contradict previous studies that do report social isolation, 7,10,13,15 attention and concentration problems, 2,10,20,25 and high achievement motivation and perfectionism. 1,5,8 Although the patients in this study did report concentration problems in the semi-structured interview, when asked about their symptoms, they did not report significantly heightened thought and attention problems on the emotional and behavioral problems scale.…”

Section: Psychosocial Functioning and Distresscontrasting

confidence: 56%

“…Reported results include considerable restrictions to physical activities, social activities, and school attendance. 1,15,16 Besides, high achievement motivation and perfectionism (adolescents, 1,5,13,14 adults 8,17 ) are described. High internalizing symptoms (eg, anxiety, withdrawn, and overcontrolled behavior) are found, as well as difficulties with regard to social relationships, but no consistent differences regarding family functioning.…”

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confidence: 99%

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Psychological Adjustment of Adolescent Girls With Chronic Fatigue Syndrome

et al. 2001

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ABSTRACT. Objective. To examine psychosocial problems and adaptation of adolescent girls with chronic fatigue syndrome (CFS).Methodology. Thirty-six adolescent girls with CFS (mean age: 15.2 years; mean syndrome duration: 19.7 months) who fulfilled the criteria of the Centers for Disease Control and Prevention were examined by interviews regarding premorbid problems and by questionnaires regarding psychosocial functioning and distress, psychological attitudes, and coping resources. Data were compared with normative data.Results. Of the adolescents, 86.1% reported 1 or more premorbid problems (58.3% physical, 38.9% psychological, and 52.8% familial). Normal adjustment was reported for psychosocial self-esteem, social abilities, and attentional abilities. High adjustment to adult social standards of behavior was found, but low perceived competence in specific adolescent domains, such as athletic ability, romance, and participation in recreational activities. The girls reported predominantly internalizing problems. Normal achievement motivation, no debilitating fear of failure, and high internal locus of control were observed. Palliative reaction patterns and optimism were predominantly used as coping strategies.Conclusions. The large number of premorbid problems suggests a possible contributing factor to the onset of the syndrome, although there were no reference data of healthy adolescents. In distinct domains of psychosocial adjustment, the adolescent girls with CFS showed strengths such as adequate self-esteem and scholastic and social abilities, and weaknesses such as low competence in adolescent-specific tasks and internalizing distress, which may partly be explained by syndrome-specific somatic complaints. The use of optimistic and palliative reaction patterns as coping strategies in this patient group indicates that the patients with CFS seem to retain an active and positive outlook on life, which may result in a rather adequate psychological adaptation to the syndrome, but also in maintenance of the syndrome by exceeding the physical limits brought about by the CFS. Our results on adjustment and coping strategies may be helpful to implement (individual) rehabilitation programs. Pediatrics 2001;107(3). URL: http://www. pediatrics.org/cgi/content/full/107/3/e35; chronic fatigue syndrome, adolescents, female, psychological adjustment, coping behavior.

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Section: Psychosocial Functioning and Distresscontrasting

confidence: 56%

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confidence: 99%

Psychological Adjustment of Adolescent Girls With Chronic Fatigue Syndrome

et al. 2001

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“…Whether such treatments can be instituted in a primary care setting, as is suggested for the majority of patients with chronic fatigue syn drome by the Royal Colleges' report (Royal College of Physicians, Royal College of Psychia trists and Royal College of General Practit ioners, 1996), is open to debate. These patients present GPs with considerable difficul ties (Scott et al, 1995), and they and their families may be reluctant to attend for a psychiatric appointment even though psychi atric symptoms, such as depression, are often present (Walford et al, 1993). Such issues may be reflected in the lack of agreement amongst GPs in our survey as to whether a psychiatrist should become involved.…”

Section: Commentmentioning

confidence: 41%

Chronic fatigue syndrome in children and adolescents

Richards

Smith

1998

Psychiatr. bull.

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General practitioners in a south London health authority were sent a questionnaire about their experience and views concerning the treatment of childhood chronic fatigue syndrome. Most thought childhood chronic fatigue syndrome had a significant psychological component, but opinion was divided over referral to a psychiatrist. The involvement of self-help organisations was supported but the place of rest and exercise unclear. The optimum primary care management of childhood chronic fatigue syndrome needs to be established.

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“…It has been suggested that the depressed mood may be reactive to the chronic physical symptoms in CFS. However, this has not been supported by a study comparing depressive symptomatology in children with CFS to those suffering the chronic physical illness of cystic fibrosis (Walford et al 1993). Even if reactive, untreated depressive symptoms can become chronic and disabling (Lynch, 1994).…”

Section: Commentmentioning

confidence: 79%

Chronic fatigue syndrome in childhood: seven-year follow-up study

Khawaja¹,

Boxel²

1998

Psychiatr. bull.

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This study explores the outcome and longer-term sequelae of suffering chronic fatigue syndrome in childhood. Ten such children, ranging from 10 to 16 years of age at diagnosis, were followed up into adulthood, an average of seven years. Most were completely well or markedly improved (seven of nine). Only children fully engaged in therapy made a total recovery. However, respondents felt medical staff did not believe their symptoms and that rehabilitative strategies were unhelpful. No physical or mental illness was subsequently diagnosed to account for the original symptom presentation. Childhood sufferers maintained the same pattern of symptoms as adults. Depressive symptomatology was present in two cases. The overall longer-term prognosis for children suffering chronic fatigue syndrome is good. A successful doctor-patient relationship is essential to improve compliance with management plans.

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Fatigue, depression, and social adjustment in chronic fatigue syndrome.

Abstract: The aims of this study were to determine the characteristics and perceived levels of fatigue and the prevalence of depression in children with chronic fatigue syndrome and to assess

Cited by 71 publications

References 21 publications

Psychological Adjustment of Adolescent Girls With Chronic Fatigue Syndrome

Psychological Adjustment of Adolescent Girls With Chronic Fatigue Syndrome

Chronic fatigue syndrome in children and adolescents

Chronic fatigue syndrome in childhood: seven-year follow-up study

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