+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Adolescent chronic fatigue syndrome and somatoform disorders: a prospective clinical study

Adolescent chronic fatigue syndrome and somatoform disorders: a prospective clinical study

Journal of Paediatrics and Child Health 50(10): 775-781

To examine and compare the presenting characteristics and the change in the physical and psychosocial functioning of adolescents with chronic fatigue syndrome (CFS) or somatoform disorders who have received an adaptable multidisciplinary intervention over a 12-month period. Fifty adolescents presenting to the Complex Adolescent Clinic at The Children's Hospital at Westmead, Sydney, Australia were assessed. Their physical and psychosocial functioning was rated by the adolescents and their parents using the Child Health Questionnaire. Participants were assessed at baseline, 4 months and 12 months after initiating treatment. Analyses examined whether diagnosis and/or illness precipitants were related to treatment outcome. Adolescents with both CFS and somatoform disorders demonstrated improvement in physical and psychosocial functioning over the first 4 months of treatment, sustained at 12-month follow-up. A diagnosis of CFS was associated with poorer physical functioning over time and a trend towards a longer illness time course compared with somatoform disorder. Adjustment for a physical precipitant reduced the association between diagnosis and physical functioning. Those who had a physical precipitant to their illness had significantly poorer physical functioning over time than those who did not, regardless of diagnostic category. Diagnosis and physical precipitant were not associated with psychosocial functioning. Improvement in adolescent physical and psychosocial functioning over time suggests that a multidisciplinary treatment model may be effective for varied complex medico-psychosocial presentations, irrespective of diagnosis and illness precipitant. Illness precipitant may have a greater influence on treatment outcome than diagnostic category.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 051386029

Download citation: RISBibTeXText

PMID: 24944088

DOI: 10.1111/jpc.12653

Related references

Cellular and molecular mechanisms of vitamin D in food allergy. Journal of Cellular and Molecular Medicine 22(7): 3270-3277, 2018

The prevalence and morbidity of chronic fatigue and chronic fatigue syndrome: a prospective primary care study. American Journal of Public Health 87(9): 1449-1455, 1997

Adolescent chronic fatigue syndrome; a follow-up study displays concurrent improvement of circulatory abnormalities and clinical symptoms. Biopsychosocial Medicine 6: 10, 2012

Altered neuroendocrine control and association to clinical symptoms in adolescent chronic fatigue syndrome: a cross-sectional study. Journal of Translational Medicine 14(1): 121, 2016

Amisulpride treatment of somatoform disorders: not just chronic fatigue. American Journal of Therapeutics 21(2): E48-E49, 2014

Incidence, prognosis, and risk factors for fatigue and chronic fatigue syndrome in adolescents: a prospective community study. Pediatrics 119(3): E603-E609, 2007

Relationship between autonomic cardiovascular control, case definition, clinical symptoms, and functional disability in adolescent chronic fatigue syndrome: an exploratory study. Biopsychosocial Medicine 7(1): 5, 2013

Subjective but Not Actigraphy-Defined Sleep Predicts Next-Day Fatigue in Chronic Fatigue Syndrome: A Prospective Daily Diary Study. Sleep 39(4): 937-944, 2016

High resolution standardized 99mTc ECD brain SPECT in chronic fatigue syndrome Clinical and neuropsychological correlates A prospective study. Journal of Nuclear Medicine 41(5 Suppl ): 199P, 2000

Psychological symptoms, somatic symptoms, and psychiatric disorder in chronic fatigue and chronic fatigue syndrome: a prospective study in the primary care setting. American Journal of Psychiatry 153(8): 1050-1059, 1996

Chronic fatigue syndrome in children A somatoform disorder. Journal of Investigative Medicine 43(Suppl. 3): 461A, 1995

Conceptual issues in undifferentiated somatoform disorder and chronic fatigue syndrome. Current Opinion in Psychiatry 19(6): 613-618, 2006

Adolescent chronic fatigue syndrome: a follow-up study. Archives of Pediatrics and Adolescent Medicine 164(9): 810-814, 2010

Primary sleep disorders in patients with chronic fatigue a prospective study. Clinical Research 40(2): 560A, 1992

Chronic fatigue syndrome in children and adolescents A somatoform disorder often complicated by treatable organic illness. Pediatric Research 35(4 Part 2): 173A, 1994