Differential diagnosis of chronic fatigue in children: Behavioral and emotional dimensions

被引:15
作者
Carter, BD
Kronenberger, WG
Edwards, JF
Michalczyk, L
Marshall, GS
机构
[1] UNIV LOUISVILLE,SCH MED,DEPT PEDIAT,LOUISVILLE,KY 40202
[2] INDIANA UNIV,SCH MED,DEPT PSYCHIAT,INDIANAPOLIS,IN 46202
关键词
fatigue; chronic fatigue syndrome; psychological distress; infectious diseases; childhood and adolescence;
D O I
10.1097/00004703-199602000-00003
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
A battery of self-report questionnaires and structured diagnostic interviews was administered to 20 children and adolescents who presented to a pediatric specialty clinic with chronic fatigue. Matched groups of healthy and depressed control subjects (aged 8 to 19 years) were also studied. Criteria were established to identify those items in the assessment battery that reliably differentiated among the three groups. Analysis of item content suggested several clusters of characteristics that discriminated among the subject groups, including life changes, cognitive difficulties, negative self-attributions, social relationship disruption, and somatic symptom presentation. The results suggest that certain psychological factors can discriminate chronic fatigue from depressive symptomatology, as well as normal functioning. Items discriminating among groups are presented in an organized questionnaire format to assist with the understanding and assessment of pediatric chronic fatigue cases.
引用
收藏
页码:16 / 21
页数:6
相关论文
共 25 条
[1]  
[Anonymous], 1985, PSYCHOPHARMACOL BULL
[2]  
[Anonymous], 1987, Manual for the Child Behavior Checklist-Youth Self- Report
[3]  
BAETZGREENWALT B, 1994, PEDIATR RES, V35, P173
[4]   PSYCHIATRIC COMORBIDITY AMONG REFERRED JUVENILES WITH MAJOR DEPRESSION - FACT OR ARTIFACT [J].
BIEDERMAN, J ;
FARAONE, S ;
MICK, E ;
LELON, E .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1995, 34 (05) :579-590
[5]  
CARTER BD, 1995, PEDIATRICS, V95, P179
[6]  
COSTELLO A, 1991, CHILD ADOLESCENT PSY, P463
[7]   POSTVIRAL FATIGUE SYNDROME - TIME FOR A NEW APPROACH [J].
DAVID, AS ;
WESSELY, S ;
PELOSI, AJ .
BRITISH MEDICAL JOURNAL, 1988, 296 (6623) :696-698
[8]  
FUKADA K, 1994, ANN INTERN MED, V121, P953
[9]   CHRONIC FATIGUE - A PROSPECTIVE CLINICAL AND VIROLOGICAL STUDY [J].
GOLD, D ;
BOWDEN, R ;
SIXBEY, J ;
RIGGS, R ;
KATON, WJ ;
ASHLEY, R ;
OBRIGEWITCH, R ;
COREY, L .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (01) :48-53
[10]  
GREENBERG DB, 1986, ANN INTERN MED, V104, P49