{"id":14308,"date":"2017-09-12T07:25:19","date_gmt":"2017-09-12T07:25:19","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=14308"},"modified":"2017-09-12T07:31:05","modified_gmt":"2017-09-12T07:31:05","slug":"review-of-research-into-treatments-for-anxiety-in-children-with-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/review-of-research-into-treatments-for-anxiety-in-children-with-cfs\/","title":{"rendered":"Review of research into treatments for anxiety in children with CFS"},"content":{"rendered":"

Review abstract:<\/strong><\/p>\n

What treatments work for anxiety in children with chronic\u00a0fatigue syndrome\/myalgic encephalomyelitis (CFS\/ME)?\u00a0 Systematic review<\/a>, by\u00a0Sarah Victoria Ellen Stoll, Esther Crawley, Victoria\u00a0Richards, Nishita Lal,\u00a0 Amberly Brigden, Maria E\u00a0 Loades in<\/span> BMJ Open<\/em>
\nVol 7, #9, p e015481,\u00a0September 5, 2017<\/p>\n

Objectives:<\/strong>
\nAnxiety is more prevalent in children with chronic fatigue\u00a0syndrome\/myalgic encephalomyelitis (CFS\/ME) than in the general\u00a0population. A systematic review was carried out to identify which\u00a0treatment methods are most effective for children with CFS and anxiety.<\/p>\n

Design:<\/strong>
\nSystematic review using search terms entered into the Cochrane library\u00a0and Ovid to search the databases Medline, Embase and psychINFO.<\/p>\n

Participants:<\/strong>
\nStudies were selected if participants were <18 years old, diagnosed with\u00a0CFS\/ME (using US Centers for Disease Control and Prevention, the\u00a0National Institute for Health and Care Excellence or Oxford criteria)\u00a0and had a valid assessment of anxiety.<\/p>\n

Interventions:<\/strong>
\nWe included observational studies and randomised controlled trials.<\/p>\n

Comparison:<\/strong>
\nAny or none.<\/p>\n

Outcomes:<\/strong>
\nChange in anxiety diagnostic status and\/or change in anxiety severity on\u00a0a validated measure of anxiety from pretreatment to post-treatment.<\/p>\n

Results:<\/strong>
\nThe review identified nine papers from eight studies that met the\u00a0inclusion criteria. None of the studies specifically targeted anxiety\u00a0but six studies tested an intervention and measured anxiety as a\u00a0secondary outcome. Of these studies, four used a cognitive behavioural\u00a0therapy (CBT)-type approach to treat CFS\/ME, one used a behavioural
\napproach and one compared a drug treatment, gammaglobulin with a\u00a0placebo.<\/p>\n

Three of the CBT-type studies described an improvement in\u00a0anxiety as did the trial of gammaglobulin. As none of the studies\u00a0stratified outcomes according to anxiety diagnostic status or severity,\u00a0we were unable to determine whether anxiety changed prognosis or whether\u00a0treatments were equally effective in those with comorbid anxiety\u00a0compared with those without.<\/p>\n

Conclusion:<\/strong>
\nWe do not know what treatment should be offered for children with both\u00a0anxiety and CFS\/ME. Further research is therefore required to answer\u00a0this question.<\/p>\n

Trial registration number: <\/strong> This review was registered on Prospective Register of Systematic Review Protocols (PROSPERO) and the protocol is available from http:\/\/www.crd.york.ac.uk\/PROSPERO\/display_record.asp?ID=CRD42016043488<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Review abstract: What treatments work for anxiety in children with chronic\u00a0fatigue syndrome\/myalgic encephalomyelitis (CFS\/ME)?\u00a0 Systematic review, by\u00a0Sarah Victoria Ellen Stoll, Esther Crawley, Victoria\u00a0Richards, Nishita Lal,\u00a0 Amberly Brigden, Maria E\u00a0 Loades in BMJ Open Vol 7, #9, p e015481,\u00a0September 5, 2017 … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[4000,838,416,3175,3999,3998,3997],"class_list":["post-14308","post","type-post","status-publish","format-standard","hentry","category-news","tag-amberly-brigden","tag-anxiety","tag-dr-esther-crawley","tag-maria-e-loades","tag-nishita-lal","tag-sarah-ve-stoll","tag-victoria-richards"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-3IM","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/14308","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=14308"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/14308\/revisions"}],"predecessor-version":[{"id":14338,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/14308\/revisions\/14338"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=14308"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=14308"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=14308"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}