{"id":14806,"date":"2017-11-14T11:16:20","date_gmt":"2017-11-14T11:16:20","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=14806"},"modified":"2017-11-14T11:16:20","modified_gmt":"2017-11-14T11:16:20","slug":"the-presence-of-co-morbid-mental-health-problems-in-a-cohort-of-adolescents-with-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/the-presence-of-co-morbid-mental-health-problems-in-a-cohort-of-adolescents-with-cfs\/","title":{"rendered":"The presence of co-morbid mental health problems in a cohort of adolescents with CFS"},"content":{"rendered":"<h3><strong>Research abstract:<\/strong><\/h3>\n<p><a href=\"http:\/\/journals.sagepub.com\/doi\/full\/10.1177\/1359104517736357\" target=\"_blank\" rel=\"noopener\">The presence of co-morbid mental health problems in a cohort\u00a0of adolescents with chronic fatigue syndrome<\/a>,\u00a0by Maria Elizabeth Loades, Katharine A Rimes, Sheila Ali, Kate Lievesley, Trudie Chalder <span style=\"text-decoration: underline;\">in<\/span> <em>Clinical Child Psychology and Psychiatry <\/em>[Preprint\u00a0November 2, 2017]<\/p>\n<p><strong>Objective:<\/strong><br \/>\nTo report on the prevalence of mental health disorders in adolescents\u00a0with chronic fatigue syndrome (CFS) and to compare the diagnoses\u00a0identified by a brief clinician-administered psychiatric interview with\u00a0self-report screening questionnaires.<\/p>\n<p><strong>Design:<\/strong><br \/>\nCross-sectional study.<\/p>\n<p><strong>Setting:<\/strong><br \/>\nConsecutive attenders to specialist CFS clinics in the United Kingdom.<\/p>\n<p><strong>Patients:<\/strong><br \/>\nN\u2009=\u200952 adolescents, age 12-18\u2009years with CFS.<\/p>\n<p><strong>Measures:<\/strong><br \/>\nSelf-report questionnaires and a brief structured psychiatric diagnostic\u00a0interview, administered by a researcher.<\/p>\n<p><strong>Results:<\/strong><br \/>\nOn the psychiatric interview, 34.6% met a diagnosis of major depressive\u00a0disorder and 28.8% had an anxiety disorder. Of these, 15% had co-morbid\u00a0anxiety and depression.<\/p>\n<p>Those with a depression diagnosis reported\u00a0significantly greater interference on the school and social adjustment\u00a0scale. They also scored significantly higher on <a href=\"https:\/\/www.livestrong.com\/article\/98672-differences-between-state-anxiety-\/\" target=\"_blank\" rel=\"noopener\">trait anxiety, but not<\/a><br \/>\non state anxiety.<\/p>\n<p>There were no differences between those who had an\u00a0anxiety disorder and those who did not on fatigue, disability or\u00a0depressive symptoms. Children&#8217;s Depression Inventory (CDI) score was\u00a0associated with a depression diagnosis on the psychiatric interview.\u00a0However, neither the state nor the trait subscale of the State-Trait\u00a0Anxiety Inventory (STAI) was associated with an anxiety diagnosis.<\/p>\n<p><strong>Conclusion:<\/strong><br \/>\nClinicians should assess for the presence of anxiety and depressive\u00a0disorders in adolescents with CFS using a validated psychiatric\u00a0interview. Treatment should be flexible enough to accommodate fatigue,\u00a0depression and anxiety. Transdiagnostic approaches may suit this\u00a0purpose. Goals should include pleasurable activities particularly for\u00a0those who are depressed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Research abstract: The presence of co-morbid mental health problems in a cohort\u00a0of adolescents with chronic fatigue syndrome,\u00a0by Maria Elizabeth Loades, Katharine A Rimes, Sheila Ali, Kate Lievesley, Trudie Chalder in Clinical Child Psychology and Psychiatry [Preprint\u00a0November 2, 2017] Objective: To &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/the-presence-of-co-morbid-mental-health-problems-in-a-cohort-of-adolescents-with-cfs\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/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":[625,838,321,3000,2733,3175,894,3407,3646],"class_list":["post-14806","post","type-post","status-publish","format-standard","hentry","category-news","tag-adolescents","tag-anxiety","tag-depression","tag-kate-lievesley","tag-katherine-a-rimes","tag-maria-e-loades","tag-mental-health","tag-prof-trudie-chalder","tag-sheila-ali"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-3QO","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/14806","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=14806"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/14806\/revisions"}],"predecessor-version":[{"id":14875,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/14806\/revisions\/14875"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=14806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=14806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=14806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}