{"id":28112,"date":"2020-09-30T07:37:53","date_gmt":"2020-09-30T06:37:53","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=28112"},"modified":"2020-09-30T07:37:53","modified_gmt":"2020-09-30T06:37:53","slug":"how-common-are-depression-anxiety-in-adolescents-with-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/how-common-are-depression-anxiety-in-adolescents-with-cfs\/","title":{"rendered":"How common are depression & anxiety in adolescents with CFS?"},"content":{"rendered":"

How common are depression and anxiety in adolescents with chronic fatigue syndrome (CFS) and how should we screen for these mental health co-morbidities? A clinical cohort study<\/a>, by Maria E Loades, Rebecca Read, Lucie Smith, Nina T Higson-Sweeney, Amanda Laffan, Paul Stallard, David Kessler, Esther Crawley in<\/span> European Child & Adolescent Psychiatry<\/em>, 22 September 2020 [doi.org\/10.1007\/s00787-020-01646-w]<\/h3>\n

 <\/p>\n

Research abstract:<\/strong><\/h3>\n

\"\"Adolescents with Chronic Fatigue Syndrome\/Myalgic Encephalomyelitis (CFS\/ME) appear to be more likely to experience anxiety and\/or depression using Patient Reported Outcome Measures<\/a> (PROMs). However, we do not know how accurate these are at detecting problems in this patient group given the primary symptom of fatigue.<\/p>\n

We aimed to accurately determine the prevalence of anxiety\/depression using gold-standard diagnostic interviews and evaluate the accuracy of PROMs measuring mood
\ndisorders in this patient group. We conducted a cross-sectional epidemiological study in a specialist tertiary paediatric CFS\/ME service<\/a>, England. The participants were 164 12-18 year olds with clinician confirmed CFS\/ME and their parents. The measures were a
\nsemi-structured diagnostic interview<\/a>, the Kiddie Schedule for Affective Disorders and Schizophrenia<\/a>, K-SADS, and questionnaires (Revised Children’s Anxiety and Depression Scale<\/a>, RCADS; Spence Children’s Anxiety Scale<\/a>, SCAS; Hospital Anxiety and Depression Scale<\/a>, HADS).<\/p>\n

Parents completed the RCADS-P. 35% met the criteria for at least one common mental health problem. 20% had major depressive disorder, and 27% an anxiety disorder, with social anxiety and generalised anxiety being the most common. There was high co-morbidity, with 61% of those who were depressed also having at least one anxiety disorder. The questionnaires were moderately accurate (AUC>0.7) at detecting clinically significant
\nanxiety\/depression, although only the RCADS-anxiety reached the predefined 0.8 sensitivity, 0.7 specificity target.<\/p>\n

Mental health problems are particularly common amongst adolescents with CFS\/ME. Most screening tools were not sufficiently accurate in detecting clinically significant anxiety and depression, so these should be used with care in combination with thorough psychological\/psychiatric assessment.<\/p>\n","protected":false},"excerpt":{"rendered":"

How common are depression and anxiety in adolescents with chronic fatigue syndrome (CFS) and how should we screen for these mental health co-morbidities? A clinical cohort study, by Maria E Loades, Rebecca Read, Lucie Smith, Nina T Higson-Sweeney, Amanda Laffan, … 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":[625,6227,838,6225,321,416,6229,3175,894,6228,5369,6226,25,4802,6230,427],"class_list":["post-28112","post","type-post","status-publish","format-standard","hentry","category-news","tag-adolescents","tag-amanda-laffan","tag-anxiety","tag-david-kessler","tag-depression","tag-dr-esther-crawley","tag-lucie-smith","tag-maria-e-loades","tag-mental-health","tag-nina-t-higson-sweeney","tag-patient-reported-outcome-measure","tag-paul-stallard","tag-proms","tag-rebecca-read","tag-screening-tools","tag-teenagers"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-7jq","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/28112","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=28112"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/28112\/revisions"}],"predecessor-version":[{"id":28162,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/28112\/revisions\/28162"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=28112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=28112"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=28112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}