ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

The Health Benefits of Manuka Honey

Increase Your Magnesium Intake

Vitamin D supplementation could ease IBS symptoms

Top Tips to Boost Your Immunity

11 Amazing Health Benefits of Using Baking Soda

Nicotinamide riboside shows promise for treatment of Alzheimer’s disease

Exercise, calcium, vitamin D, and other factors linked with fewer injurious falls

Vitamin D3 Is a Powerhouse for Your Heart

Curcumin Supplementation May Impart Long-Term Cognitive Benefits

Rhodiola — A Powerful Adaptogen That Boosts Vitality and Performance, Eases Depression and Combats B...

 
Print Page
Email Article

Case control study of chronic fatigue in pediatric patients

  [ 20 votes ]   [ Discuss This Article ]
www.ProHealth.com • February 10, 1995


OBJECTIVE. To determine the demographic characteristics, medical
features, psychological profile, and natural history of
children with chronic fatigue.

DESIGN. Case control study.


SETTING. Pediatric Infectious Diseases Clinic of Kosair
Children's Hospital, 1990 to 1992.

PARTICIPANTS. Forty-four
patients referred for persistent fatigue were evaluated.
Twenty patients participated in a psychological study; 20
healthy controls of similar age and gender were recruited from
community pediatric practices and 20 matched depressed
controls were recruited from university psychiatry services
(subjects were treated as groups in the analyses).

MEASURES.
Demographic data were obtained for all referred patients.
Those with fatigue for at least 2 months and no alternative
diagnosis received a detailed history, physical, and battery
of laboratory tests (complete blood count, sedimentation rate,
chemistry panel, chest X-ray thyroid stimulating hormone,
thyroxine, anti-nuclear antibodies, urinalysis,
immunoglobulins, and Epstein-Barr virus (EBV), toxoplasma, and
cytomegalovirus serologies). Psychological study participants
completed the following: background structured interview;
Kaufman Brief Intelligence Test; Children's Depression
Inventory; Child Behavior Checklist; Youth Self Report;
Diagnostic Interview for Children and Adolescents-Revised;
mail-in follow-up survey.

RESULTS. The median age of fatigue
patients was 14.3 years; 60% were female, 96% white, and 87%
from the mid/upper socioeconomic status (SES). Fatigue
patients were demographically similar to 21 patients referred
for infectious mononucleosis (IM) but were older than other
clinic patients (P < .0001). White race (P = .0568) and
mid/upper SES (P = .0403) were over-represented among fatigue
patients compared to patients referred for other diagnoses. Of
36 patients meeting criteria for further study, 5 had an
IM-like illness including evidence of recent EBV infection.
For the remaining 31 patients, clinical and laboratory
evaluations were unrevealing. Psychological study subjects
reported marked declines in quality-of-life and scored high on
measures of internalizing, withdrawal, and social isolation.
Nine met diagnostic criteria for depression, although
depressive symptoms were not as prominent as those reported by
depressed controls. Fatigue subjects scored higher on
somatization than both control groups. The follow-up survey
indicated symptomatic improvement in most patients.

CONCLUSIONS. Chronic fatigue was a common reason for
referral, with over-representation of white children from
mid/upper SES. After exclusion of EBV-associated IM, screening
laboratory tests were not helpful in establishing specific
organic diagnoses. Whereas the natural history was favorable,
chronic fatigue resulted in major quality-of-life changes and
was associated with significant levels of psychosocial
distress.

IMPLICATIONS. Psychological evaluation is warranted
in these patients, as some may have treatable psychological
conditions. Given the absence of proved medical therapies,
psychosocial interventions to improve quality-of-life should
be studied.

Carter BD, Edwards JF, Kronenberger WG, Michalczyk L, Marshall GS




Post a Comment

Featured Products From the ProHealth Store
Optimized Curcumin Longvida® Vitamin D3 Extreme™ Energy NADH™ 12.5mg


Article Comments



Be the first to comment on this article!

Post a Comment


 
Optimized Curcumin Longvida with Omega-3

Featured Products

Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
Vitamin D3 Extreme™ Vitamin D3 Extreme™
50,000 IU Vitamin D3 - Prescription Strength
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils

Natural Remedies

How to Jump-start and Sustain Energy Production in CFS How to Jump-start and Sustain Energy Production in CFS
Why Berries Offer a Rainbow of Health Benefits Why Berries Offer a Rainbow of Health Benefits
Clinically Studied Joint Relief Product for FM & ME/CFS Clinically Studied Joint Relief Product for FM & ME/CFS
Dreaming of a Good Night's Sleep? Dreaming of a Good Night's Sleep?
Help for Soreness and Swelling: What Do Silkworms Have to Do With It? Help for Soreness and Swelling: What Do Silkworms Have to Do With It?

CONTACT US
ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
SHOP WITH CONFIDENCE
Credit Card Processing
SUBSCRIBE TO OUR NEWSLETTERS
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2018 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map