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Physical and functional impact of chronic fatigue syndrome/myalgic encephalomyelitis in childhood
Gwen Kennedy1, Christine Underwood, Jill Janette Freda Belch
1Ninewells Hospital and Medical School, Division of Medical Sciences, Mail Box 1, Centre for Cardiovascular and Lung Biology, Vascular and Inflammatory Diseases Research Unit, Dundee DD1 9SY, United Kingdom. g.y.kennedy@dundee.ac.uk
Insights
Pediatric patients with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) experience significantly reduced quality of life and functional impairment compared to healthy children. This study highlights the profound impact of CFS/ME on children's daily lives.
Area of Science:
- Pediatric Health
- Chronic Illness
- Quality of Life Research
Background:
- Chronic Fatigue Syndrome (CFS)/Myalgic Encephalomyelitis (ME) significantly impacts pediatric populations.
- Understanding the quality of life and functional impairment in children with CFS/ME is crucial for effective management.
Purpose of the Study:
- To compare self-reported and parent-reported quality of life in pediatric patients with CFS/ME against healthy controls.
- To determine the extent of functional and physical impairment in children diagnosed with CFS/ME.
Main Methods:
- Utilized the Child Health Questionnaire for 25 pediatric patients with CFS/ME and 23 matched healthy controls.
- Collected data on illness background, status, and school attendance for CFS/ME patients.
Main Results:
- Children with CFS/ME reported significantly lower scores in 10 of 14 quality of life domains.
- Global health and physical role/social limitations were most affected, with scores drastically lower than controls.
- Illness duration averaged 3 years, often with infectious onset, severely impacting school attendance.
Conclusions:
- Quality of life in children with CFS/ME is profoundly diminished compared to healthy peers.
- CFS/ME leads to substantial functional and physical impairment in pediatric patients.
- Findings underscore the need for targeted interventions and support for children with CFS/ME.
Objective:
The aim of this study was to compare self-reported and parent-reported quality of life for a group of pediatric patients with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) and age- and gender-matched healthy control children, to determine the extent of functional and physical impairment.
Methods:
The Child Health Questionnaire was completed by 25 children with CFS/ME, who were recruited throughout the United Kingdom, and by 23 age-, gender-, and Tanner scale-matched control children. In addition, patients were asked questions about the background to their illness (ie, precipitating factors), the status of their illness, and school attendance.
Results:
The median illness duration for patients was 3 years. Sixty-eight percent of the children said that their illness developed quickly, and the illness had an infectious onset for 88%. Only 1 child (4%) attended school full-time, whereas 12 (48%) attended school part-time and 8 (32%) received home tuition only. Children with CFS/ME scored significantly lower for 10 of 14 Child Health Questionnaire concepts; the lowest scores were observed for global health (scores of 21.4 and 84.1 for patients and control subjects, respectively; P < .0001) and role/social limitations attributable to physical health problems (scores of 24.9 and 100, respectively; P < .0001). Quality of life for the children with CFS/ME compared unfavorably with previously published results for pediatric patients with type 1 diabetes mellitus or asthma.
Conclusion:
The quality of life of children with CFS/ME was profoundly reduced, compared with that of their healthy counterparts.
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