Psychological symptoms in chronic fatigue and juvenile rheumatoid arthritis

Bryan D. Carter, William Kronenberger, Joseph F. Edwards, Gary S. Marshall, Kenneth N. Schikler, David L. Causey

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objective. To determine if psychological morbidity in youth with chronic fatigue is caused by the stress of coping with a chronic illness. Study Design. Case-control study comparing pediatric patients with debilitating chronic fatigue and matched subjects with juvenile rheumatoid arthritis, a chronic medical illness with similar functional sequelae. Setting. Pediatric Infectious Diseases Clinic and Juvenile Rheumatoid Arthritis Clinic of Kosair Children's Hospital. Participants. Nineteen children and adolescents with debilitating chronic fatigue and 19 age- and sex-matched peers with juvenile rheumatoid arthritis. Outcome. Structured Interview, Kaufman Brief Intelligence Test, Child Behavior Checklist, and Youth Self-Report. Results. Intellectual functioning on the Kaufman Brief Intelligence Test Composite was average (103, standard score) for both groups. Pediatric patients with chronic fatigue had higher levels of internalizing psychological distress than patients suffering from juvenile rheumatoid arthritis, despite the fact that both groups had a similar pattern of decline in social and physical activities. Duration of illness did not explain the difference in psychological symptoms. Conclusions. Psychological factors may play a more active role in debilitating chronic fatigue in pediatric patients than can be explained by the stress of coping with a similar chronic, non-life- threatening illness.

Original languageEnglish
Pages (from-to)975-979
Number of pages5
JournalPediatrics
Volume103
Issue number5 I
DOIs
StatePublished - May 1999

Fingerprint

Juvenile Arthritis
Fatigue
Psychology
Pediatrics
Intelligence Tests
Chronic Disease
Child Behavior
Checklist
Self Report
Communicable Diseases
Case-Control Studies
Interviews
Exercise
Morbidity

Keywords

  • Adolescents
  • Chronic fatigue
  • Juvenile rheumatoid arthritis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Carter, B. D., Kronenberger, W., Edwards, J. F., Marshall, G. S., Schikler, K. N., & Causey, D. L. (1999). Psychological symptoms in chronic fatigue and juvenile rheumatoid arthritis. Pediatrics, 103(5 I), 975-979. https://doi.org/10.1542/peds.103.5.975

Psychological symptoms in chronic fatigue and juvenile rheumatoid arthritis. / Carter, Bryan D.; Kronenberger, William; Edwards, Joseph F.; Marshall, Gary S.; Schikler, Kenneth N.; Causey, David L.

In: Pediatrics, Vol. 103, No. 5 I, 05.1999, p. 975-979.

Research output: Contribution to journalArticle

Carter, BD, Kronenberger, W, Edwards, JF, Marshall, GS, Schikler, KN & Causey, DL 1999, 'Psychological symptoms in chronic fatigue and juvenile rheumatoid arthritis', Pediatrics, vol. 103, no. 5 I, pp. 975-979. https://doi.org/10.1542/peds.103.5.975
Carter, Bryan D. ; Kronenberger, William ; Edwards, Joseph F. ; Marshall, Gary S. ; Schikler, Kenneth N. ; Causey, David L. / Psychological symptoms in chronic fatigue and juvenile rheumatoid arthritis. In: Pediatrics. 1999 ; Vol. 103, No. 5 I. pp. 975-979.
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