Personality in adolescents with chronic fatigue syndrome |
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Authors: | Rangel L Garralda E Levin M Roberts H |
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Institution: | (1) Academic Unit of Pediatrics Imperial College School of Medicine – St Mary's Campus Norfolk Place London W2 1PG, UK, GB;(2) Department of Child and Adolescent Psychiatry St. Thomas' Hospital William Geoffrey House 35 Black Prince Road London SE 11 6JJ, UK, GB |
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Abstract: | Our aim was to study the presence of personality traits and disorder in adolescents with Chronic Fatigue Syndrome (CFS).
Personality was then compared to other measures of functioning such as presence of psychiatric disorder and rating on the
Child Behavior Checklist 4–18 (CBCL) and in relation to CFS outcome. Twenty-five adolescents with CFS followed-up after contacts
with tertiary paediatric/psychiatric clinics were compared with 15 matched healthy controls. Interviews and questionnaires
from parents and youngsters included Personality Assessment Schedule (PAS), Kiddie-SADS Psychiatric Interview, Child Behavior
Checklist. CFS subjects were significantly more likely than controls to have personality difficulty or disorder. Personality
features significantly more common amongst them were conscientiousness, vulnerability, worthlessness and emotional lability.
There was a nonsignificant association between personality disorder and worse CFS outcome. Personality difficulty or disorder
was significantly associated with psychological symptoms and decreased social competence on the CBCL but it was distinguishable
from episodic psychiatric disorder. Personality difficulty and disorder are increased in adolescents with a history of CFS.
Personality disorder may be linked to poor CFS outcome.
Accepted: 23 August 1999 |
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Keywords: | Personality – psychiatric assessment – adolescents – chronic fatigue syndrome |
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