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Anxiety in children with CFS/ME

  • Esther CrawleyEmail author
  • Linda Hunt
  • Paul Stallard
Original Contribution

Abstract

Anxiety symptoms are commonly described in children with chronic fatigue syndrome or myalgic encephalopathy (CFS/ME) but to date there has been little information on the type of anxiety children experience or the relationship between anxiety and school attendance, disability or fatigue. The aim of this study was to first describe the prevalence and type of anxiety symptoms in children with CFS/ME compared with a normal European population, and secondly to investigate the association of anxiety symptoms with age, gender, school attendance, fatigue, and physical function in paediatric CFS/ME. Data were prospectively collected on children and young people with CFS/ME referred to a large specialist CFS/ME service. One hundred and sixty-four children with CFS/ME had complete data for the Spence Children’s Anxiety Scale. Teenage girls had the highest rates of total anxiety symptoms with 38% (95% CI 27–49) over the cut off (top 10% of normal European population) and significantly higher rates of symptoms in each subscale. Younger girls were more likely to score over the cut off in separation anxiety (37%, 19–40) and social phobia (39%, 25–47). There was no evidence of association between total anxiety symptoms and: time at school, time to assessment, pain or age. Associations with fatigue and physical function were attenuated when adjusted for other variables. Although anxiety symptoms are high in CFS/ME, particularly in teenage girls, it does not appear to be associated with school attendance or other measures of disability. Separation anxiety and social phobia were the most clearly elevated in paediatric CFS/ME.

Keywords

Anxiety Paediatric Chronic fatigue syndrome ME 

Notes

Acknowledgments

Thanks to the Linbury Trust for funding part of Dr Crawley’s salary, Mr Andrew Haig-Ferguson who was involved in data management and to the children and young people who were part of this study.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Centre of Child and Adolescent HealthBristolUK
  2. 2.Department of Clinical Sciences at South BristolInstitute of Child Life and Health, UBHT Education CentreBristolUK
  3. 3.Department of Child and Family PsychiatryRoyal United Hospital, University of BathBathUK

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