Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) in Adolescents: Practical Guidance and Management Challenges.

IF 1.7 Q2 PEDIATRICS
Katherine Rowe
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引用次数: 1

Abstract

This paper reviews the current understanding of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and whether any treatment strategies have been effective. ME/CFS is a condition of as yet unknown etiology that commonly follows an infective process. It includes a new onset of fatigue (of more than 3-6 month duration and not relieved by rest), post-exertional malaise, cognitive difficulties and unrefreshing sleep, and frequently orthostatic intolerance, somatic symptoms and pain. Long COVID has renewed interest in the condition and stimulated research with findings suggestive of a multisystem neuroimmune disease. There are no definitively effective treatments. Despite earlier recommendations regarding graded exercise therapy and cognitive behavior therapy, the current recommendations are managing symptoms, with lifestyle management and supportive care. This paper provides an outline of strategies that young people and their families have reported as helpful in managing a chronic illness that impacts their life socially, physically, emotionally, cognitively and educationally. As the illness frequently occurs at a time of rapid developmental changes, reducing these impacts is reported to be as important as managing the physical symptoms. Young people face a mean duration of 5 years illness (range 1-16 years) with a likely residual 20% having significant restrictions after 10 years. Their feedback has suggested that symptom management, self-management strategies, advocacy and educational liaison have been the most helpful. They value professionals who will listen and take them seriously, and after excluding alternative diagnoses, they explain the diagnosis, are supportive and assist in monitoring their progress. Remaining engaged in education was the best predictor of later functioning. This allowed for social connections, as well as potential independence and fulfilling some aspirations. The need to consider the impact of this chronic illness on all aspects of adolescent development, as part of management, is highlighted.

青少年慢性疲劳综合征/肌痛性脑脊髓炎(CFS/ME):实践指导和管理挑战。
本文综述了目前对肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)的认识,以及是否有有效的治疗策略。ME/CFS是一种病因不明的疾病,通常在感染过程中发生。它包括新发疲劳(持续时间超过3-6个月,休息不能缓解),运动后不适,认知困难和睡眠不清醒,经常有站立不耐受,躯体症状和疼痛。Long COVID重新引起了人们对这种疾病的兴趣,并刺激了研究,发现表明这是一种多系统神经免疫疾病。目前还没有明确有效的治疗方法。尽管早期的建议是分级运动疗法和认知行为疗法,但目前的建议是通过生活方式管理和支持性护理来控制症状。这篇论文提供了一个策略的大纲,年轻人和他们的家庭已经报告,有助于管理慢性疾病,影响他们的生活,社会,身体,情感,认知和教育。由于疾病经常发生在快速发育变化的时期,据报道,减少这些影响与控制身体症状同样重要。年轻人平均患病时间为5年(范围1-16年),剩余20%的人可能在10年后受到严重限制。他们的反馈表明,症状管理、自我管理策略、宣传和教育联络是最有帮助的。他们重视那些愿意倾听并认真对待他们的专业人士,在排除其他诊断后,他们会解释诊断结果,支持并协助监测他们的进展。继续接受教育是日后功能发展的最佳预测指标。这允许社会联系,以及潜在的独立和实现一些愿望。强调有必要考虑这种慢性疾病对青少年发展各个方面的影响,作为管理工作的一部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊介绍: Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.
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