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Sleep problems in adolescents with CFS: A case-control study nested within a prospective clinical cohort.

Authors
  • Loades, Maria Elizabeth1, 2
  • Rimes, Katharine A3
  • Chalder, Trudie3, 4
  • 1 Department of Psychology, University of Bath, UK.
  • 2 Bristol Medical School, University of Bristol, UK.
  • 3 Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
  • 4 South London & Maudsley NHS Foundation Trust, UK.
Type
Published Article
Journal
Clinical child psychology and psychiatry
Publication Date
Oct 01, 2020
Volume
25
Issue
4
Pages
816–832
Identifiers
DOI: 10.1177/1359104520918364
PMID: 32441119
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Sleep problems have a negative impact on a range of outcomes and are very common in adolescents with chronic fatigue syndrome (CFS). We aimed to (a) establish whether adolescents with CFS have more self-reported sleep problems than illness controls as well as healthy controls, (b) investigate changes in sleep problems and (c) explore the extent to which sleep problems at baseline predict fatigue and functioning at follow-up in adolescents with CFS. The Insomnia Scale was completed by 121 adolescents with CFS, 78 healthy adolescents and 27 adolescents with asthma. Eighty (66%) treatment-naïve adolescents with CFS completed questionnaires approximately 3 months later. Adolescents with CFS reported increased sleep problems compared to healthy controls and adolescents with asthma. In CFS, there was no significant change in sleep problems without treatment over a 3-month follow-up. Sleep problems at baseline predicted a significant proportion of the variance in sleep problems at follow-up. Sleep problems should be targeted in treatment. Regulating the 'body clock' via the regulation of sleep could influence outcomes not assessed in this study such as school attainment.

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