Breau L M, McGrath P J, Ju L H
Department of Psychology, Dalhousie University, Halifax, Canada.
J Dev Behav Pediatr. 1999 Aug;20(4):278-88. doi: 10.1097/00004703-199908000-00010.
This article reviews the current literature on childhood fibromyalgia and chronic fatigue syndrome. In doing so, it questions assumptions about the presumed nature of the disorders-that they are distinct from each other and are duplicates of their adult counterparts. It also attempts to synthesize the available data to reach some preliminary judgments about these disorders: that fibromyalgia and chronic fatigue syndrome may be related in children and may not be duplicates of the adult disorders; that psychological and psychosocial factors are unlikely contributors to the etiology of these disorders; and that the evidence is increasingly pointing to a role for genetic factors in their etiology. A discussion of the research into treatments for childhood fibromyalgia and chronic fatigue syndrome highlights the lack of well-designed, controlled studies. Finally, directions for future research are offered where results of the current literature are unclear.
本文综述了目前关于儿童纤维肌痛和慢性疲劳综合征的文献。在此过程中，它对有关这些疾病假定性质的假设提出了质疑，即它们彼此不同且是成人对应疾病的翻版。它还试图综合现有数据，对这些疾病得出一些初步判断：纤维肌痛和慢性疲劳综合征在儿童中可能相关，且可能不是成人疾病的翻版；心理和社会心理因素不太可能是这些疾病病因的促成因素；而且越来越多的证据表明遗传因素在其病因中起作用。对儿童纤维肌痛和慢性疲劳综合征治疗研究的讨论突出了缺乏精心设计的对照研究这一情况。最后，在当前文献结果不明确的地方给出了未来研究的方向。
