Garralda M Elena
Mary's Hospital School, Horace Joules Hall, Central Middlesex Hospital, Park Royal, NW10 7NS, London, England.
Eur Child Adolesc Psychiatry. 1992 Apr;1(2):111-118. doi: 10.1007/BF02091794.
Severe chronic fatigue syndromes are rare in childhood. Two severely affected children are described, one presenting in an extreme withdrawal state. Possible psychopathological mechanism are discussed including the relevance of viral illnesses, depressive symptoms, characteristic child personality and family relationship. These mechanisms are comparable to those described for other functional somatic problems of childhood, suggesting their general relevance in the maintenance of the somatization of distress in childhood. Treatment strategies are described which resulted in recovery in both cases.
严重慢性疲劳综合征在儿童期较为罕见。本文描述了两名严重受影响的儿童，其中一名表现为极度退缩状态。文中讨论了可能的心理病理机制，包括病毒性疾病、抑郁症状、儿童性格特点及家庭关系的相关性。这些机制与其他儿童功能性躯体问题所描述的机制相似，表明它们在儿童期痛苦躯体化维持过程中具有普遍相关性。文中还描述了治疗策略，两名患儿均通过这些策略得以康复。
