Department of Psychiatry, Queen's University, Kingston, ON, Canada.
North Bay Regional Health Centre, North Bay, ON, Canada.
Int J Adolesc Med Health. 2023 Jun 20;35(3):243-250. doi: 10.1515/ijamh-2023-0030. eCollection 2023 Jun 1.
Paediatric Chronic Fatigue Syndrome (pCFS) is a common condition that significantly disrupts a healthy psychosocial development. Psychiatric symptoms associated with pCFS are conceptualized as either part of its complex etiology, its consequence, or as a comorbidity. However, patients with this condition are rarely seen by psychiatrists. This scoping review aims to explore the role of psychiatry in the diagnosis and treatment of pCFS.
A scoping review of literature was conducted using MEDLINE, EMBASE, Cochrane and PsycINFO. Databases were searched for articles describing psychiatric involvement in the diagnosis or treatment of children and adolescents (age ≤ 18) with pCFS. A grey literature search was also conducted to identify additional guidelines and national recommendations to identify the role of psychiatry in the diagnosis and treatment of pCFS.
The search provided 436 articles of which 16 met inclusion criteria. Grey literature search identified 12 relevant guidelines. Most studies and guidelines did not include any psychiatric involvement in the care of patients with pCFS. If psychiatry was mentioned, it was used interchangeably with psychological interventions or in the context of treating distinct psychiatric comorbidities and suicidal ideation.
The role of psychiatry in diagnosis and treatment of pCFS is poorly defined. Future research is required to understand how psychiatrists can contribute to the care of patients with pCFS.
儿科慢性疲劳综合征（pCFS）是一种常见的疾病，严重影响儿童的心理健康和社会发展。与 pCFS 相关的精神症状被认为是其复杂病因的一部分、其后果或共病。然而，患有这种疾病的患者很少由精神科医生诊治。本范围综述旨在探讨精神病学在 pCFS 的诊断和治疗中的作用。
使用 MEDLINE、EMBASE、Cochrane 和 PsycINFO 进行文献范围综述。对描述儿童和青少年（≤ 18 岁）pCFS 患者的诊断或治疗中涉及精神病学的文章进行了数据库检索。还进行了灰色文献搜索，以确定其他指南和国家建议，以确定精神病学在 pCFS 的诊断和治疗中的作用。
搜索提供了 436 篇文章，其中 16 篇符合纳入标准。灰色文献搜索确定了 12 项相关指南。大多数研究和指南都没有将任何精神病学参与纳入 pCFS 患者的护理中。如果提到了精神病学，则将其与心理干预或在治疗特定的精神共病和自杀意念的背景下使用。
精神病学在 pCFS 的诊断和治疗中的作用尚未明确。需要进一步的研究来了解精神科医生如何为 pCFS 患者的护理做出贡献。
