De (strenge) diagnosekriteria voor het vaststellen van ME/CVS bij kinderen
(iets heel anders dan vage symptoomkriteria voor CVS/chronische vermoeidheid!)
zijn gebaseerd op de klinische kriteria voor ME/CVS: de Canadese kriteria
(klik hier).
Ze werden eerst gepubliceerd in the Journal of Chrionic Fatigue Syndrome
(klik hier) en
in 2008 opnieuw verschenen in een internationaal wetenschappelijk tijdschrift
(klik hier).
Uit recent onderzoek van Jason, de Meirleir, Bell en anderen is gebleken dat
die "pediatrische kriteria" niet alleen goed geschikt zijn om
onderscheid te maken tussen ME/CVS en "gezond zijn/andere ziekten",
maar ook tussen "lichte" en "zware gevallen" van ME/CVS.
Daarmee is de kracht van dit klinische diagnoseprotokol voor ME(CVS)
wederom aangetoond...
Severe Versus Moderate Criteria for the New Pediatric Case Definition for ME/CFS
Journal Child Psychiatry and Human Development.
SpringerLink Date: Wednesday, June 10, 2009.
Leonard Jason 1, Nicole Porter 1, Elizabeth Shelleby 1, Lindsay Till 1, David S. Bell 2, Charles W. Lapp 3, Kathy Rowe 4 and Kenny De Meirleir 5
Abstract
The new diagnostic criteria for pediatric ME/CFS
are structurally based on the Canadian Clinical Adult case definition,
and have more required specific symptoms than
the (Fukuda et al. Ann Intern Med 121:953–959, 1994) adult case definition.
Physicians specializing in pediatric ME/CFS
referred
thirty-three pediatric patients with ME/CFS and
21 youth without the illness.
Those who met ME/CFS criteria
were separated into
Severe and
Moderate categories.
Significant differences
were found for symptoms
within each of the six major categories:
- fatigue,
- post-exertional malaise,
- sleep,
- pain,
- neurocognitive difficulties, and
- autonomic/neuroendocrine/immune manifestations.
In general,
the results showed
participants who met the Severe ME/CFS criteria
reported the highest scores,
the Moderate ME/CFS group
show scores that were a little lower, and
the control group evidenced the lowest scores.
Findings indicate that
the Pediatric Case Definition for ME/CFS
can distinguish between
those with this illness and
controls,
and between
those with Severe
versus Moderate manifestations of the illness.
Keywords
Pediatric - Case definition - Myalgic encephalomyelitis - Chronic fatigue syndrome - ME/CFS - Puberty - Physiological development - Etiology - Subtypes - Chronic illness
DOI 10.1007/s10578-009-0147-8
http://www.springerlink.com/content/lv635727230pq502/
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