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Синдром хронической усталости у детей и подростков: как им помочь и чем лечить?
Синдром хронической усталости у детей и подростков: как им помочь и чем лечить?
Захарова И.Н., Громова О.А., Творогова Т.М. и др. Синдром хронической усталости у детей и подростков: как им помочь и чем лечить? Consilium Medicum. Педиатрия (Прил.). 2016; 3: 83–87.
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Аннотация
Синдром хронической усталости встречается у 2–2,6% детей в возрасте от 10 до 19 лет, характеризуется немотивированной инвалидизирующей усталостью, разнообразной соматической симптоматикой, психологическими расстройствами. В статье подробно обсуждаются патогенетические аспекты и клинические проявления, вопросы дифференциальной диагностики и особенности лечения синдрома хронической усталости у детей и подростков.
Ключевые слова: синдром хронической усталости, дети, подростки, витаминотерапия.
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Key words: chronic fatigue syndrome, children, adolescents, vitamin therapy.
Полный текст
Список литературы
1. Bell KM et al. Risk factors associated with chronic fatigue syndrome in a cluster of pediatric cases. Rev Infect Dis 1991; 13 (Suppl. 1): S32–S38.
2. Rangel L et al. Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood. J Am Acad Child Adolesc Psychiatry 2005; 44 (2): 150–8.
3. Garralda E et al. Psychiatric adjustment in adolescents with a history of chronic fatigue syndrome. J Am Acad Child Adolesc Psychiatry 1999; 38 (12): 1515–21.
4. Rangel L et al. The course of severe chronic fatigue syndrome in childhood. J Royal Soc Med 2000; 93 (3): 129–34.
5. Garralda ME, Rangel L. Impairment and coping in children and adolescents with chronic fatigue syndrome: a comparative study with other paediatric disorders. J Child Psychol Psychiatry 2004; 45 (3): 543–52.
6. Reid S, Chalder T, Cleare A et al. Chronic Fatigue Syndrome. Br Med J 2000; 320: 292–6.
7. White PD et al. Incidence, risk and prognosis of acute and chronic fatigue syndromes and psychiatric disorders after glandular fever. Br J Psychiatry 1998; 173 (6): 475–81.
8. Белик С.Н. и др. Синдром хронический усталости как основной признак дезадаптации у студентов первого курса медицинского университета. Сборники конференций НИЦ Социосфера. Vedecko vydavatelske centrum Sociosfera-CZ sro (Прага). 2014; 43: 201–6. / Belik S.N. i dr. Sindrom khronicheskii ustalosti kak osnovnoi priznak dezadaptatsii u studentov pervogo kursa meditsinskogo universiteta. Sborniki konferentsii NITs Sotsiosfera. Vedecko vydavatelske centrum Sociosfera-CZ sro (Praga). 2014; 43: 201–6. [in Russian]
9. Farmer A et al. Is disabling fatigue in childhood influenced by genes? Psychol Med 1999; 29 (2): 279–82.
10. Rangel L et al. Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood. J Am Acad Child Adolesc Psychiatry 2005; 44 (2): 150–8.
11. Garralda ME, Rangel L. Chronic fatigue syndrome of childhood. Eur Child Adolesc Psychiatry 2005; 14 (8): 424–30.
12. Rangel L et al. Psychiatric adjustment in chronic fatigue syndrome of childhood and in juvenile idiopathic arthritis. Psychol Med 2003; 33 (2): 289–97.
13. Rangel L et al. Chronic fatigue syndrome: updates on paediatric and psychological management. Cur Paediatr 1999; 9 (3): 188–93.
14. Студеникин В.М., Балканская С.В., Шелковский В.И. Результаты применения поливитаминных комплексов в психоневрологическом отделении. РМЖ. 2004. / Studenikin V.M., Balkanskaia S.V., Shelkovskii V.I. Rezul'taty primeneniia polivitaminnykh kompleksov v psikhonevrologicheskom otdelenii. RMZh. 2004. [in Russian]
2. Rangel L et al. Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood. J Am Acad Child Adolesc Psychiatry 2005; 44 (2): 150–8.
3. Garralda E et al. Psychiatric adjustment in adolescents with a history of chronic fatigue syndrome. J Am Acad Child Adolesc Psychiatry 1999; 38 (12): 1515–21.
4. Rangel L et al. The course of severe chronic fatigue syndrome in childhood. J Royal Soc Med 2000; 93 (3): 129–34.
5. Garralda ME, Rangel L. Impairment and coping in children and adolescents with chronic fatigue syndrome: a comparative study with other paediatric disorders. J Child Psychol Psychiatry 2004; 45 (3): 543–52.
6. Reid S, Chalder T, Cleare A et al. Chronic Fatigue Syndrome. Br Med J 2000; 320: 292–6.
7. White PD et al. Incidence, risk and prognosis of acute and chronic fatigue syndromes and psychiatric disorders after glandular fever. Br J Psychiatry 1998; 173 (6): 475–81.
8. Belik S.N. i dr. Sindrom khronicheskii ustalosti kak osnovnoi priznak dezadaptatsii u studentov pervogo kursa meditsinskogo universiteta. Sborniki konferentsii NITs Sotsiosfera. Vedecko vydavatelske centrum Sociosfera-CZ sro (Praga). 2014; 43: 201–6. [in Russian]
9. Farmer A et al. Is disabling fatigue in childhood influenced by genes? Psychol Med 1999; 29 (2): 279–82.
10. Rangel L et al. Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood. J Am Acad Child Adolesc Psychiatry 2005; 44 (2): 150–8.
11. Garralda ME, Rangel L. Chronic fatigue syndrome of childhood. Eur Child Adolesc Psychiatry 2005; 14 (8): 424–30.
12. Rangel L et al. Psychiatric adjustment in chronic fatigue syndrome of childhood and in juvenile idiopathic arthritis. Psychol Med 2003; 33 (2): 289–97.
13. Rangel L et al. Chronic fatigue syndrome: updates on paediatric and psychological management. Cur Paediatr 1999; 9 (3): 188–93.
14. Studenikin V.M., Balkanskaia S.V., Shelkovskii V.I. Rezul'taty primeneniia polivitaminnykh kompleksov v psikhonevrologicheskom otdelenii. RMZh. 2004. [in Russian]
2. Rangel L et al. Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood. J Am Acad Child Adolesc Psychiatry 2005; 44 (2): 150–8.
3. Garralda E et al. Psychiatric adjustment in adolescents with a history of chronic fatigue syndrome. J Am Acad Child Adolesc Psychiatry 1999; 38 (12): 1515–21.
4. Rangel L et al. The course of severe chronic fatigue syndrome in childhood. J Royal Soc Med 2000; 93 (3): 129–34.
5. Garralda ME, Rangel L. Impairment and coping in children and adolescents with chronic fatigue syndrome: a comparative study with other paediatric disorders. J Child Psychol Psychiatry 2004; 45 (3): 543–52.
6. Reid S, Chalder T, Cleare A et al. Chronic Fatigue Syndrome. Br Med J 2000; 320: 292–6.
7. White PD et al. Incidence, risk and prognosis of acute and chronic fatigue syndromes and psychiatric disorders after glandular fever. Br J Psychiatry 1998; 173 (6): 475–81.
8. Белик С.Н. и др. Синдром хронический усталости как основной признак дезадаптации у студентов первого курса медицинского университета. Сборники конференций НИЦ Социосфера. Vedecko vydavatelske centrum Sociosfera-CZ sro (Прага). 2014; 43: 201–6. / Belik S.N. i dr. Sindrom khronicheskii ustalosti kak osnovnoi priznak dezadaptatsii u studentov pervogo kursa meditsinskogo universiteta. Sborniki konferentsii NITs Sotsiosfera. Vedecko vydavatelske centrum Sociosfera-CZ sro (Praga). 2014; 43: 201–6. [in Russian]
9. Farmer A et al. Is disabling fatigue in childhood influenced by genes? Psychol Med 1999; 29 (2): 279–82.
10. Rangel L et al. Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood. J Am Acad Child Adolesc Psychiatry 2005; 44 (2): 150–8.
11. Garralda ME, Rangel L. Chronic fatigue syndrome of childhood. Eur Child Adolesc Psychiatry 2005; 14 (8): 424–30.
12. Rangel L et al. Psychiatric adjustment in chronic fatigue syndrome of childhood and in juvenile idiopathic arthritis. Psychol Med 2003; 33 (2): 289–97.
13. Rangel L et al. Chronic fatigue syndrome: updates on paediatric and psychological management. Cur Paediatr 1999; 9 (3): 188–93.
14. Студеникин В.М., Балканская С.В., Шелковский В.И. Результаты применения поливитаминных комплексов в психоневрологическом отделении. РМЖ. 2004. / Studenikin V.M., Balkanskaia S.V., Shelkovskii V.I. Rezul'taty primeneniia polivitaminnykh kompleksov v psikhonevrologicheskom otdelenii. RMZh. 2004. [in Russian]
________________________________________________
2. Rangel L et al. Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood. J Am Acad Child Adolesc Psychiatry 2005; 44 (2): 150–8.
3. Garralda E et al. Psychiatric adjustment in adolescents with a history of chronic fatigue syndrome. J Am Acad Child Adolesc Psychiatry 1999; 38 (12): 1515–21.
4. Rangel L et al. The course of severe chronic fatigue syndrome in childhood. J Royal Soc Med 2000; 93 (3): 129–34.
5. Garralda ME, Rangel L. Impairment and coping in children and adolescents with chronic fatigue syndrome: a comparative study with other paediatric disorders. J Child Psychol Psychiatry 2004; 45 (3): 543–52.
6. Reid S, Chalder T, Cleare A et al. Chronic Fatigue Syndrome. Br Med J 2000; 320: 292–6.
7. White PD et al. Incidence, risk and prognosis of acute and chronic fatigue syndromes and psychiatric disorders after glandular fever. Br J Psychiatry 1998; 173 (6): 475–81.
8. Belik S.N. i dr. Sindrom khronicheskii ustalosti kak osnovnoi priznak dezadaptatsii u studentov pervogo kursa meditsinskogo universiteta. Sborniki konferentsii NITs Sotsiosfera. Vedecko vydavatelske centrum Sociosfera-CZ sro (Praga). 2014; 43: 201–6. [in Russian]
9. Farmer A et al. Is disabling fatigue in childhood influenced by genes? Psychol Med 1999; 29 (2): 279–82.
10. Rangel L et al. Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood. J Am Acad Child Adolesc Psychiatry 2005; 44 (2): 150–8.
11. Garralda ME, Rangel L. Chronic fatigue syndrome of childhood. Eur Child Adolesc Psychiatry 2005; 14 (8): 424–30.
12. Rangel L et al. Psychiatric adjustment in chronic fatigue syndrome of childhood and in juvenile idiopathic arthritis. Psychol Med 2003; 33 (2): 289–97.
13. Rangel L et al. Chronic fatigue syndrome: updates on paediatric and psychological management. Cur Paediatr 1999; 9 (3): 188–93.
14. Studenikin V.M., Balkanskaia S.V., Shelkovskii V.I. Rezul'taty primeneniia polivitaminnykh kompleksov v psikhonevrologicheskom otdelenii. RMZh. 2004. [in Russian]
Авторы
И.Н.Захарова*1, О.А.Громова2, Т.М.Творогова1, Э.Б.Мумладзе1, И.И.Пшеничникова1
1 ФГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 125993, Россия, Москва, ул. Баррикадная, д. 2/1;
2 ФГБОУ ВО Ивановская государственная медицинская академия Минздрава России. 153000, Россия, Иваново, Шереметевский пр-т, д. 8
*zakharova-rmapo@yandex.ru
1 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 125993, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1;
2 Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation. 153000, Russian Federation, Ivanovo, Sheremetevskii pr-t, d. 8
*zakharova-rmapo@yandex.ru
1 ФГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 125993, Россия, Москва, ул. Баррикадная, д. 2/1;
2 ФГБОУ ВО Ивановская государственная медицинская академия Минздрава России. 153000, Россия, Иваново, Шереметевский пр-т, д. 8
*zakharova-rmapo@yandex.ru
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1 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 125993, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1;
2 Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation. 153000, Russian Federation, Ivanovo, Sheremetevskii pr-t, d. 8
*zakharova-rmapo@yandex.ru
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