Evidence map›Paper›PMID 30873864›Full record

ArticleClinical child psychology and psychiatry2019

Cognitive and behavioural responses to symptoms in adolescents with chronic fatigue syndrome: A case-control study nested within a cohort.

Maria Elizabeth Loades, Katharine Rimes, Kate Lievesley, Sheila Ali, Trudie Chalder

Open access · greenAbstract read
In one paragraph

Article in Clinical child psychology and psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Recent research in myalgic encephalomyelitis/chronic fatigue syndrome: an evidence map.Health technology assessment (Winchester, England) · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Maria Elizabeth Loades1 Department of Psychology, University of Bath, UK.ORCID https://orcid.org/0000-0002-0839-3190
Katharine Rimes3 King's College London, UK.
Kate Lievesley3 King's College London, UK.
Sheila Ali4 South London and Maudsley NHS Foundation Trust, UK.ORCID https://orcid.org/0000-0002-2614-0867
Trudie Chalder3 King's College London, UK.
King's College London · GBSouth London and Maudsley NHS Foundation Trust · GBUniversity of Bristol · GB

Funding

Department of Health DRF-2016-09-021
6 · The paper itself

Abstract

backgroundWhat adolescents think about symptoms and what they do in response could contribute to fatigue maintenance. We compared the cognitive and behavioural responses of adolescents and their parents with chronic fatigue syndrome (CFS;

methodConsecutively referred adolescents with CFS were recruited. Questionnaires, completed by adolescents and parents, assessed fatigue, functioning, mood and cognitive and behavioural responses to symptoms. Age-matched adolescents with asthma completed the same questionnaires. Adolescents with CFS completed questionnaires again approximately 3 months later.

resultsAdolescents with CFS scored higher on all unhelpful cognitive and behavioural subscales than adolescents with asthma. Parents' cognitions about their child's symptoms were associated with adolescent's own cognitions. Unhelpful cognitive and behavioural responses, particularly, damage beliefs, predicted subsequent fatigue in CFS, and all-or-nothing behaviour, catastrophising and damage beliefs predicted subsequent physical functioning.

conclusionUnhelpful cognitive and behavioural responses to symptoms appear to be particularly prominent in adolescents with CFS. There is some consistency but not a perfect match between cognitive and behavioural responses to symptoms reported by adolescents and their parents. These responses could be contributing to fatigue maintenance and disability.

Indexed as

AdolescentAsthmaCase-Control StudiesChildCognitionCohort StudiesDepressionFatigue Syndrome, ChronicFemaleHealth StatusHumansMaleSurveys and Questionnairesall-or-nothingcatastrophisingcognitive behavioural therapydamage beliefsParentspsychosocial functioning

Identifiers

PMID30873864
PMCPMC7099937
OpenAlexW2922416882

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.