Evidence map›Paper›PMID 30945566›Full record

ArticleClinical child psychology and psychiatry2019

Depressive symptoms in adolescents with chronic fatigue syndrome (CFS): Are rates higher than in controls and do depressive symptoms affect outcome?

Maria Elizabeth Loades, Katharine A Rimes, 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
1.5field-weighted citation impact, top 19% 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, 11 citations in OpenAlex.

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

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 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 A Rimes3 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

introductionPrevious research has indicated that co-morbid depression is common in adolescents with chronic fatigue syndrome (CFS).

objectivesWe sought to compare the characteristics of depressive symptoms in adolescents with CFS to those of healthy controls (HCs) and illness controls (adolescents with asthma).

designCase-control study nested within a prospective clinical cohort.

methodsA total of 121 adolescents with CFS who attended an initial assessment at two specialist CFS units completed the Children's Depression Inventory (CDI). Their responses were compared to 80 HCs and 27 adolescents with asthma (illness controls). The clinical cohort of adolescents with CFS completed questionnaires at assessment, and those who were seen subsequently for treatment at the CFS unit (68%) completed the measures again at their first treatment session.

resultsCFS participants scored significantly higher on all the depression subscales than participants with asthma and HCs. Depression score explained 11% of the variance in subsequent fatigue, but only 1.9% of the variance in physical functioning. Depression score also explained most (68%) of the variance in subsequent depression.

conclusionDepressive symptoms are more prominent in adolescents with CFS than in HCs or illness controls. These symptoms also appear to remain over time during a naturalistic follow-up where no treatment was provided. This highlights the need for further research into depression in CFS, including stratifying treatment outcomes by depression status to determine what is effective at addressing these symptoms.

Indexed as

AdolescentAsthmaCase-Control StudiesComorbidityDepressionFatigue Syndrome, ChronicFemaleHumansMalePrevalenceSurveys and QuestionnairesadolescentsCFSco-morbidityDepressionfatigue

Identifiers

PMID30945566
PMCPMC7099942
OpenAlexW2935520845

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.