title: Family health and characteristics in chronic fatigue syndrome, juvenile rheumatoid arthritis, and emotional disorders of childhood.
abstract: OBJECTIVE
  To compare family health and characteristics in children with chronic fatigue syndrome (CFS), in juvenile rheumatoid arthritis (JRA), and emotional disorders.
  
  
  METHODS
  Parents of 28 children and adolescents aged 11 to 18 years with CFS, 30 with JRA, and 27 with emotional disorders (i.e., anxiety and/or depressive disorders) were recruited from specialty clinical settings and completed interviews and questionnaires assessing family health problems, parental mental distress, illness attitudes, and family burden of illness.
  
  
  RESULTS
  Parents of children with CFS were significantly more likely than those of children with JRA to report a history of CFS-like illness, high levels of mental distress, and a tendency to experience functional impairment in response to physical symptoms. Families of children with CFS were characterized by significantly greater emotional involvement and reported greater family burden related to the child's illness in comparison with families of children with JRA.
  
  
  CONCLUSIONS
  CFS in childhood and adolescence is associated with higher levels of parental CFS-like illness, mental distress, emotional involvement, and family illness burden than those observed in association with JRA, a chronic pediatric physical illness.
authors.affiliation: Academic Unit of Child and Adolescent Psychiatry, Imperial College, London, UK.
authors.forename: Luiza
authors.initials: L
authors.lastname: Rangel
authors.forename: M Elena
authors.initials: ME
authors.lastname: Garralda
authors.forename: Jim
authors.initials: J
authors.lastname: Jeffs
authors.forename: Gillian
authors.initials: G
authors.lastname: Rose
mesh_terms: D000293:Adolescent; D000328:Adult; D001171:Arthritis, Juvenile; D002648:Child; D017281:Cost of Illness; D005190:Family / Q000523:psychology*; D005191:Family Characteristics; D005192:Family Health; D015673:Fatigue Syndrome, Chronic; D005260:Female; D006801:Humans; D008297:Male; D019964:Mood Disorders; D011795:Surveys and Questionnaires