%0 Journal Article
%@ 1095-9254
%A Collin, SM
%A Norris, T
%A Joinson, C
%A Loades, ME
%A Lewis, G
%A Stansfeld, SA
%A Crawley, E
%D 2019
%F discovery:10079582
%J Journal of Adolescence
%K ALSPAC, Adolescence, CFS/ME, Chronic fatigue, Mood, Pediatric
%P 123-129
%T Depressive symptoms at age 9-13 and chronic disabling fatigue at age 16: A longitudinal study
%U https://discovery.ucl.ac.uk/id/eprint/10079582/
%V 75
%X Introduction: We investigated whether depressive symptoms at ages 9–13 years were associated  with chronic disabling fatigue (CDF) at age 16 among children in the Avon Longitudinal Study of  Parents & Children (ALSPAC) birth cohort.  Methods: Depressive symptoms at ages 9, 10, 11, 12, and 13 years were defined as a child- or  parent-completed Short Mood and Feelings Questionnaire (SMFQ) score ≥11 (range 0–26).  SMFQ score was also analysed as a continuous exposure. Chronic disabling fatigue at 16 was  defined as fatigue of ≥6 months' but < 5 years’ duration which prevented school attendance or  activities, for which other causes were not identified, and with a Chalder Fatigue Questionnaire  score ≥19. Logistic regression was used with multiple imputation to correct for missing data  bias. We performed sensitivity analyses in which children who had CDF and depressive symptoms  at age 16 were reclassified as not having CDF.  Results: In fully adjusted models using imputed data (N = 13,978), depressive symptoms at ages  9, 11, and 13 years were associated with 2- to 3-fold higher odds of CDF at age 16. Each one-point  increase in SMFQ score at ages 9, 10, 11, 12, and 13 years was associated with 6–11% higher  odds of CDF at age 16. Depressive symptoms and continuous SMFQ scores at each age were not  associated with CDF if the outcome was reclassified to exclude children with comorbid depressive  symptoms at age 16.  Conclusions: Depressive symptoms at ages 9–13 were associated with chronic disabling fatigue at  age 16, but causality is not certain.
%Z Published by Elsevier Ltd on behalf of The Foundation for Professionals in Services for Adolescents. This is an  open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/).