CHILDHOOD CHRONIC FATIGUE SYNDROME IN JAPAN

Objectives: Japanese children are tired out, according to investigation of the 1999 Ministry of Health and Welfare researches group (the Okuno group length), the problem of the heart is actualizing the 3 times and 40–80% of they have appealed to 5.4% of five or older-year children as the junior high school student against tiredness or feeling languid at them. The point which tiredness reaches is in the so-called truancy state where an obstacle attains to even everyday life and where it becomes impossible to go to school. Our measure protects happiness and health of children and the adults centering on the family who surround them, and aims at regaining the lively society, which all young men are fine and can commit. When considering the universality of chronic fatigue, it is recognized as this research having the importance which should mention a country and should tackle, and requiring urgency rather than anything including productivity and medical expenses. Our research group considered and manufactured the necessity for the diagnostic standard which suited children. This time, the diagnostic standard of CFS of the children in Japan is shown.

Methods: Based on the child chronic fatigue syndrome diagnostic standard draft shown in the Miike group in 2002 year, by January, 2003– December, was consulted [truancy / general physical complaint] in Kumamoto University medical department attached hospital development pediatrics, and the usefulness was examined for 124 new patients to the high school student diagnosed as their being child chronic fatigue or its preceding paragraph story.

Results: First, in the degree distribution of serious illness according to age group, a slight illness group decreases as a grade turns up, and the serious illness group is increasing. The number of items, which fulfills the diagnostic standard, is Performance status. In two or less group which can be gone to school, (PS) was an average of 2.88 items, and PS was an average of 4.21 by three or more truancy groups. It is Japanese-syllabary 10 and the test is falling by the group more than, such as inside, compared with the group which First, in the degree distribution of serious illness according to age group, a slight illness group decreases as a grade turns up, and the serious illness group is increasing. The number of items, which fulfills the diagnostic standard, is Performance status. In two or less group which can be gone to school, (PS) was an average of 2.88 items, and PS was an average of 4.21 by three or more truancy groups. It is Japanese-syllabary 10 and the test is falling by the group more than, such as inside, compared with the group which can be gone [symptoms' un-developing -] to school. The SDS depression score became high as the degree of serious illness went up. Also in the disease period, the group with the high degree of serious illness was long. The graph of the Fig. 2 right shows what % of child of each group fulfills the diagnostic standard item. The rate which appeals against the obstacle of register power or concentration, two or more joint aches, headache, and the abnormalities in sleep increased as the degree of serious illness became high.

Conclusion: It is thought that the contents of diagnosing when four items or more are fulfilled in diagnosis about the number of items which fulfills the diagnostic standard, since an average of 4.21 items were filled with PS≥3 used as one standard of child chronic fatigue development of symptoms are appropriate. Moreover, there is also a low item of the rate chosen and those examinations are also considered to be required.