A Developmental Perspective on Functional Somatic Symptoms

Beck, Joy E.

doi:10.1093/jpepsy/jsm113

Cited by 142 publications

(146 citation statements)

References 99 publications

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“…24 Young people suffering from functional somatic symptoms are often challenged with educational and social trouble; they are more absent from school, fall behind in schoolwork, have more strained relationships with classmates and fewer hobbies. 18 However, they rarely receive the health care they need because of the complexity of the clinical picture. 30 This may lead to a higher risk of becoming unemployed and a chain of risk into adult unemployment 13 as well as gradual accumulation of illness and negative health behaviours.…”

Section: On the Methodsmentioning

confidence: 99%

“…Crude and multivariate linear regression was used to analyse the relationship between months in youth unemployment (age [16][17][18][19][20][21] and functional somatic symptoms at age 21 and 42, stratified for women and men. Adjustments were made for functional somatic symptoms at age 16, parents' occupational class, educational level at age 21 and months in unemployment in adulthood (age .…”

Section: Analysesmentioning

confidence: 99%

“…This concept refers to physical symptoms, such as headaches, abdominal pain, musculoskeletal pain, dizziness and fatigue, which are closely related to anxiety and depression. 5,[18][19][20] However, they represent a separate dimension and are not fully explained by internalized mental health symptoms. 5,21 They have also been shown to be related to long-term mental health problems such as suicide.…”

Section: Introductionmentioning

confidence: 99%

“…5,21 They have also been shown to be related to long-term mental health problems such as suicide. 19 Functional somatic symptoms often differ between women and men; 18 in childhood the levels are similar for girls and boys, but from early adolescence onwards, girls and women generally report higher levels than boys and men. 21,22 The aim of this study was to analyse the potential long-term associations between youth unemployment and functional somatic symptoms in adulthood, after controlling for functional somatic symptoms in youth, socioeconomic background, education and later adult unemployment.…”

Section: Introductionmentioning

confidence: 99%

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Youth unemployment and functional somatic symptoms in adulthood: results from the Northern Swedish cohort

Brydsten

Hammarström

Strandh

et al. 2015

Eur J Public Health

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Section: On the Methodsmentioning

confidence: 99%

Section: Analysesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Youth unemployment and functional somatic symptoms in adulthood: results from the Northern Swedish cohort

Brydsten

Hammarström

Strandh

et al. 2015

Eur J Public Health

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“…These complaints frequently are associated with psychological problems [6 -8]. A significant amount of research during the past few decades has been devoted to determining relationships between various psychological factors and childhood somatic complaints [9]. Some researchers have focused on the positive relationship between negative affect and somatic complaints [10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Childhood Somatic Complaints: Relationships With Child Emotional Functioning And Parental Factors

Jellesma

2016

JBTM

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Abstract:Many schoolchildren experience somatic complaints such as headaches, abdominal pain and fatigue. The aim of the current research is to test the full model of previously found associations between negative affect and somatic complaints in parents and children. Participants were 199 children (aged 8-13, 47% boys) and their parents (aged 31-61, mostly mothers (87%). Self-reports of children and parents on worry, anxiety, depression and somatic complaints were used and parents' reactions to children's emotions wereassessed. The results of the study show that childhood negative affect and parental somatic complaints are positively associated with childhood somatic complaints. In turn, childhood negative affect is related to children's worrying and to parents' responses to children's emotions. The more anxious or depressed children felt, the more they worried.Maladaptive parental responses (such as reprimands and discomfort) to child emotions were positively related to depression. It was also found that parents who experienced more negative affect, reported more somatic complaints and tended to report more maladaptive responses towards their children's emotions.

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Suicidal Thoughts and Trajectories of Psychopathological and Behavioral Symptoms in Adolescence

Uno,

Nagaoka,

Usami

et al. 2024

JAMA Netw Open

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ImportanceThe suicidal risk of psychopathology in adolescence is suggested to differ based on its longitudinal trajectory, but the comorbidity of these symptom trajectories has not been well examined. This study comprehensively clustered trajectories of multiple psychopathological and behavioral symptoms and examined their associations with suicidal thoughts in adolescence.ObjectiveTo determine which categories and trajectories of psychopathological and behavioral symptoms are associated with suicidal thoughts in adolescence, accounting for comorbid symptoms.Design, Setting, and ParticipantsThis population-based cohort study in Japan used data from the Tokyo Teen Cohort (TTC) study, which was established in 2012 and is currently ongoing. Data from 3 waves of surveys conducted at ages 10, 12, and 16 years from October 2012 to September 2021 were used. Of the adolescents in the cohort, participants with at least 2 evaluations of psychopathological and behavioral symptoms were included. Data were analyzed from December 2022 to March 2023.ExposureLatent class growth analysis was used to cluster the trajectory of each psychopathological and behavioral symptom.Main Outcomes and MeasuresThe associations between symptom trajectories and suicidal thoughts at age 16 were examined. Suicidal thoughts were assessed using a self-report questionnaire. Psychopathological and behavioral symptoms were assessed using the 8 subscale scores of the caregiver-report Child Behavior Checklist.ResultsThis study included 2780 adolescents (1306 female participants [47.0%]). Of the 1920 adolescents with data on suicidal thoughts, 158 (8.2%) had suicidal thoughts. The median (IQR) age was 10.2 (10.0-10.3) years at the first evaluation, 11.9 (11.8-12.1) years at the second evaluation, and 16.3 (16.1-16.5) years at the last evaluation. The clustering pattern of trajectories varied depending on symptom categories. After adjusting for each symptom trajectory and confounders, adolescents with persistent high withdrawn symptoms (odds ratio [OR], 1.88; 95% CI, 1.10-3.21) and those with increasing somatic symptoms (OR, 1.97; 95% CI, 1.16-3.34) had a significantly higher risk of suicidal thoughts than adolescents without these symptoms. There was no interaction between these symptom trajectories and the risk of suicidal thoughts.Conclusions and RelevanceThis cohort study found that persistent withdrawn symptoms and increasing somatic symptoms during early to midadolescence were associated with an increased risk of suicidal thoughts in midadolescence, even after accounting for comorbid symptoms and confounders. Attention should be paid to the suicidal risk associated with these symptoms, particularly when they persist or increase in the longitudinal follow-up.

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A Developmental Perspective on Functional Somatic Symptoms

Cited by 142 publications

References 99 publications

Youth unemployment and functional somatic symptoms in adulthood: results from the Northern Swedish cohort

Youth unemployment and functional somatic symptoms in adulthood: results from the Northern Swedish cohort

Childhood Somatic Complaints: Relationships With Child Emotional Functioning And Parental Factors

Suicidal Thoughts and Trajectories of Psychopathological and Behavioral Symptoms in Adolescence

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