Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study

Cheng, Qinglin; Xu, Yong; Xie, Li; Hu, Yunkai; Lv, Yongxiang

doi:10.1590/0102-311x00008418

Cited by 10 publications

(11 citation statements)

References 39 publications

(65 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study revealed Chinese adolescents' tendency to express depression through somatic symptoms instead of psychological distress symptoms. This unique conception of depression has been consistently observed in other empirical studies in Chinese adult samples [3][4][5] and adolescent samples [6]. This observation can be explained in terms of the argument that somatization is more acceptable for expressing distress by the Chinese culture, which is precisely described in the Chinese proverb that "man can shed blood but not tears" [42].…”

Section: Discussionsupporting

confidence: 70%

“…Tung [43] proposed a linguistic explanation that many Chinese terms describing negative emotional experience are related to body pain, and thus, the Chinese population may spontaneously use somatic descriptors to express depressed emotions. Additionally, somatization is often observed among adolescents [6]. This may be due to the fact that adolescents' abilities to verbalize emotional distress are not yet fully developed.…”

Section: Discussionmentioning

confidence: 99%

“…Parker and colleagues' review [5] also suggested that Chinese people tended to deny depressive feelings and express somatic complaints instead. As to Chinese adolescents, Cheng et al's study [6] on 11,153 Chinese high school students revealed that 12.1% of the participants tended to express psychological distress in terms of somatic symptoms. This calls for further examination of population-or culture-specific characteristics in demonstrating depression.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dimensionality of the Chinese CES-D: Is It Stable across Gender, Time, and Samples?

Dou

Shek

Zhu

et al. 2021

IJERPH

View full text Add to dashboard Cite

Depression is a common mental illness among Chinese adolescents. Although the Epidemiological Studies Depression Scale (CES-D) has been widely used in diverse populations, the reported factor structures are inconsistent, and its longitudinal invariance is under-researched. This study examined the psychometric properties and factorial invariance across gender and time of the CES-D among Chinese adolescents. Adolescents aged above 11 years from five schools in Chengdu responded to a questionnaire at Wave 1 (n = 5690). Among them, 4981 participants completed the same questionnaire after six months (Wave 2). The matched sample was composed of 4922 students (51.5% were girls; mean age = 13.15 years) at Wave 1. We used exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to examine the factor structure and performed multi-group CFA to test the factorial invariance across gender and time. A three-factor solution was identified, including “positive affect”, “somatic complaints”, and “depressed affect”. Results of multi-group CFA comparisons supported the factorial invariance of the resultant three-factor solution. Using a new sample of Chinese adolescents in Southwestern China, the present study reproduced earlier findings on adolescents in other areas in China. This study has implications for depression assessment and research in Chinese adolescents.

show abstract

Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Dimensionality of the Chinese CES-D: Is It Stable across Gender, Time, and Samples?

Dou

Shek

Zhu

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…The levels observed in this investigation are also far beyond those observed by Kihlstrom et al in the total population 45 . The yields in this investigation were also higher compared to our earlier similarity observations 34 , 46 .…”

Section: Discussioncontrasting

confidence: 57%

Gender differences in the prevalence and impact factors of adolescent dissociative symptoms during the coronavirus disease 2019 pandemic

Cheng

Zhao

Chen

et al. 2022

Sci Rep

Self Cite

View full text Add to dashboard Cite

The purpose of this study was to explore the differences between the prevalence and impact factors of adolescent dissociative symptoms (ADSs) by using sex-stratification during the coronavirus disease 2019 (COVID-19) pandemic. A school-based, two-center cross-sectional study was conducted in Hangzhou City, China, between January 1, 2021 and April 30, 2022. The sample included 1,916 adolescents aged 13–18 years that were randomly selected using a multiphase, stratified, cluster sampling technique. A two-stage assessment procedure was used to find out the ADSs. We used a multivariate logistic regression analysis to assess the impact factors of ADSs during the COVID-19 pandemic. The adolescent dissociative scores (t = 4.88, P < 0.001) and positive ADSs rate (Chi-square = 15.76, P < 0.001) in males were higher than in females. Gender-stratified, stepwise multiple logistic regression analysis revealed that the conflict relationship of teacher-student [adjusted odds ratio (AOR) 1.06, 95% confidence interval (CI) 1.01–1.10], family expressiveness (AOR 0.87, 95% CI 0.78–0.98), family conflict (AOR 1.15, 95% CI 1.05–1.27), family organization (AOR 0.88, 95% CI 0.78–0.99), and family cohesion (AOR 0.87, 95% CI 0.77–0.99) were linked to ADSs only in males, while individual psychological states of somatic complaint (AOR 1.04, 95% CI 1.00–1.08) and paranoid ideation (AOR 1.09, 95% CI 1.01–1.19) were associated with female ADSs only. The ADSs seemed to be prevalent in Hangzhou City, studied during the COVID-19 pandemic. Gender differences in the prevalence and impact factors of dissociative symptoms seem to be significant among adolescents. Thus, gender-specific intervention programs against ADSs should be considered as reducing this risk.

show abstract

“…Numerous studies have shown that adolescent DSs (ADSs) could produce several serious adverse referrals, including ADD, narrative disorders, anxiety and depressive disorders, bulimia, attention-de cit/hyperactivity disorder, and suicide [12,13]. Additionally, prior studies have indicated that there were many prominent gender differences in somatization tendencies and hysterical tendencies [14][15][16]. However, we do not yet know if the impact factors of ADSs have the gender difference.…”

Section: Introductionmentioning

confidence: 99%

Gender differences in the impact-factors of adolescent dissociative symptoms: a structural equation model approach

Cheng

Deng

Zhao

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

Background Few studies have investigated the gender-specific impact of adolescent dissociative symptoms (ADSs) in China. The purpose of this study was to examine gender differences in the impact factors of ADSs in Hangzhou City, China, as well as to investigate further the direct and interactive effects between ADSs and impact factors by constructing a structural equation model (SEM). Methods A school-based, two-center cross-sectional study was conducted in Hangzhou City, China. The sample comprised 2,160 adolescents aged 13–18 years who were randomly selected using a multi-phase, stratified, cluster sampling technique. We used a SEM to explore the direct and interactive effects between ADSs and influencing factors by gender stratification. Results A total of 1,916 participants were included in the two-center cross-sectional study. The male SEM model showed that the significant standardized paths (P < 0.05) were between psychological factors and environment factors, both positively related to ADSs (psychological factors and environment factors). In addition, a significant correlation was also observed between teacher-student conflict relationship and ADSs. The female SEM model indicated that there were the significant standardized paths between peer interpersonal interaction relationship and psychological factors, in which peer interpersonal interaction relationship was negatively correlated to ADSs, and psychological factors tended to correlate positively with ADSs. We also found that there was a correlation between peer interpersonal interaction relationship and hostility. Our findings indicated that the strongest effect was psychological factors for male (total standardized β = 0.365) or female ADSs (total standardized β = 0.674). The SEM model fit indices indicated that the proposed models fit the data for both male and female ADSs. Conclusions Our findings suggested that health resources and strategies could be allocated and performed rationally to enhance their utilization efficiency during ADSs screening and other public health actions. To reduce the risks of adolescent dissociative disorders and other mental disorders, we urgently need to develop gender-specific intervention strategies for ADSs.

show abstract

Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study

Cited by 10 publications

References 39 publications

Dimensionality of the Chinese CES-D: Is It Stable across Gender, Time, and Samples?

Dimensionality of the Chinese CES-D: Is It Stable across Gender, Time, and Samples?

Gender differences in the prevalence and impact factors of adolescent dissociative symptoms during the coronavirus disease 2019 pandemic

Gender differences in the impact-factors of adolescent dissociative symptoms: a structural equation model approach

Contact Info

Product

Resources

About