The Soma Assessment Interview: New parent interview on functional somatic symptoms in children

Rask, Charlotte Ulrikka; Christensen, Mogens Fjord; Borg, Carsten; Søndergaard, Charlotte; Thomsen, Per Hove; Fink, Per

doi:10.1016/j.jpsychores.2008.10.012

Cited by 31 publications

(18 citation statements)

References 35 publications

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“…In the former convergent validity with independent measures of somatic complaints was found. In the latter substantial agreement (89%) appeared between a medical record diagnosis of FSS and SAI detection of FSS [15].…”

Section: Methodsmentioning

confidence: 92%

“…Detailed descriptions of the SAI and a preliminary validation have been reported elsewhere [15]. Briefly, the SAI is designed according to the construct in the 'DAWBA', i.e.…”

Section: Methodsmentioning

confidence: 99%

“…Rask). Both had been trained in the assessment procedure in a previous study [15]. The two assessors' independent ratings on 216 randomly selected interviews showed a high agreement on FSS detection (kappa = 0.82).…”

Section: Study Population and Proceduresmentioning

confidence: 99%

“…The present study investigates FSS in 5-7-year-old children from a Danish birth cohort by means of the soma assessment interview (SAI) [15], a newly developed research instrument to study the distribution of different FSS and their impairment in children in several domains.…”

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confidence: 99%

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Functional somatic symptoms and associated impairment in 5–7-year-old children: the Copenhagen Child Cohort 2000

et al. 2009

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Research on somatisation or functional disorders, characterised by the subjective report of physical symptoms in the absence of clear physical pathology, in young children is limited. This study investigates the distribution, types and co-occurrence of parent-reported functional somatic symptoms (FSS) and their impairment in a population-based sample of Danish 5-7-year-old children. Data were obtained from a 5-7-year follow-up of the Copenhagen Child Cohort 2000. The entire study population included 3,000 randomly sampled children from the cohort. Among these FSS measures were obtained for 1,327 children. The newly introduced parent interview, the soma assessment interview, was used to assess the child's FSS. Impairing symptoms were defined as FSS that caused substantial discomfort, impairment of everyday life, absence from day-care or school and/or help-seeking in the health care system. The 1-year prevalence of any FSS was 23.2% (N = 308) and higher in girls than boys (27.6 vs. 18.8%, P < 0.0001). Impairing FSS were found in 4.4% (N = 58). Pain complaints, i.e. limb pain, headache and abdominal pain, were the most frequently reported FSS. Among the 308 children with FSS, 66 (21.4%) presented with two or more of these functional pain complaints, while 15 (4.9%) had all three types. The findings indicate that FSS are common health complaints in 5-7-year-old children. A subgroup with impairing FSS with a likely need of clinical intervention was identified. This suggests that a somatisation pattern may start early in life and call for future studies to include associated impairment in the investigation of childhood FSS.

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Section: Methodsmentioning

confidence: 92%

“…Detailed descriptions of the SAI and a preliminary validation have been reported elsewhere [15]. Briefly, the SAI is designed according to the construct in the 'DAWBA', i.e.…”

Section: Methodsmentioning

confidence: 99%

Section: Study Population and Proceduresmentioning

confidence: 99%

mentioning

confidence: 99%

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Functional somatic symptoms and associated impairment in 5–7-year-old children: the Copenhagen Child Cohort 2000

et al. 2009

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“…The Soma Assessment Interview (SAI) was used to assess FSS as part of a 5-to 7-year follow-up of the children in the CCC2000 (for a detailed description, see Rask et al 35 ). The SAI is a comprehensive parent interview used to assess the 1-year prevalence of FSS in 5-to 10-yearold children.…”

Section: Fssmentioning

confidence: 99%

Functional Somatic Symptoms and Consultation Patterns in 5- to 7-Year-Olds

et al. 2013

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OBJECTIVE: To investigate the frequency of and factors linked to medical consultation for functional somatic symptoms (FSS) among 5- to 7-year-old children. METHODS: We assessed 1327 children from the Copenhagen Child Cohort 2000 for FSS at ages 5 to 7 years. Register data on past health care use in general practice were compared between children with and those without parent-reported medical consultation for FSS at the age of 5 to 7 years: respective consulters (n = 96) and nonconsulters (n = 211) and children without FSS (n = 1019). Degree of parental worries about the child’s symptoms and parent-reported symptom characteristics and associated impacts were compared between consulters and nonconsulters. RESULTS: Among 308 children with FSS, 31.1% were consulters. Being a consulter was significantly associated with multisymptomatic presentation, parental worries about the symptoms, symptom impact, and a higher past health care use in general practice. Multiple logistic regression analysis controlled for gender, comorbid physical disease, and symptom severity revealed that the number of face-to-face contacts in general practice during the child’s first 4 years of life predicted being an consulter for FSS at 5 to 7 years (odds ratio 1.03, 95% confidence interval 1.00–1.06; odds ratio interpreted per unit change in number of contacts). CONCLUSIONS: This study adds to our understanding of health care use for FSS in childhood by highlighting the influence of parents’ early consultation patterns with their child and the influence of parental perceptions of their child’s health and FSS-related impact on pediatric health care use for FSS. Management of health care use in children with FSS should address these aspects.

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