In both sexes, no specific pattern of association emerged
between somatic symptom clusters and either anxiety or depression.
Not exact matches
The cross-correlation
between the other two subscales, probably reflects the strength of the relationship
between anxiety and
somatic symptoms existing in different locations.
There were no significant differences in improvement of
somatic symptoms between groups.
Also, anxiety and depression may impair adolescents» ability to learn and thereby increase their risk of low educational attainment and school drop - out, which in turn are known to lower work participation and increase welfare dependence.28 The association
between adolescent anxiety and depression
symptoms and benefit receipt in young adulthood may also be influenced by factors that may increase both mental distress and the risk of receiving medical benefits such as the various
somatic and psychiatric conditions that are associated anxiety and depression.
Many of the scales demonstrated weak psychometrics in at least one of the following ways: (a) lack of psychometric data [i.e., reliability and / or validity; e.g., HFQ, MASC, PBS, Social Adjustment Scale - Self - Report (SAS - SR) and all perceived self - esteem and self - concept scales], (b) items that fall on more than one subscale (e.g., CBCL - 1991 version), (c) low alpha coefficients (e.g., below.60) for some subscales, which calls into question the utility of using these subscales in research and clinical work (e.g., HFQ, MMPI - A, CBCL - 1991 version, BASC, PSPCSAYC), (d) high correlations
between subscales (e.g., PANAS - C), (e) lack of clarity regarding clinically - relevant cut - off scores, yielding high false positive and false negative rates (e.g., CES - D, CDI) and an inability to distinguish
between minor (i.e., subclinical) and major (i.e., clinical) «cases» of a disorder (e.g., depression; CDI, BDI), (f) lack of correspondence
between items and DSM criteria (e.g., CBCL - 1991 version, CDI, BDI, CES - D, (g) a factor structure that lacks clarity across studies (e.g., PSPCSAYC, CASI; although the factor structure is often difficult to assess in studies of pediatric populations, given the small sample sizes), (h) low inter-rater reliability for interview and observational methods (e.g., CGAS), (i) low correlations
between respondents such as child, parent, teacher [e.g., BASC, PSPCSAYC, CSI, FSSC - R, SCARED, Connors Ratings Scales - Revised (CRS - R)-RSB-, (j) the inclusion of
somatic or physical
symptom items on mental health subscales (e.g., CBCL), which is a problem when conducting studies of children with pediatric physical conditions because physical
symptoms may be a feature of the condition rather than an indicator of a mental health problem, (k) high correlations with measures of social desirability, which is particularly problematic for the self - related rating scales and for child - report scales more generally, and (l) content validity problems (e.g., the RCMAS is a measure of anxiety, but contains items that tap mood, attention, peer interactions, and impulsivity).
This study prospectively examined the main effect of optimism on subsequent
somatic symptomatology as well as optimism as moderating factors in the link
between negative life events and
somatic symptoms in a sample of 198 (111 females, 87 males) students in a Norwegian senior high school.
Previous studies have documented the association
between bullying and both health behaviors and
symptoms.21, 43,44 These studies indicate that while being bullied is associated with difficulty making friends and lower use of alcohol, 21 perpetration of bullying is associated with more time spent with friends44 and increased use of alcohol and cigarettes.21 This suggests that although adolescents who are bullied may be at less risk for adverse health outcomes associated with substance use, they may be at increased risk for
somatic complaints associated with poor peer relationships.3, 18 New initiatives such as the US Department of Health and Human Services, Health Resources and Services Administration's Stop Bullying Now campaign45 should be evaluated for their efficacy in raising public awareness and reducing the prevalence of bullying.
Indeed, the postpartum distress manifestation is different
between mothers and fathers, principal paternal PPD
symptoms, unlike female clinical picture, are angers attacks, affective rigidity, self - criticism, exhaustion, alcohol and drug abuse.14 Men can present also
somatic symptoms like indigestion, increased or decreased appetite, weight gain, diarrhea or constipation, headache, toothache, nausea and insomnia.13 Furthermore, the paternal PPD could begin over the first year postpartum, later than maternal one.8
Furthermore, associations
between reactive and proactive aggression and anxiety, affective,
somatic and total internalizing
symptoms were very similar.
In part, this has been prompted by the clinical observation that there is often
symptom overlap
between clinical depression and the common features of chronic pain conditions.6 Clinically, this is manifest by the limitations found when using
somatic symptoms in self - report measures of depression in both populations with depression and those with chronic pain, 7 and has generated debate about the utility of categorical diagnostic criteria, as described in the Diagnostic and statistical manual of mental disorders, fourth edition (DSM - IV), 8 for understanding and treating depression in people with chronic pain.9
Although peer support appeared to play a less protective role than parental or teacher support in this study, the proportion of girls reporting
somatic complaints once a week or more in this study decreased by almost 10 % for all 4
symptoms between those reporting very low levels and those reporting high levels of peer support.
In particular, Natvig et al observed a protective effect
between student support and depression, a
symptom commonly linked to a range of
somatic symptoms in other studies.4, 7,18 Additional research is needed to determine whether some risk factors for
somatic symptoms can be effectively addressed through positive peer networks, and if so, what mechanisms can be used to mitigate the negative effects of poor peer relations associated with bullying.
Although some authors explored the role of maternal alexithymic traits on children's health, studies investigating the correlations
between mothers» alexithymia and children's
somatic symptoms and pain are scarce.
Bivariate correlations
between microaggressions frequency and depressive and
somatic symptoms