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  1. Somatic complaints and psychopathology in children and adolescents : Stomach aches, musculoskeletal pains, and headaches.

    Article - En anglais

    Objective 

    To examine the associations of somatic complaints with DSM-III-R-defined depression, anxiety disorders, conduct disorder, oppositional defiant disorder, and attention-deficit hyperactivity disorder in a population-based sample of children and adolescents.

    Method 

    Data from 4 annual waves of interviews with 9-to 16-year-olds from the Great Smoky Mountains Study were analyzed.

    Results 

    Overall, somatic complaints were strongly associated with emotional disorders in girls and with disruptive behavior disorders in boys.

    For girls, stomach aches and headaches together and musculoskeletal pains alone were associated with anxiety disorders.

    For boys, stomach aches were associated with oppositional defiant disorder and attention-deficit hyperactivity disorder.

    Musculoskeletal pains were associated with depression in both girls and boys.

    Conclusions 

    There were gender-illness-and complaint-specific associations between somatic complaints and psychopathology.

    It appears likely that there are differences in the psychobiological processes underlying these associations in boys and girls.

    Clinical recommendations include screening children and adolescents with persistent complaints of headaches, stomach aches, or musculoskeletal pains for psychiatric disorders with an awareness that gender may affect the type of psychopathology associated with the somatic complaints.

    Mots-clés Pascal : Céphalée, Estomac pathologie, Association morbide, Trouble psychiatrique, Prévalence, Epidémiologie, Santé mentale, Sexe, Etats Unis, Amérique du Nord, Amérique, Enfant, Homme, Age scolaire, Adolescent, Douleur, Système nerveux pathologie, Trouble neurologique, Appareil digestif pathologie

    Mots-clés Pascal anglais : Headache, Gastric disease, Concomitant disease, Mental disorder, Prevalence, Epidemiology, Mental health, Sex, United States, North America, America, Child, Human, School age, Adolescent, Pain, Nervous system diseases, Neurological disorder, Digestive diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0371098

    Code Inist : 002B18D10. Création : 14/12/1999.