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.
Data from 4 annual waves of interviews with 9-to 16-year-olds from the Great Smoky Mountains Study were analyzed.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0371098
Code Inist : 002B18D10. Création : 14/12/1999.