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. 2000 Nov;83(5):388–392. doi: 10.1136/adc.83.5.388

Predictors of somatic symptoms: a five year follow up of adolescents

K Poikolainen 1, T Aalto-Setala 1, M Marttunen 1, A Tuulio-Henriksson 1, J Lonnqvist 1
PMCID: PMC1718554  PMID: 11040143

Abstract

BACKGROUND—Somatisation is common among adolescents.
AIMS—To study factors predicting somatisation later in adulthood.
METHODS—Self report questionnaires were administered at baseline examination in 1990 to students (mean age 16.8 years) in schools, and by mail five years later. Results are based on the 615 subjects with no serious disease or injury at baseline.
RESULTS—Regression analyses showed that in men the level of somatic symptoms in 1995 was significantly predicted by the respective level in 1990 and by relief smoking. In women, the level of somatic symptoms in 1995 was significantly predicted by the respective level in 1990, self esteem, and the number of negative life events in 1990. After exclusion of cases with a long standing disease in 1995, the multivariate results remained materially similar except that self esteem was no longer significant among women.
CONCLUSION—These findings may help in early identification of adolescents with somatisation persisting into early adulthood.



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Selected References

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  1. Alfvén G. The covariation of common psychosomatic symptoms among children from socio-economically differing residential areas. An epidemiological study. Acta Paediatr. 1993 May;82(5):484–487. doi: 10.1111/j.1651-2227.1993.tb12728.x. [DOI] [PubMed] [Google Scholar]
  2. Andrews G., Pollock C., Stewart G. The determination of defense style by questionnaire. Arch Gen Psychiatry. 1989 May;46(5):455–460. doi: 10.1001/archpsyc.1989.01810050069011. [DOI] [PubMed] [Google Scholar]
  3. Aro H., Paronen O., Aro S. Psychosomatic symptoms among 14-16 year old Finnish adolescents. Soc Psychiatry. 1987;22(3):171–176. doi: 10.1007/BF00583852. [DOI] [PubMed] [Google Scholar]
  4. Choquet M., Menke H. Development of self-perceived risk behaviour and psychosomatic symptoms in adolescents: a longitudinal approach. J Adolesc. 1987 Sep;10(3):291–308. doi: 10.1016/s0140-1971(87)80005-2. [DOI] [PubMed] [Google Scholar]
  5. Escobar J. I., Gara M., Silver R. C., Waitzkin H., Holman A., Compton W. Somatisation disorder in primary care. Br J Psychiatry. 1998 Sep;173:262–266. doi: 10.1192/bjp.173.3.262. [DOI] [PubMed] [Google Scholar]
  6. Greene J. W., Walker L. S., Hickson G., Thompson J. Stressful life events and somatic complaints in adolescents. Pediatrics. 1985 Jan;75(1):19–22. [PubMed] [Google Scholar]
  7. Moilanen I. Psychosomatic symptoms in adolescent twins. Longitudinal twin study with special reference to psychosomatic symptoms. Psychother Psychosom. 1991;56(1-2):88–93. doi: 10.1159/000288536. [DOI] [PubMed] [Google Scholar]
  8. Poikolainen K., Kanerva R., Lönnqvist J. Life events and other risk factors for somatic symptoms in adolescence. Pediatrics. 1995 Jul;96(1 Pt 1):59–63. [PubMed] [Google Scholar]
  9. Smith G. R., Jr, Monson R. A., Ray D. C. Patients with multiple unexplained symptoms. Their characteristics, functional health, and health care utilization. Arch Intern Med. 1986 Jan;146(1):69–72. [PubMed] [Google Scholar]
  10. Smith M. S. Psychosomatic symptoms in adolescence. Med Clin North Am. 1990 Sep;74(5):1121–1134. doi: 10.1016/s0025-7125(16)30506-5. [DOI] [PubMed] [Google Scholar]
  11. Thomas C. B., McCabe O. L. Precursors of premature disease and death: habits of nervous tension. Johns Hopkins Med J. 1980 Oct;147(4):137–145. [PubMed] [Google Scholar]
  12. Walker L. S., Garber J., Greene J. W. Somatic complaints in pediatric patients: a prospective study of the role of negative life events, child social and academic competence, and parental somatic symptoms. J Consult Clin Psychol. 1994 Dec;62(6):1213–1221. doi: 10.1037//0022-006x.62.6.1213. [DOI] [PubMed] [Google Scholar]
  13. Walker L. S., Garber J., Greene J. W. Somatic complaints in pediatric patients: a prospective study of the role of negative life events, child social and academic competence, and parental somatic symptoms. J Consult Clin Psychol. 1994 Dec;62(6):1213–1221. doi: 10.1037//0022-006x.62.6.1213. [DOI] [PubMed] [Google Scholar]

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