Hughes Alicia A, Lourea-Waddell Brittany, Kendall Philip C
Department of Psychology, The Pennsylvania State University, USB I, 160 Child Study Center, University Park, PA 16802, USA.
Child Psychiatry Hum Dev. 2008 Jun;39(2):211-20. doi: 10.1007/s10578-007-0082-5. Epub 2007 Sep 5.
The present study aimed to examine somatic complaints in children with anxiety disorders compared to non-anxious control children and whether somatic complaints predict poorer academic performance. The sample consisted of 108 children and adolescents (aged 8-14 years) assessed by a structured diagnostic interview: 69 with a principal (i.e., most severe and/or interfering) anxiety disorder diagnosis and 39 non-anxious community controls. Established child and parent report measure of somatic complaints, anxiety, and internalizing symptoms were completed. The participants' primary teacher was used to assess academic performance. Findings indicated that children with anxiety disorders reported more somatic complaints than the non-anxious community controls. Furthermore, a greater frequency of somatic complaints uniquely predicted poorer academic performance beyond that accounted for by anxiety and internalizing symptoms based on both child and parent report measures. Knowledge about somatic complaints in children with anxiety disorders and their relation to academic functioning may allow for early identification and prevent academic problems.
本研究旨在考察焦虑症儿童与非焦虑对照儿童相比的躯体不适情况，以及躯体不适是否预示着学业成绩较差。样本包括108名儿童和青少年（8至14岁），通过结构化诊断访谈进行评估：69名被诊断为主要（即最严重和/或干扰性最强）焦虑症，39名是非焦虑社区对照儿童。完成了既定的儿童和家长报告的躯体不适、焦虑和内化症状测量。参与者的主科教师被用来评估学业成绩。研究结果表明，焦虑症儿童报告的躯体不适比非焦虑社区对照儿童更多。此外，基于儿童和家长报告测量，躯体不适的更高频率独特地预示着学业成绩较差，超出了焦虑和内化症状所导致的范围。了解焦虑症儿童的躯体不适及其与学业功能的关系，可能有助于早期识别并预防学业问题。
