Rask Charlotte Ulrikka, Olsen Else Marie, Elberling Hanne, Christensen Mogens Fjord, Ornbøl Eva, Fink Per, Thomsen Per Hove, Skovgaard Anne Mette
Regional Centre for Child and Adolescent Psychiatry, Aarhus University Hospital, Risskov, Aarhus, Denmark.
Eur J Epidemiol. 2009;24(10):625-34. doi: 10.1007/s10654-009-9366-3. Epub 2009 Jul 26.
Research on somatisation or functional disorders, characterised by the subjective report of physical symptoms in the absence of clear physical pathology, in young children is limited. This study investigates the distribution, types and co-occurrence of parent-reported functional somatic symptoms (FSS) and their impairment in a population-based sample of Danish 5-7-year-old children. Data were obtained from a 5-7-year follow-up of the Copenhagen Child Cohort 2000. The entire study population included 3,000 randomly sampled children from the cohort. Among these FSS measures were obtained for 1,327 children. The newly introduced parent interview, the soma assessment interview, was used to assess the child's FSS. Impairing symptoms were defined as FSS that caused substantial discomfort, impairment of everyday life, absence from day-care or school and/or help-seeking in the health care system. The 1-year prevalence of any FSS was 23.2% (N = 308) and higher in girls than boys (27.6 vs. 18.8%, P < 0.0001). Impairing FSS were found in 4.4% (N = 58). Pain complaints, i.e. limb pain, headache and abdominal pain, were the most frequently reported FSS. Among the 308 children with FSS, 66 (21.4%) presented with two or more of these functional pain complaints, while 15 (4.9%) had all three types. The findings indicate that FSS are common health complaints in 5-7-year-old children. A subgroup with impairing FSS with a likely need of clinical intervention was identified. This suggests that a somatisation pattern may start early in life and call for future studies to include associated impairment in the investigation of childhood FSS.
关于躯体化或功能障碍（其特征为在无明确躯体病理情况下出现身体症状的主观报告）在幼儿中的研究有限。本研究调查了丹麦5至7岁儿童的基于人群样本中家长报告的功能性躯体症状（FSS）的分布、类型和共现情况及其损害程度。数据来自哥本哈根儿童队列2000的5至7年随访。整个研究人群包括该队列中随机抽取的3000名儿童。其中，对1327名儿童进行了FSS测量。新引入的家长访谈，即躯体评估访谈，用于评估儿童的FSS。造成损害的症状被定义为导致严重不适、损害日常生活、缺课或缺课以及/或在医疗系统中寻求帮助的FSS。任何FSS的1年患病率为23.2%（N = 308），女孩高于男孩（27.6%对18.8%，P < 0.0001）。发现4.4%（N = 58）的FSS造成了损害。疼痛主诉，即肢体疼痛、头痛和腹痛，是最常报告的FSS。在308名有FSS的儿童中，66名（21.4%）出现了两种或更多这些功能性疼痛主诉，而15名（4.9%）三种类型都有。研究结果表明，FSS是5至7岁儿童常见的健康问题。确定了一个可能需要临床干预的有损害性FSS的亚组。这表明躯体化模式可能在生命早期就开始了，需要未来的研究在儿童FSS调查中纳入相关损害情况。
