Kinnunen Pirjo, Laukkanen Eila, Kylmä Jari
Department of Nursing Science, University of Kuopio, 70211 Kuopio, Finland.
Int J Nurs Pract. 2010 Feb;16(1):43-50. doi: 10.1111/j.1440-172X.2009.01782.x.
This longitudinal study explored associations between psychosomatic symptoms in adolescence and mental health symptoms in early adulthood. The baseline data were collected in 1996 from 14-year-old pupils (n = 235; 116 girls, 119 boys) at schools using a structured questionnaire that included a 14-item scale of psychosomatic symptoms. The follow-up data were collected in 2006 from the same persons at the age of 24 using the Symptom Checklist-90. Follow-up questionnaires were returned by 149 (63.4%) young adults (88 women and 61 men). Young adults who had many psychosomatic symptoms in adolescence suffered more often than the others from somatization and anxiety symptoms in early adulthood. In addition, women had more symptoms of depression and paranoid ideation, and men had more interpersonal sensitivity and psychotic symptoms. Psychosomatic symptoms in adolescence might be important signals of mental health and this should be taken seriously in school health and in general primary care.
这项纵向研究探讨了青少年期的心身症状与成年早期的心理健康症状之间的关联。1996年，研究人员在学校使用一份结构化问卷，从14岁的学生（n = 235；116名女生，119名男生）中收集了基线数据，该问卷包含一个14项的心身症状量表。2006年，研究人员使用症状自评量表90从这些24岁的同一批人那里收集了随访数据。149名（63.4%）年轻人（88名女性和61名男性）返回了随访问卷。在青少年期有心身症状较多的年轻人，在成年早期出现躯体化和焦虑症状的频率比其他人更高。此外，女性有更多的抑郁和偏执观念症状，男性有更多的人际敏感和精神病性症状。青少年期的心身症状可能是心理健康的重要信号，在学校健康和一般初级保健中应予以重视。
