Kelly Colette, Molcho Michal, Doyle Priscilla, Gabhainn Saoirse Nic
Health Promotion Research Centre, National University of Ireland Galway, 12 Distillery Road, Galway, Ireland.
Int J Adolesc Med Health. 2010 Apr-Jun;22(2):229-35. doi: 10.1515/ijamh.2010.22.2.229.
Psychosomatic symptoms are commonly reported among young people. The potential burden of such symptoms on both young people and health services is substantial. Research from several countries indicates that psychosomatic symptoms tend to co-exist rather than occur singularly and could impose limitations on daily living and participation in school life.
The aim of this paper was to determine the weekly prevalence of somatic (headache, stomach-ache, dizziness, back ache) and psychological (feeling low, irritability/bad temper, difficulty sleeping, and nervousness) symptoms among schoolchildren in Ireland; and to explore, the influence of family material affluence on reported symptoms.
11-17 year-old school going children.
Data are presented from the 2006 Irish Health Behaviour in the School-aged Children survey, comprising a nationally representative sample of schoolchildren aged 11-17 years (n = 9969). Sampling units were classes within schools with a response rate of 63% of schools and 83% of students.
Irritability/bad temper (43.0%) and headache (26.0%) were the most commonly reported psychological and somatic symptoms among both boys and girls. Symptom prevalence was higher among girls (range 17.8% - 43.8%) than boys (range 10.7% - 42.3%) and was higher among older children of both genders, except for stomachache in boys. Girls from less affluent backgrounds were significantly more likely to report frequent symptoms (55.5% vs. 50.7%).
Multiple symptoms were inversely related to family material affluence for girls. The factors associated with psychosomatic symptoms and the consequences for schoolchildren require further investigation.
身心症状在年轻人中普遍存在。这类症状给年轻人和医疗服务带来的潜在负担相当大。来自多个国家的研究表明,身心症状往往并存而非单独出现,可能会限制日常生活及参与学校生活。
本文旨在确定爱尔兰学童中躯体症状(头痛、胃痛、头晕、背痛)和心理症状(情绪低落、易怒/脾气暴躁、睡眠困难、紧张)的每周患病率;并探讨家庭物质富裕程度对所报告症状的影响。
11至17岁的在校儿童。
数据来自2006年爱尔兰学龄儿童健康行为调查,该调查包含一个具有全国代表性的11至17岁学童样本(n = 9969)。抽样单位是学校内的班级,学校的回应率为63%,学生的回应率为83%。
易怒/脾气暴躁(43.0%)和头痛(26.0%)是男孩和女孩中最常报告的心理和躯体症状。女孩的症状患病率(范围为17.8% - 43.8%)高于男孩(范围为10.7% - 42.3%),且在两个性别的年龄较大儿童中患病率更高,但男孩的胃痛情况除外。来自较不富裕家庭背景的女孩更有可能频繁报告症状(55.5%对50.7%)。
女孩的多种症状与家庭物质富裕程度呈负相关。与身心症状相关的因素以及对学童的影响需要进一步调查。