Ruchkin Vladislav, Schwab-Stone Mary
Child and Adolescent Psychiatry Unit, Department of Neuroscience, Uppsala University, 751 85, Uppsala, Sweden,
J Youth Adolesc. 2014 May;43(5):834-45. doi: 10.1007/s10964-013-9966-9. Epub 2013 Jun 7.
Despite the frequent association between anxiety and somatization, the role of somatic anxiety--a tendency to experience somatic sensations, when anxious--in relationship to persistent somatic complaints has not been addressed previously. This study assessed the predictive role of internalizing psychopathology (anxiety, posttraumatic stress, depression) and somatic anxiety for somatic complaints over a 1-year period in a community sample of urban youth. The Social and Health Assessment, a self-report survey, was administered to 2,524 (mean age = 12.8, 54 % female) American urban adolescents in two consecutive years. There was significant continuity of somatic complaints over 1 year. Girls reported higher levels of somatic complaints and somatic anxiety than boys. All types of internalizing psychopathology significantly predicted somatic complaints over time. Somatic anxiety was associated with somatic complaints over and above the role of internalizing symptoms. Internalizing psychopathology and somatic anxiety should both be considered in the assessment and treatment of youth with persistent somatic complaints.
尽管焦虑与躯体化之间常常存在关联，但躯体焦虑（即焦虑时体验躯体感觉的倾向）在持续性躯体主诉方面的作用此前尚未得到探讨。本研究评估了内化性精神病理学（焦虑、创伤后应激障碍、抑郁）和躯体焦虑在城市青少年社区样本中对1年期内躯体主诉的预测作用。连续两年对2524名美国城市青少年（平均年龄 = 12.8岁，54%为女性）进行了自我报告调查《社会与健康评估》。1年内躯体主诉具有显著的连续性。女孩报告的躯体主诉和躯体焦虑水平高于男孩。所有类型的内化性精神病理学随着时间的推移均显著预测了躯体主诉。躯体焦虑与躯体主诉相关，且超出了内化症状的作用。在评估和治疗有持续性躯体主诉的青少年时，应同时考虑内化性精神病理学和躯体焦虑。
