Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Clinic for Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany,
Eur Child Adolesc Psychiatry. 2015 Jun;24(6):685-94. doi: 10.1007/s00787-014-0656-2. Epub 2014 Dec 24.
Psychosomatic health complaints (PHC) can significantly impair psychosocial development of children and adolescents and are therefore of considerable interest in health sciences and public health surveillance. Questions addressed the type of function that describes individual trajectories best, potential differences between these, and corresponding predictors from the perspective of both children and their parents. Based on the German population-based and representative BELLA cohort sample, 2,857 children and adolescents between 7 and 17 years of age at baseline were analysed over a period of 3 years with yearly follow-ups using mixed growth curve analyses. PHC were measured in accordance with the health behaviour in school-aged children-symptom checklist. The mean level of PHC was rather low, slightly lower for the parent report than for the self-report and significantly different between subjects. Concerning the parent report, the 2-year course is best described by a slowly increasing linear trend that decelerates somewhat over time. The increasing linear trend was more pronounced in the self-report from 11 to 17 years of age, but was significantly different for each subject and correlated with baseline scores. Trajectories could be explained by known predictors, most importantly by mental health problems of the child or adolescent. The results confirm the findings of previous studies and provide representative data about the individual short-term development of PHC in children and adolescents in Germany.
心身健康问题（PHC）会严重影响儿童和青少年的心理社会发展，因此在健康科学和公共卫生监测中受到极大关注。本研究旨在探讨描述个体轨迹的最佳功能类型、这些功能之间的潜在差异，以及从儿童及其父母的角度来看的相应预测因素。基于德国基于人群的代表性 BELLA 队列样本，在 3 年的时间内，使用混合增长曲线分析，对基线时年龄在 7 至 17 岁之间的 2857 名儿童和青少年进行了每年一次的随访。PHC 是按照《儿童健康行为症状检查表》进行测量的。PHC 的平均水平相当低，父母报告的水平略低于自我报告的水平，且在不同的研究对象中存在显著差异。就父母报告而言，2 年的轨迹最好用线性缓慢增长来描述，随着时间的推移，增长速度会略有放缓。11 至 17 岁时，自我报告的线性增长趋势更为明显，但每个研究对象的情况都不同，且与基线分数相关。轨迹可以用已知的预测因素来解释，最重要的是儿童或青少年的心理健康问题。研究结果证实了以往研究的发现，并提供了有关德国儿童和青少年心身健康问题短期个体发展的代表性数据。
