Knishkowy B, Palti H, Tima C, Adler B, Gofin R
Department of Social Medicine, Hadassah Medical Organization, Jerusalem, Israel.
Adolescence. 1995 Summer;30(118):351-62.
This study examines recurrent psychosomatic symptoms and symptom clusters among 5th and 6th grade Israeli school children. A questionnaire which asked about the frequency of eight psychosomatic and eight organic complaints was administered to 259 students. The most frequently reported psychosomatic complaints were abdominal pain, experienced often by 21%, and headache, experienced often by 20% of the pupils. There were statistically significant differences between the sexes, girls having a higher prevalence than boys for eight of the symptoms, and with more girls than boys reporting more than one symptom in each category: 23% of the students had more than one psychosomatic symptom and 16% had more than one organic symptom. Multiple psychosomatic complaints were common, with 28% of those with back or limb pain and 27% of those suffering from "bad mood" reporting an additional three to five complaints. Abdominal pain and headache were each reported as an accompanying complaint in more than 40% of cases for almost every other psychosomatic complaint. The significance of these symptom clusters needs to be explored further as they may have important implications as markers for psychosocial stress.
本研究调查了以色列五、六年级学童反复出现的心身症状和症状群。向259名学生发放了一份问卷，询问八种心身症状和八种器质性不适的出现频率。最常报告的心身症状是腹痛，21%的学生经常经历，头痛，20%的学生经常经历。性别之间存在统计学上的显著差异，八种症状中女孩的患病率高于男孩，并且在每个类别中报告一种以上症状的女孩比男孩多：23%的学生有不止一种心身症状，16%的学生有不止一种器质性症状。多种心身症状很常见，28%有背部或肢体疼痛的学生以及27%有“情绪不佳”的学生报告了另外三到五种症状。几乎每一种其他心身症状中，腹痛和头痛都在40%以上的病例中被报告为伴随症状。这些症状群的重要性需要进一步探索，因为它们可能作为心理社会压力的标志物具有重要意义。
