Alfvén G
Department of Paediatrics, Huddinge Hospital, Sweden.
Acta Paediatr. 1993 May;82(5):484-7. doi: 10.1111/j.1651-2227.1993.tb12728.x.
Psychosomatic symptoms among children are believed to be commonplace. In this investigation by questionnaire, 47% of 1333 schoolchildren reported one or several symptoms, such as recurrent abdominal pain, headache, chest pains, loss of appetite and disturbances in bowel function. Coexistence of such symptoms was considerable and if a child had one of these, the probability that it would have one or more other symptoms was significantly increased. This correlation may strengthen both the suspicion that these symptoms are often psychosomatic and the idea that they have common CNS origin. There were appreciable differences in the frequency of the symptoms, between children at the more socially stable schools and schools with social problems. In the latter, the frequencies of symptoms differed between Swedish and immigrant children, which was not the case in the more socially stable schools.
儿童的身心症状被认为很常见。在这项问卷调查中,1333名学童中有47%报告了一种或几种症状,如反复腹痛、头痛、胸痛、食欲不振和肠道功能紊乱。这些症状并存的情况相当普遍,如果一个孩子有其中一种症状,那么它出现一种或多种其他症状的可能性会显著增加。这种相关性可能会强化这样一种怀疑,即这些症状通常是身心性的,以及它们有共同的中枢神经系统起源的观点。在社会较为稳定的学校的儿童和存在社会问题的学校的儿童之间,症状出现的频率存在明显差异。在后者中,瑞典儿童和移民儿童的症状出现频率有所不同,而在社会较为稳定的学校中并非如此。