Psychosocial determinants of headache, abdominal pain, and sleep problems in a community sample of Finnish adolescents
| Autor: | Minna Aromaa, Hans Helenius, Maria Rihko, Andre Sourander, Merja Koskelainen, Patrick J. McGrath, Terhi Luntamo |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
Sleep Wake Disorders medicine.medical_specialty Abdominal pain Time Factors Multivariate analysis Adolescent Cross-sectional study media_common.quotation_subject Comorbidity Sex Factors Surveys and Questionnaires Prevalence Developmental and Educational Psychology medicine Child and adolescent psychiatry Humans Psychiatry Finland media_common business.industry Headache General Medicine medicine.disease Sleep in non-human animals Abdominal Pain Psychiatry and Mental health Cross-Sectional Studies Feeling Adolescent Behavior Multivariate Analysis Pediatrics Perinatology and Child Health Female medicine.symptom business Psychosocial Clinical psychology |
| Zdroj: | European Child & Adolescent Psychiatry. 21:301-313 |
| ISSN: | 1435-165X 1018-8827 |
| DOI: | 10.1007/s00787-012-0261-1 |
| Popis: | The aims of this study were to examine the prevalence, co-occurrence, and psychosocial determinants of self-perceived headache, abdominal pain, and sleep problems among adolescents. The adolescents from two cities in Finland (n = 2,215, 90.9% of the target population) attending 7th and 9th grade (age range 13-18 years) participated in the cross-sectional survey inquiring about frequency of headache, abdominal pain, sleep problems, and psychosocial difficulties. The 6-month prevalence of weekly headache was 13%, abdominal pain 6%, and sleep problems 27%. All three symptoms were strongly associated with each other. Of the adolescents suffering from one symptom, 32% reported one co-occurring symptom and 17% two co-occurring symptoms. In the multivariate analysis, female gender, experience of psychological difficulties, emotional symptoms, smoking, victimization, and feeling not cared about by teachers were independently associated with all the individual symptoms, as well as an increasing number of symptoms. Sleep problems were associated with older age and peer and alcohol problems. Abdominal pain was associated with conduct problems, and both headache and abdominal pain were linked with immigration background. An increasing number of symptoms was associated with older age, having a chronic illness, and conduct and alcohol problems. Adolescents' headache, abdominal pain and sleep problems were common and often co-occurred. An increasing frequency of each symptom and number of symptoms were associated with psychosocial factors in a similar way. Screening for psychiatric symptoms, substance use, victimization and difficulties with teachers should be included in the assessment of adolescents who suffer from recurrent headache, abdominal pain or sleep problems. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|