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Determinants of somatic complaints in 18-month-old children: the generation R study
Noor Wolff1, Anne-Sophie Darlington, Joke Hunfeld
1Erasmus University Medical Center, Department of Medical Psychology & Psychotherapy, P.O. Box 2040, 3000 CA Rotterdam, the Netherlands. n.wolff@erasmusmc.nl
Insights
Child temperament, maternal stress, and maternal somatic symptoms are linked to childhood somatic complaints. These factors may increase the likelihood of these symptoms in toddlers.
Area of Science:
- Developmental Psychology
- Pediatric Health
- Maternal Mental Health
Background:
- Childhood somatic complaints are a common concern.
- Understanding contributing factors is crucial for early intervention.
- Previous research has explored various influences on child health.
Purpose of the Study:
- To examine the impact of child temperament, maternal psychological symptoms, chronic pain, and parenting stress on children's somatic complaints.
- To identify key predictors for the development of somatic complaints in toddlers.
Main Methods:
- Utilized data from the population-based Generation R Study.
- Assessed somatic complaints in 5,171 children at 18 months via mother-report.
- Collected data on maternal somatic symptoms, depression, anxiety, chronic pain, parenting stress, and child temperament.
Main Results:
- Fearful temperament and temperamental falling reactivity were associated with increased somatic complaints.
- Maternal somatic symptoms, anxiety symptoms, and parenting stress independently predicted higher rates of child somatic complaints.
- These factors demonstrated a prospective association with somatic complaints at 18 months of age.
Conclusions:
- Child temperament, maternal stress, and maternal somatic symptoms are significant factors in toddler somatic complaints.
- Further longitudinal research is necessary to confirm causality and predictive value.
- Early identification of these risk factors may aid in preventing childhood somatic complaints.
Objective:
To investigate the effect of child temperament, maternal psychologic symptoms, maternal chronic pain, and parenting stress on children's somatic complaints.
Methods:
The study was embedded in the Generation R Study, a population-based cohort study. Child somatic complaints were assessed via mother-report in 5,171 children of 18 months of age. Questionnaires assessed maternal somatic symptoms, symptoms of depression, anxiety during pregnancy and 2 months after delivery, maternal chronic pain during pregnancy, parenting stress 18 months after birth, and mother-reported child temperament 6 months after birth, as the determinants.
Results:
Fearful temperament, temperamental falling reactivity, maternal somatic symptoms, anxiety symptoms, and parenting stress each independently and prospectively increased the likelihood of children's somatic complaints at 18 months of age.
Conclusions:
In toddlers, temperament, maternal stress, and maternal somatic symptoms seem particularly important for the development of somatic complaints, but long-term research is needed to establish causality and predictive value of these factors.
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