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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
A comprehensive approach to understand somatic symptoms and their impact on emotional and psychosocial functioning in
Rita Cerutti1, Valentina Spensieri1, Carmela Valastro1
1Department of Dynamic and Clinic Psychology, Sapienza University, Rome, Italy.
Insights
Children experiencing somatic symptoms often face functional impairment and difficulties in identifying feelings. This study highlights the link between somatic symptoms, functional disability, and alexithymia in school-aged children.
Area of Science:
- Child Psychology
- Pediatric Health
- Mental Health Research
Background:
- Somatic symptoms are common in children, often leading to functional impairment.
- Research on the link between somatic symptoms and difficulties in identifying feelings is limited in childhood populations.
- This study explores somatic symptoms, functional impairment, and alexithymia in school-aged children.
Purpose of the Study:
- To investigate the prevalence of somatic symptoms and functional impairment in children.
- To explore the relationship between somatic symptoms, functional disability, and alexithymia.
- To examine parental perceptions of children's somatic symptoms and functioning.
Main Methods:
- 356 Italian school-aged children and their mothers participated.
- Children completed the Children's Somatization Inventory (CSI-24), Functional Disability Inventory (FDI), and Alexithymia Questionnaire for Children (AQC).
- Mothers completed parental forms of the CSI and FDI.
Main Results:
- 33.7% of children reported somatic symptoms in the past two weeks.
- Somatic symptoms correlated significantly with functional disability and alexithymic features.
- Somatic symptoms mediated the relationship between difficulties in identifying feelings and functional impairment.
Conclusions:
- Higher frequency of somatic symptoms in children is associated with functional disabilities.
- Difficulties in identifying feelings (alexithymia) are linked to increased somatic symptomatology.
- Findings underscore the importance of addressing emotional identification in children with somatic complaints.
Introduction:
Somatic symptoms are frequently reported by children with significant impairment in functioning. Despite studies on adult populations that suggest somatic symptoms often co-occur with difficulties in identifying and describing feelings, little research has been done in childhood. This study aimed to investigate the prevalence and frequency of somatic symptoms as well as to investigate the functional impairment in children with high number of self reported somatic symptoms versus those with fewer somatic symptoms. Additionally the parental perception of their children's somatic symptoms and functioning was explored. Finally, we explored the direct and indirect effects of difficulties in identifying feelings in predicting somatic symptoms and functional disability among school-aged children.
Methods:
356 Italian school-aged children and their mothers participated in this study. Children (mean age = 11.43; SD = 2.41) completed the Children's Somatization Inventory (CSI-24) to assess somatic symptoms, the Functional Disability Inventory (FDI) to assess physical and psychosocial functioning and the Alexithymia Questionnaire for Children (AQC) to evaluate alexithymic features. Mothers completed the parental forms of the CSI and the FDI.
Results:
Among children, 66.3% did not declare somatic symptoms and 33.7% reported one or more somatic symptoms in the last two weeks. A significant positive correlation emerged between children's and mothers' CSI total scores. Both children's and mothers' FDI total scores were significantly correlated with CSI scores. A significant correlation was observed between somatic symptoms and alexithymic features. Furthermore, the data showed that somatic symptoms mediated the relationship between difficulties in identifying feelings and functional impairment. Finally, it was showed that alexithymia facet of difficulty in identifying feelings contributed in large part to the prediction of the somatic symptomatology (b = 0.978, p < 0.001; R2 = 0.164, F(5, 350) = 10.32, p < 0.001).
Conclusions:
Findings from this study provide evidence that a higher frequency of somatic symptoms is associated with functional disabilities and alexithymic facets in school-aged children.
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