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Somatic Symptom Disorders in Adolescent Inpatients
Xue Gao1, Phillipa McSwiney1, Andrew Court2
1Centre for Adolescent Health, Royal Children's Hospital, Parkville, Victoria, Australia.
Summary
Hospitalized adolescents with somatic disorders (SDs) often present with neurological or pain symptoms. Most patients achieve recovery, particularly when families support the diagnosis and treatment.
Area of Science:
- Adolescent Medicine
- Pediatric Health
- Psychosomatic Medicine
Background:
- Somatic disorders (SDs) in adolescents requiring hospitalization are infrequently reported.
- Understanding the characteristics and outcomes of these admissions is crucial for optimizing care.
Purpose of the Study:
- To describe the symptom profile of hospitalized adolescents with SDs.
- To analyze health service utilization for these patients.
- To evaluate the recovery outcomes of adolescents with SDs post-hospitalization.
Main Methods:
- Retrospective cohort study of adolescent admissions to a tertiary children's hospital.
- Medical records were reviewed to identify patients meeting SD diagnostic criteria.
- Functional recovery was assessed 18-30 months post-discharge.
Main Results:
- 60 admissions (53 patients, 79% female) with SDs were identified, representing 12% of unit admissions.
- Presenting symptoms were predominantly neurological (45%) and pain-related (39%).
- 81% of patients with follow-up showed complete or partial recovery; family acceptance of diagnosis strongly predicted better outcomes.
Conclusions:
- Hospitalized adolescents with SDs require significant healthcare resources due to complex assessments.
- Recovery is achievable for most patients, with parental support being a key factor.
- Multidisciplinary communication is essential for comprehensive care of adolescents with SDs.
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