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Related Experiment Videos

Somatic symptoms in anxious-depressed school refusers

G A Bernstein1, E D Massie, P D Thuras

  • 1Division of Child and Adolescent Psychiatry, University of Minnesota Medical School, Minneapolis, USA.

Journal of the American Academy of Child and Adolescent Psychiatry
|May 1, 1997
PubMed
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Adolescent school refusal often involves physical complaints linked to anxiety and depression. Recognizing these somatic symptoms can improve psychiatric assessment and treatment, preventing unnecessary medical evaluations.

Area of Science:

  • Child and Adolescent Psychiatry
  • Behavioral Medicine
  • Pediatric Psychology

Background:

  • School refusal is a complex issue in adolescents.
  • Comorbid anxiety and depressive disorders are common in school refusers.
  • Somatic symptoms can be a manifestation of underlying psychological distress.

Purpose of the Study:

  • To determine prevalent physical complaints in adolescent school refusers with anxiety and depression.
  • To investigate the association between somatic symptoms and levels of anxiety versus depression.

Main Methods:

  • Evaluation of 44 adolescents in a treatment study.
  • Utilized structured psychiatric interviews.
  • Administered measures of anxiety, depression, and somatization.

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Main Results:

  • Autonomic and gastrointestinal complaints were most frequent.
  • Anxiety and depression levels significantly predicted somatic symptom severity.
  • A trend suggested a correlation between school absenteeism and somatic symptoms.

Conclusions:

  • Somatic complaints in adolescents frequently signal underlying anxiety and depression.
  • Early identification can lead to prompt psychiatric referral and treatment.
  • This approach may reduce unnecessary medical workups and complications of school refusal.