Do negative childhood conditions increase the risk of somatic symptoms in adolescence? - a prospective cohort study.

Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Adolescent Health* ; Adverse Childhood Experiences* ; Family* ; Family Health* ; Medically Unexplained Symptoms*; Somatoform Disorders/*etiology; Adolescent ; Child ; Cohort Studies ; Female ; Humans ; Male ; Parents ; Prospective Studies ; Risk Factors ; Social Class ; Surveys and Questionnaires

Background: In order to prevent health and social problems later in life, it is important to identify childhood conditions related to the development of somatic symptoms. This prospective study expands on previous research by investigating whether negative childhood conditions are related to somatization later in life, taking other risk factors into account. This study aims to investigate whether somatic symptoms of the participants' parents, poor family functioning, or negative life events during childhood result in somatic symptoms in early or late adolescence.
Methods: The study population includes participants from the West Jutland Cohort Study who responded to the survey on their somatic symptoms at age 15 (n = 2963) and/or age 18 (n = 2341). The study also includes additional questionnaire information about the participants' poor family functioning, number of negative life events, and parental reports of somatic symptoms as well as register information about parental socioeconomic background. Generalized linear models for the binomial family were used and the results were presented as relative risks (RR) and risk differences (RD) with 95% confidence intervals (95%-CI).
Results: Experiencing poor family functioning at age 15 showed associations with somatic symptoms at age 15 (RR 1.75, 95%-CI, 1.43-2.14 and RD 18, 95%-CI, 11-25%) and 18 (RR 1.32, 95%-CI, 1.00-1.75 and RD 7, 95%-CI, 0.2-14%). The relative risks between poor family functioning and somatic symptoms were 2.5 for the boys at age 15 and 1.71 for the girls at age 18. Having experienced two or more negative life events up to the age of 15 was associated with reporting somatic symptoms at age 15 (RR 1.73, 95%-CI, 1.31-2.28 and RD 24, 95%-CI, 11-37%). No relative risks above 1.35 were found between parents reporting somatic symptoms and participants reporting somatic symptoms at ages 15 or 18.
Conclusions: An increased awareness of the association between a poor social climate in the family and somatic symptoms may help professionals in health and educational systems prevent the development of such symptoms among adolescents.

Arch Dis Child. 2000 Nov;83(5):388-92. (PMID: 11040143)
Annu Rev Psychol. 2001;52:83-110. (PMID: 11148300)
Arch Dis Child. 1975 Feb;50(2):110-4. (PMID: 1130815)
Pain. 2001 May;92(1-2):195-200. (PMID: 11323140)
Scand J Psychol. 2002 Apr;43(2):139-46. (PMID: 12004951)
Psychol Med. 2002 Jul;32(5):805-16. (PMID: 12171375)
J Appl Psychol. 2003 Oct;88(5):879-903. (PMID: 14516251)
Arch Pediatr Adolesc Med. 2004 Aug;158(8):797-803. (PMID: 15289254)
Fam Pract. 2005 Aug;22(4):448-57. (PMID: 15814580)
Psychosom Med. 2005 Nov-Dec;67(6):1006-12. (PMID: 16314607)
Clin Psychol Rev. 2007 Oct;27(7):855-71. (PMID: 17804131)
Spine (Phila Pa 1976). 2007 Nov 1;32(23):2630-7. (PMID: 17978666)
J Pediatr Psychol. 2009 Oct;34(9):989-98. (PMID: 19223276)
Child Psychiatry Hum Dev. 2011 Oct;42(5):569-83. (PMID: 21614552)
Scand J Public Health. 2011 Jul;39(7 Suppl):22-5. (PMID: 21775345)
Scand J Public Health. 2011 Jul;39(7 Suppl):91-4. (PMID: 21775362)
Scand J Public Health. 2011 Jul;39(7 Suppl):103-5. (PMID: 21775365)
J Behav Med. 2013 Oct;36(5):454-65. (PMID: 22772584)
Int Rev Psychiatry. 2013 Feb;25(1):65-76. (PMID: 23383668)
PLoS One. 2013 Sep 11;8(9):e75860. (PMID: 24040421)
J Epidemiol Community Health. 2014 Feb;68(2):137-44. (PMID: 24072742)
Child Psychiatry Hum Dev. 2014 Aug;45(4):398-407. (PMID: 24129543)
J Pediatr. 2014 Apr;164(4):900-905.e2. (PMID: 24418471)
Health Psychol. 2014 Nov;33(11):1354-61. (PMID: 24588633)
Scand J Public Health. 2015 Jul;43(5):460-8. (PMID: 25816863)
Int J Adolesc Med Health. 2016 Nov 1;28(4):437-444. (PMID: 26656607)
BMC Public Health. 2016 Jan 05;16:3. (PMID: 26729243)
Br J Psychol. 2017 May;108(2):318-333. (PMID: 27221984)
Health Rep. 2017 Mar 15;28(3):3-8. (PMID: 28295128)
BMC Public Health. 2017 Mar 31;17(1):287. (PMID: 28359276)
Scand J Public Health. 2019 May;47(3):301-309. (PMID: 29734852)
J Pediatr Psychol. 1995 Apr;20(2):233-45. (PMID: 7760222)
Qual Life Res. 1994 Dec;3 Suppl 1:S27-31. (PMID: 7866367)

20130068768/3 The Danish Working Environment Research Fund.

Keywords: Adolescence; Childhood conditions; Somatic symptoms

Date Created: 20190628 Date Completed: 20190903 Latest Revision: 20200225

20240104

PMC6595570

10.1186/s12889-019-7198-y

31242885