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Sökning: onr:"swepub:oai:DiVA.org:su-135717" > Somatic symptoms in...

Somatic symptoms in adolescence as a predictor of in-patient care for mental disorders in adulthood

Bohman, H (författare)
Brolin Låftman, Sara (författare)
Stockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)
Päären, A (författare)
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Jonsson, U (författare)
Jonsson, Ulf, 1974- (författare)
Uppsala universitet,Barn- och ungdomspsykiatri
Bohman, Hannes, 1965- (författare)
Uppsala universitet,Barn- och ungdomspsykiatri,Institutionen för kvinnors och barns hälsa,Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.; Stockholm Country Council, Stockholm Hlth Care Serv, Stockholm, Sweden.
Låftman, Sara B. (författare)
Stockholm Univ, Karolinska Inst, Ctr Hlth Equ Studies, Stockholm, Sweden.
Päären, Aivar, 1965- (författare)
Uppsala universitet,Barn- och ungdomspsykiatri
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 (creator_code:org_t)
2016
2016
Engelska.
Ingår i: European Journal of Public Health. - 1101-1262 .- 1464-360X. ; 26:1
  • Tidskriftsartikel (övrigt vetenskapligt)
Abstract Ämnesord
Stäng  
  • BackgroundSomatic symptoms such as headache, abdominal pain and dizziness, are common among young people and often associated with poor everyday functioning and concurrent mental disorders. Yet, relatively few studies have examined the long-term consequences of such symptoms. The aim of the study was to investigate if somatic symptoms in adolescence predict adulthood hospital based care for mental disorders.MethodsThe total school population of 16-17-year olds, in the city of Uppsala, Sweden, was screened for depression in 1991-1993. Adolescents with positive screening and the same number of healthy controls took part in a semi-structured diagnostic interview of mental disorders. In addition, 21 different self-rated functional somatic symptoms were assessed. The participants were followed up in the national patients register about 20 years later (n = 337). The associations between somatic symptoms in adolescence and in-patient care and out-patient hospital based mental health care in adulthood were analysed using binary logistic regression analysis.ResultsAdolescents with somatic symptoms had an excess risk of later psychiatric hospital based health care. The presence of multiple somatic symptoms (≥5) in adolescence was associated with psychiatric hospital based care in adulthood also when controlling for depression and anxiety in adolescence as well as sex and potential psychosocial confounders (OR 3.29, p = 0.046). The presence of just any somatic symptom (≥1) in adolescence predicted later hospital based mental health care for mood disorders (OR 8.49, p = 0.041) whereas adolescent depression, anxiety and sex did not, when mutually adjusted for.ConclusionsSomatic symptoms in adolescence are a strong independent predictor of severe mental health problems in adulthood. The link between adolescent somatic symptoms and adult mood disorders are particularly strong even when somatic symptoms are compared head to head with concurrent depression and anxiety.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

Child and Youth Psychiatry
Barn- och ungdomspsykiatri

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