Literature DB >> 20545935

Somatic symptoms as a marker for severity in adolescent depression.

Hannes Bohman1, Ulf Jonsson, Anne-Liis Von Knorring, Lars Von Knorring, Aivar Päären, Gunilla Olsson.   

Abstract

AIM: This study aims to investigate the prevalence of somatic symptoms in depressed adolescents and in their healthy peers. A second aim is to investigate the correlation, in the depressed adolescents, between the number of somatic symptoms and severe concurrent symptoms, signs and life events.
METHODS: The total population of 16-17 year olds - in the city of Uppsala - was screened for depression and then interviewed using a structured interview questionnaire. Depressed subjects and matched controls were identified. A total of 177 pairs were used for pair-wise analyses of somatic symptoms. Severe symptoms, signs and life events were selected for analysing their relation to depression with somatic symptoms.
RESULTS: The adolescents with depressive disorders experienced considerably more somatic symptoms than their healthy controls. The duration and depth of the depression correlated with the number of somatic symptoms. There was a strong correlation between depression with many somatic symptoms and suicidal plans/thoughts, suicidal attempts, disruptive behaviour, as well as multiple stressful relationships.
CONCLUSION: This study demonstrates that somatic symptoms are common in adolescent depression. Multiple somatic symptoms within depression imply a higher severity in terms of duration, depth and psychiatric comorbidity. The strong correlation with suicidal plans, suicidal attempts and disruptive behaviour is concerning.
© 2010 The Author(s)/Journal Compilation © 2010 Foundation Acta Paediatrica.

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Year:  2010        PMID: 20545935     DOI: 10.1111/j.1651-2227.2010.01906.x

Source DB:  PubMed          Journal:  Acta Paediatr        ISSN: 0803-5253            Impact factor:   2.299


  18 in total

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10.  Prognostic significance of functional somatic symptoms in adolescence: a 15-year community-based follow-up study of adolescents with depression compared with healthy peers.

Authors:  Hannes Bohman; Ulf Jonsson; Aivar Päären; Lars von Knorring; Gunilla Olsson; Anne-Liis von Knorring
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