School stressors, psychological complaints and psychosomatic pain
School stressors, psychological complaints and psychosomatic pain
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DOI：
10.1111/j.1651-2227.2007.00585.x
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发表时间：
2008-01-01
期刊：
影响因子：
3.8
通讯作者：
Ostberg, Viveca
中科院分区：
文献类型：
--
作者：
Hjern, Anders;Alfven, Gosta;Ostberg, Viveca
背景：近几十年来，斯堪的纳维亚学龄儿童报告心身疼痛和心理主诉的比例有所增加。在这项研究中，我们调查了这些症状在学校environment.Methods潜在的压力源：一个横断面研究的基础上进行了全国代表性的家庭调查在瑞典在2002-2003年期间，覆盖样本2588名儿童年龄在10-18岁的儿童访谈。心身疼痛的主要结果变量是头痛和每周反复腹痛。结果：学校压力源，如同伴骚扰，学业压力和被老师对待不好，与心身疼痛以及心理抱怨，如悲伤，易怒，感觉不安全和紧张。疼痛被确定为一个特别重要的决定因素，调整后的优势比（OR）范围为3.1至8.6心身疼痛。所有的心理投诉与心身疼痛调整OR值范围从2.2到3.7，和介导的骚扰心身pain.Conclusions：学校的压力与心身疼痛和心理投诉在学校的孩子。心理抱怨似乎在很大程度上起着学校压力源与心身疼痛症状关联的中介作用。
Background: The proportion of Scandinavian school children reporting psychosomatic pain and psychological complaints have increased in recent decades. In this study we investigated these symptoms in relation to potential stressors in the school environment.Methods: A cross-sectional study was conducted based on child interviews linked to nationally representative household surveys in Sweden during 2002-2003 covering a sample of 2588 children aged 10-18 years. The main outcome variable of psychosomatic pain signified suffering from headache as well as recurrent abdominal pain on a weekly basis.Results: School stressors, such as harassment by peers, schoolwork pressure and being treated poorly by teachers, were associated with psychosomatic pain as well as psychological complaints such as sadness, irritability, feeling unsafe and nervous. Harassment was identified as a particularly important determinant with adjusted odds ratios (ORs) ranging from 3.1 to 8.6 for psychosomatic pain. All psychological complaints were associated with psychosomatic pain with adjusted ORs ranging from 2.2 to 3.7, and mediated most of the association of harassment to psychosomatic pain.Conclusions: School stressors are strongly associated with psychosomatic pain and psychological complaints in school children. Psychological complaints seem to function as mediators in the association of school stressors to psychosomatic pain symptoms to a great extent.