Somatic symptoms and anxiety among African American adolescents
Somatic symptoms and anxiety among African American adolescents
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DOI：
10.1177/0095798407307041
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发表时间：
2007-11-01
影响因子：
5.2
通讯作者：
Alfano, Candice A.
中科院分区：
文献类型：
--
作者：
Kingery, Julie Newman;Ginsburg, Golda S.;Alfano, Candice A.
躯体症状是焦虑症的一个相关特征，在非白人样本中很少受到研究关注。此外，之前的大多数研究都是以横断面而非前瞻性的方式检验躯体症状的影响。本研究调查了 114 名非裔美国青少年（57 名女孩）的社区样本中 12 种躯体症状的患病率、躯体症状和焦虑症状（同时和未来）与心理社会功能的关联，以及躯体症状的性别差异。总体而言，83% 的样本报告了至少一种躯体症状（过去 2 周内的部分或大部分时间），平均而言，青少年报告了 2.5 种躯体症状。躯体症状与焦虑症状的严重程度呈正相关，与感知能力方面呈负相关。当焦虑症状的初始水平得到控制后，躯体症状成为感知能力（初始评估时）和焦虑症状（6 个月随访时）的独特预测因子。总体而言，女孩比男孩更认可躯体症状。研究结果重复了白人样本的研究结果，表明躯体症状可能是非裔美国青年焦虑症的危险因素。
Somatic symptoms are an associated feature of anxiety disorders that have received little research attention among non-White samples. In addition, the majority of previous studies have examined the influence of somatic symptoms in a cross-sectional rather than a prospective manner. This study examines the prevalence of 12 somatic symptoms, the association of somatic and anxiety symptoms (both concurrently and prospectively) with psychosocial functioning, and gender differences in somatic symptoms among a community sample of 114 African American adolescents (57 girls). In all, 83% of the sample reported at least one somatic symptom (some or most of the time within the past 2 weeks), and on average, adolescents reported 2.5 somatic symptoms. Somatic symptoms correlated positively with severity of anxiety symptoms and negatively with aspects of perceived competence. After the initial level of anxiety symptoms was controlled for somatic symptoms were a unique predictor of perceived competence (at initial assessment) and anxiety symptoms (at 6-month follow-up). Overall, girls endorsed significantly more somatic symptoms than did boys. Findings replicate those of studies with White samples and suggest that somatic symptoms may be a risk factor for anxiety disorders among African American youth.