Bodily pain and associated mental distress among immigrant adolescents. A population-based cross-sectional study.
ABSTRACT The aim of this study was to describe differences among immigrant groups in bodily pain, and analyze its association with mental distress.
A population-based cross-sectional study was carried out involving tenth grade pupils in Oslo. Of the 7,343 pupils that participated, one-quarter were first- or second-generation immigrants. The Hopkins Symptom Checklist-10 was used to measure mental distress. All information on pain and mental distress was self-reported.
Girls reported more bodily pain from all types of pain. Headache was the most prevalent pain site across gender and immigrant groups. Strong associations between mental distress and number of pain sites were found for all immigrant groups. Neck and shoulder pain yielded the highest odds ratio (OR) for mental distress among the majority of the immigrant groups. The Sub-Saharan African group had the highest adjusted OR for mental distress [OR=9.8 (1.1-82.7)] when reporting three or more pain sites, and the Indian Subcontinent the lowest [OR=4.0 (1.8-8.8)].
The differences in number and types of pain were small, though significant between the different immigrant groups. Adolescents from Sub-Saharan Africa seem to react with more mental distress to bodily pain than adolescents emigrating from the Indian Subcontinent.
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ABSTRACT: Im Vergleich zu psychischen Auffälligkeiten liegen bislang nur wenige gesicherte empirische Erkenntnisse über Körperbeschwerden im Kindes-und Jugendalter vor. Im Rahmen des Hamburger Gesundheitssurveys wurden deshalb anhand einer bundesweit repräsentativen Stichprobe von N = 1950 4-bis 18-Jährigen mittels eines Eltern-und Kinderfragebogens Daten zu körperli-chen Beschwerden, Biographie und Lebensumständen erhoben. Neben studienspezifischen Items wurde der Gießener Beschwerdebogen für Kinder und Jugendliche (GBB-KJ) verwendet. Mit Abstand am häufigsten zeigen sich bei allen Alters-, Geschlechts-und Urteils-kombinationen Erkältungssymptome; Kreislaufbeschwerden treten am seltensten auf. Die verschiedenen Beschwerdekomplexe weisen insbesondere mit Eintritt in die Pubertät unterschiedliche alters-und geschlechtsspezifische Verläufe auf. Der Gesamt-Beschwerdedruck über alle Beschwerdekomplexe hinweg bleibt für Jungen mit zunehmendem Alter relativ gleich, für Mädchen erfolgt mit Beginn der Pubertät eine Zunahme. Die Übereinstimmung der Eltern-und Selbsturteile für 11-bis 18-Jährige fällt moderat aus. Die Ergebnisse stimmen gut mit bisherigen Arbeiten überein und weisen darauf hin, dass körperliche Beschwerden bei Kindern und Jugendlichen ein häufiges Phänomen darstellen. Summary. Compared to mental health problems, the type, prevalence, distribution, age and sex dependency as well as further correlates of physical complaints in childhood and adolescence have to-date been examined in only few empirical studies. In the context of the Hamburg Health Survey, data relating to physical complaints, biography and living environment were gathered by means of a parent and child questionnaire based upon a national, representative sample of N = 1950 4–18 year olds. In addition to study specific items, the Giessen Subjective Complaints List for Children and Adolescents (GSCL-C) was used. Cold problems proved by far the most prevalent across all age, sex and rater combinations, and cardiovascular problems occurred least. Divergent age and sex specific courses of the various complaint complexes became particularly evident upon onset of puberty. The overall distress caused by the ailments across all complexes remained relatively constant with increasing age for boys and intensified with commencement of puberty for girls. Levels of agreement between parent and self-report for 11–18 year olds proved moderate. Results correspond to a great extent with previous studies and indicate that physical ailments in childhood and adolescence present a frequent phenomenon.
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ABSTRACT: The aim of this study was to assess the prevalence of chronic multisite pain with high disability in relation to emotional or behavioral problems and resilience factors in adolescence. A second aim was to investigate if resilience factors could attenuate the associations between psychiatric symptoms and chronic multisite pain. The study was based on a large cross-sectional study carried out in Norway between 2006 and 2008 and included 7,070 adolescents aged 13-19 years. Chronic multisite pain was defined as pain at least once a week during the last 3 months, scoring high on a disability index, and occurring in three or more locations. Chronic multisite pain was prevalent among adolescents with high scores (>85 %) for anxiety/depression, social anxiety, conduct or attention problems (22.8-31.0 % for girls, 8.8-19.0 % for boys). Several coexistent psychiatric symptoms increased the prevalence of chronic multisite pain for both girls and boys. Resilience factors, including high self-esteem, seldom feeling lonely, and high scores for family cohesion or social competence, were associated with a lower prevalence and markedly attenuated the association between psychiatric symptoms and chronic multisite pain. Psychiatrists should be careful to assess and treat comorbid chronic pain in adolescents with emotional or behavioral problems.European Child & Adolescent Psychiatry 08/2014; DOI:10.1007/s00787-014-0601-4 · 3.55 Impact Factor
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ABSTRACT: Pain is common in otherwise healthy adolescents. In recent years widespread musculoskeletal pain, in contrast to single site pain, and associating factors has been emphasized. Musculoskeletal pain has not been examined in Arctic indigenous adolescents. The aim of this study was to explore the prevalence of widespread musculoskeletal pain and its association with psychosocial factors, with emphasis on gender- and ethnic differences (Sami vs. non-Sami), and the influence of pain related functional impairment.BMC Public Health 06/2014; 14(1):617. DOI:10.1186/1471-2458-14-617 · 2.32 Impact Factor