RESUMO
La presencia de síntomas somáticos en población clínica infantil ha sido analizada en estudios internacionales, pero son escasos los trabajos dirigidos a estudiar las características de los síntomas somáticos en niños españoles con sintomatología depresiva. El presente estudio examina la relación entre las quejas somáticas y los síntomas depresivos en una muestra de niños españoles, teniendo en cuenta su sexo y edad. Participaron 666 niños con edades entre 8 y 12 años que completaron el Inventario de Depresión Infantil y el Inventario de Somatización Infantil que examina 35 síntomas somáticos. Los resultados indican que los síntomas pseudoneurológicos, gastrointestinales y de dolor son más frecuentes en los niños con sintomatología depresiva, siendo el dolor de articulaciones, el dolor de cabeza y el cansancio los síntomas más prevalentes. Se concluye la importancia de atender adecuadamente a los síntomas somáticos puesto que con frecuencia pueden responder a un trastorno emocional más que a una enfermedad física.
The presence of somatic symptoms in children has been widely analyzed in international studies, but there is a lack of studies aimed at studying the characteristics of somatic symptoms in Spanish children with depressive symptoms. This study examines the relationship between somatic complaints and depressive symptoms in a sample of Spanish children, taking into account their age and sex. Participants were 666 children aged between 8 and 12 years who completed the Child Depression Inventory and the Children's Somatization Inventory that examine 35 somatic symptoms. The results indicate that pseudoneurological, pain and gastrointestinal symptoms are more common in children with depressive symptoms, being the joint pain, headache and fatigue the most prevalent symptoms. An adequately detection of somatic symptoms in children could be important due to these symptoms often may respond to an emotional disorder rather than a physical illness.
Assuntos
Humanos , Masculino , Feminino , Criança , Transtornos Psicofisiológicos/psicologia , Transtornos Somatoformes/psicologia , Depressão/psicologia , Espanha , Sintomas InexplicáveisRESUMO
Objective:to study help seeking behavior of depressive patients presented as somatic complaints.Method:62 patients with depression presented with somatic complaints in general hospital and 33 presented with depressive mood in psychiatric clinics were collected. All subjects received assessment with HAMA, HAMD and a research interview.Result:depressive patients in general hospital mainly complained as poor appetite (68%), difficult in falling in sleep (66%), chest discomfort (58%), palpitation (55%), and fatigue (45%). They were different significantly to depressive patients to psychiatric clinics in level of education, help seeking behavior, illness attribution. 55 of them complained loss half of their work capacity.Conclusion:depressive patients presented as somatic complaints in general hospital consist a separate subgroup with depressive disorders.