A developmental perspective on family risk factors in somatization

Terre, Lisa; Ghiselli, William B.

doi:10.1016/s0022-3999(96)00237-1

Cited by 51 publications

(28 citation statements)

References 42 publications

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“…These findings are consistent with suggestions that physical complaints may represent leading indicators of later mood problems [17]. Specifically, in nonclinical samples, somatic symptoms may serve as an early sign of difficulties managing life demands [38, 39]which, if not addressed, may progress into feelings of helplessness and hopelessness [40]. Indeed, broader literature suggests that somatic and depressive symptoms may both be rooted in a tendency toward negatively biased, internal monitoring [12, 41, 42].…”

Section: Discussionsupporting

confidence: 88%

Do Somatic Complaints Predict Subsequent Symptoms of Depression?

Terre

Poston

Foreyt

et al. 2003

Psychother Psychosom

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Background: Evidence suggests substantial comorbidity between symptoms of somatization and depression in clinical as well as nonclinical populations. However, as most existing research has been retrospective or cross-sectional in design, very little is known about the specific nature of this relationship. In particular, it is unclear whether somatic complaints may heighten the risk for the subsequent development of depressive symptoms. Methods: We report findings on the link between symptoms of somatization (assessed using the SCL-90-R) and depression 5 years later (assessed using the CES-D) in an initially healthy cohort of community adults, based on prospective data from the RENO Diet-Heart Study. Results: Gender-stratified multiple regression analyses revealed that baseline CES-D scores were the best predictors of subsequent depressive symptoms for men and women. Baseline scores on the SCL-90-R somatization subscale significantly predicted subsequent self-reported symptoms of depressed mood 5 years later, but only in women. However, somatic complaints were a somewhat less powerful predictor than income and age. Conclusions: Our findings suggest that somatic complaints may represent one, but not necessarily the most important, risk factor for the subsequent development of depressive symptoms in women in nonclinical populations. The results also highlight the importance of including social variables in studies on women’s depression as well as conducting additional research to further examine predictors of depressive symptoms in men.

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Section: Discussionsupporting

confidence: 88%

Do Somatic Complaints Predict Subsequent Symptoms of Depression?

Terre

Poston

Foreyt

et al. 2003

Psychother Psychosom

Self Cite

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“…The fairly high stability of negative emotionality most likely contributed to the fact that preschool negative emotionality had nothing to add in the explanation of the bodily complaints. Viewing crying and whining partly as expressions of bodily comfort, perhaps due to low pain thresholds (Terre and Ghiselli, 1997), poor regulation of infants' and preschoolers' negative expressions could be one factor in the development of more specific forms of complaints in middle childhood. This pathway from early emotionality to somatic complaints was not connected to the specific emotion regulating functions inherent in the attachment relationship.…”

Section: Discussionmentioning

confidence: 99%

“…The prospective research on predictors/mechanisms in the development of subclinical psychosomatic problems encountered in community samples is scant (Terre and Ghiselli, 1997), which motivated the present study on picky eating, headache and stomachache complaints. Initially, the influence of the well-known health inequality factors, sex (Malatesta and Culver, 1993) and socioeconomic status (Wilkinson, 1996) was checked and, if relevant, controlled for in subsequent analyses.…”

Section: The Present Studymentioning

confidence: 99%

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Predictors of middle childhood psychosomatic problems: An emotion regulation approach

Hageküll

Bohlin

2004

Infant and Child Development

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Development of the psychosomatic problems picky eating and headache and stomachache complaints in middle childhood was investigated from an emotion regulation perspective. The role of negative emotionality and family emotion regulatory factors (attachment to mother and parental perceived control) was studied. The sample ðN ¼ 87Þ was a predominantly middleclass, community sample. The study was longitudinal, based on data from several data collections between child age 11 months and 9 years. The results showed that headache and stomachache complaints were mainly predicted by early negative emotionality, and picky eating by the family factors. More negative emotionality, insecure attachment and less perceived control were related to more psychosomatic problems in linear and interaction models. The findings were interpreted as showing that by considering emotion regulation, a fruitful perspective for understanding the development of psychosomatic problems could be elaborated. Copyright # 2004 John Wiley & Sons, Ltd.Key words: psychosomatic problems; longitudinal prediction; middle childhood; negative emotionality; attachment; parental perceived controlThe present study aimed to prospectively investigate in a community sample the role of early individual and family factors for psychosomatic symptoms in middle childhood. Psychosomatic problems refer to physical symptoms or illnesses that result from the interplay of psychosocial and physiological processes (Sarafino, 1998). To enhance the understanding of the development of headache, stomachache and picky eating problems as seen in 8-9-year-old children, we applied an emotion regulation perspective with a focus on early negative emotional expressions (cf. Taylor, 1994). This should be a fruitful approach as negative emotions have been shown to be connected to psychosomatic problems, and there are clear relations between somatic complaints and the two main emotion-based psychiatric disorders, anxiety and depression (e.g.

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“…21 A violência na infância, inclusive a sexual, tem sido relacionada ao quadro de FM (Terre, Guiselli, 1997).…”

Section: Comunicação Saúde Educaçãounclassified

Fibromialgia: perspectivas de um campo problemático

Aragon¹

2010

Interface (Botucatu)

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Este trabalho está ligado a pesquisas a respeito de processos de subjetivação e adoecimento contemporâneos, pela abordagem afirmativa e não reducionista da fibromialgia. Formula-se uma metodologia chamada de afirmação do campo problemático, a qual procura resistir à abordagem dialética e à negativação dos sinais e sintomas, para captar a processualidade do jogo de afetos e da produção de signos de hoje, fazendo uso de instrumental psicanalítico, filosófico e clínico. A indiscernibilidade dos limites, a multiplicação de superfícies e a alienação dos ritmos participantes dos processos vitais de individuação surgem como resultados da pesquisa e propõe-se abordar um corpo-questão como território de incidência política, ética e clínica.

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A developmental perspective on family risk factors in somatization

Cited by 51 publications

References 42 publications

Do Somatic Complaints Predict Subsequent Symptoms of Depression?

Do Somatic Complaints Predict Subsequent Symptoms of Depression?

Predictors of middle childhood psychosomatic problems: An emotion regulation approach

Fibromialgia: perspectivas de um campo problemático

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