Somatization by Proxy

Goldberg, Hope

doi:10.4324/9781315266992-4

Cited by 4 publications

(4 citation statements)

References 1 publication

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“…Stories showed parents shared negative experiences, including perceptions of witnessing their children being stigmatized or mistreated in their communities. These experiences might validate the overly protective parental responses identified in previous literature that inadvertently perpetuate somatization (Goldberg, 2017). This cardinal finding underscores the importance of treating mistrust in both the parent and child for optimal treatment.…”

Section: Discussionsupporting

confidence: 73%

“…In turn, the child internalizes the parental response as their own and can better self-regulate when distressed. Parents of chronically ill adolescents understandably may worry, keep close, vigilantly monitor symptoms, inadvertently reinforcing illness behavior and reducing the adolescent’s opportunities for individuation and agency (Goldberg, 2017). If such a parent is told their child’s symptoms signify unexpressed emotions, they may be acutely vulnerable to stigma and react with disbelief.…”

Section: Gaps In Care Created By Stigma and Mistrustmentioning

confidence: 99%

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Patient-oriented multifamily group-based care for somatization: Narratives from treated adolescents and parents.

Dhariwal,

Lui,

Gordon

et al. 2024

Clinical Practice in Pediatric Psychology

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Objective: Treatment mechanisms to alleviate adolescent somatization are unknown. While processes underlying potential efficacy have not been investigated, mental health destigmatization is likely key. Here, qualitative methods were used so adolescent patients and their parents could express their perceptions about processes important in improvement from conditions affected by somatization. Method: A total of 21 posttreatment interviews (10 adolescents aged 12–17; 11 parents) were completed following participation in the manualized mind–body together (MBT) multifamily group in a pediatric tertiary care setting. Demystifying the nature of the body’s physical response to stress and broaching emotional coregulation between adolescents and parents were core group topics. Semistructured interviews were used to explore participants’ experiences of treatment and improvement. Interviews were video/audio recorded, transcribed verbatim, and coded using reflexive thematic analysis. Results: Four global processes essential to improvement were generated: (a) group belonging and normalization, (b) accepting the joint nature of physical and mental states, (c) emotional coregulation between parents and children, and (d) knowledge translation to school contexts. Responses suggested the first three themes built upon one another in succeeding order, but the final theme was missing from treatment. Conclusion: The multifamily MBT group for somatization may be a promising initial step for treatment. Its core processes may be operationalized and further improved. While quantitative evaluations of treatment mechanism are now warranted, providers may consider optimizing their services for adolescent somatization by integrating the four components expressed by families with lived experience.

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Section: Discussionsupporting

confidence: 73%

Section: Gaps In Care Created By Stigma and Mistrustmentioning

confidence: 99%

Patient-oriented multifamily group-based care for somatization: Narratives from treated adolescents and parents.

Dhariwal,

Lui,

Gordon

et al. 2024

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

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“…Research has highlighted that somatic symptoms following traumatic experiences might be associated with multiple medical visits, check-ups, or drug treatments . They can also affect children’s social and leisure activities as well as sleep quality .…”

Section: Discussionmentioning

confidence: 99%

“…Research has highlighted that somatic symptoms following traumatic experiences might be associated with multiple medical visits, check-ups, or drug treatments. 75,76 They can also affect children's social and leisure activities as well as sleep quality. 77 In addition, secondary medical procedures are sometimes anxiety-inducing and might have a further negative effects on children's and adolescents' school functioning, increasing stress and absenteeism.…”

Section: Jama Network Open | Psychiatrymentioning

confidence: 99%

Somatic and Posttraumatic Stress Symptoms in Children and Adolescents in France

Fernandez,

Askenazy,

Zeghari

et al. 2024

JAMA Netw Open

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ImportanceSomatic symptoms are a major concern among the pediatric population because of frequency and burden. The association between adverse childhood experiences and somatic symptoms in adults is well established but less is known concerning somatic symptoms in young people.ObjectiveTo explore the frequency and intensity of somatic symptoms in children and adolescents exposed to traumatic events.Design, Setting, and ParticipantsThis cross-sectional study was conducted from January 1 to December 31, 2021, at the Nice Pediatric Psychotrauma Referral Center in Nice, France. Participants included pediatric outpatients, aged 7 to 17 years, who were referred to the center. Statistical analysis was performed in January 2022.ExposureAll participants experienced at least 1 traumatic event during life.Main Outcome and MeasureSomatic and posttraumatic stress symptoms were assessed using the Patient Health Questionnaire-13 (PHQ–13) and Child PTSD Checklist (CPC). Posttraumatic stress disorder (PTSD) and non-PTSD groups were defined based on CPC symptoms severity score. In the hypothesized association between somatic symptoms and posttraumatic stress symptoms (PTSS), PTSD and non-PTSD groups were compared, correlations between PTSS and severity of CPC were analyzed, and a regression model was performed.ResultsThere were 363 participants included (mean [SD] age, 13.58 [0.25] years; 174 [47.9%] female, 189 [52.1%] male). Compared with the non-PTSD group, the PTSD group presented with a higher mean (SD) number of somatic symptoms (7.0 [2.5] vs 4.0 [2.5] symptoms; t360 = 11.7; P &lt; .001), and higher mean (SD) intensity (10.4 [4.6] vs 4.8 [3.7] points; t360 = 12.6; P &lt; .001). Most of the explored somatic symptoms positively correlated with the intensity of PTSS and their functional alterations (eg, PTSS intensity correlated with stomach pain symptoms [r = .30; P &lt; .001]; and with headaches symptoms [r = .44; P &lt; .001]). In the regression model, the combination of migraines, palpitation, nausea, tiredness, and sleep disorders explained 6.5% of the variance in the PTSD group. (F1,341 = 22.651; P &lt; .001).Conclusions and RelevanceIn this cross-sectional study, somatic symptoms were positively correlated with PTSS both in frequency and intensity among youths. These results suggest that the systematic screening for somatic symptoms in youths with traumatic exposure should be a routine evaluation procedure.

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