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Prospective associations between psychosomatic complaints in adolescence and depression and anxiety symptoms in young adulthood: A Swedish national cohort study

BACKGROUND: Psychosomatic complaints are reported by high shares of adolescents in Sweden and elsewhere. Yet, little is known about to the extent to which the frequency, number, and persistence of such complaints in adolescence are associated with subsequent mental health problems. The aim of this s...

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Autores principales: Grigorian, Karina, Östberg, Viveca, Raninen, Jonas, Åhlén, Johan, Brolin Låftman, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500464/
https://www.ncbi.nlm.nih.gov/pubmed/37720821
http://dx.doi.org/10.1016/j.ssmph.2023.101509
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author Grigorian, Karina
Östberg, Viveca
Raninen, Jonas
Åhlén, Johan
Brolin Låftman, Sara
author_facet Grigorian, Karina
Östberg, Viveca
Raninen, Jonas
Åhlén, Johan
Brolin Låftman, Sara
author_sort Grigorian, Karina
collection PubMed
description BACKGROUND: Psychosomatic complaints are reported by high shares of adolescents in Sweden and elsewhere. Yet, little is known about to the extent to which the frequency, number, and persistence of such complaints in adolescence are associated with subsequent mental health problems. The aim of this study was to examine how the frequency, number, and persistence of psychosomatic complaints in middle and late adolescence are associated with depression and anxiety symptoms in young adulthood. METHODS: A Swedish national cohort study of adolescents who were surveyed in 2017 (t1; age 15–16), in 2019 (t2; age 17–18) and in 2022 (t3; age 20–21 years) was used. Psychosomatic complaints were measured by questions on stomach ache, headache and difficulties falling asleep at t1 and t2. Depression and anxiety symptoms were measured by the Patient Health Questionnaire-4 (PHQ-4) at t3. Multivariable binary logistic regression analyses stratified by gender were based on data from t1, t2 and t3 (n = 2779). RESULTS: The frequency, number, and persistence of psychosomatic complaints during adolescence were associated with symptoms of depression and anxiety in young adulthood. Both earlier (at t1 only) and more recent (at t2 only) complaints were linked to subsequent depression and anxiety symptoms, while persistent (at both t1 and t2) psychosomatic complaints showed stronger associations in girls. CONCLUSIONS: Psychosomatic complaints in adolescence were associated with depression and anxiety symptoms in young adulthood. This was true for the frequency, number, and persistence of psychosomatic complaints. Among girls, those who reported persistent psychosomatic complaints from middle to late adolescence had the highest likelihood of reporting subsequent depression and anxiety symptoms. Taken together, the results indicate that psychosomatic complaints during adolescence can translate into later depression and anxiety symptoms. Furthermore, repeated measurements of psychosomatic complaints can be used to identify the most vulnerable group.
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spelling pubmed-105004642023-09-15 Prospective associations between psychosomatic complaints in adolescence and depression and anxiety symptoms in young adulthood: A Swedish national cohort study Grigorian, Karina Östberg, Viveca Raninen, Jonas Åhlén, Johan Brolin Låftman, Sara SSM Popul Health Regular Article BACKGROUND: Psychosomatic complaints are reported by high shares of adolescents in Sweden and elsewhere. Yet, little is known about to the extent to which the frequency, number, and persistence of such complaints in adolescence are associated with subsequent mental health problems. The aim of this study was to examine how the frequency, number, and persistence of psychosomatic complaints in middle and late adolescence are associated with depression and anxiety symptoms in young adulthood. METHODS: A Swedish national cohort study of adolescents who were surveyed in 2017 (t1; age 15–16), in 2019 (t2; age 17–18) and in 2022 (t3; age 20–21 years) was used. Psychosomatic complaints were measured by questions on stomach ache, headache and difficulties falling asleep at t1 and t2. Depression and anxiety symptoms were measured by the Patient Health Questionnaire-4 (PHQ-4) at t3. Multivariable binary logistic regression analyses stratified by gender were based on data from t1, t2 and t3 (n = 2779). RESULTS: The frequency, number, and persistence of psychosomatic complaints during adolescence were associated with symptoms of depression and anxiety in young adulthood. Both earlier (at t1 only) and more recent (at t2 only) complaints were linked to subsequent depression and anxiety symptoms, while persistent (at both t1 and t2) psychosomatic complaints showed stronger associations in girls. CONCLUSIONS: Psychosomatic complaints in adolescence were associated with depression and anxiety symptoms in young adulthood. This was true for the frequency, number, and persistence of psychosomatic complaints. Among girls, those who reported persistent psychosomatic complaints from middle to late adolescence had the highest likelihood of reporting subsequent depression and anxiety symptoms. Taken together, the results indicate that psychosomatic complaints during adolescence can translate into later depression and anxiety symptoms. Furthermore, repeated measurements of psychosomatic complaints can be used to identify the most vulnerable group. Elsevier 2023-09-04 /pmc/articles/PMC10500464/ /pubmed/37720821 http://dx.doi.org/10.1016/j.ssmph.2023.101509 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Regular Article
Grigorian, Karina
Östberg, Viveca
Raninen, Jonas
Åhlén, Johan
Brolin Låftman, Sara
Prospective associations between psychosomatic complaints in adolescence and depression and anxiety symptoms in young adulthood: A Swedish national cohort study
title Prospective associations between psychosomatic complaints in adolescence and depression and anxiety symptoms in young adulthood: A Swedish national cohort study
title_full Prospective associations between psychosomatic complaints in adolescence and depression and anxiety symptoms in young adulthood: A Swedish national cohort study
title_fullStr Prospective associations between psychosomatic complaints in adolescence and depression and anxiety symptoms in young adulthood: A Swedish national cohort study
title_full_unstemmed Prospective associations between psychosomatic complaints in adolescence and depression and anxiety symptoms in young adulthood: A Swedish national cohort study
title_short Prospective associations between psychosomatic complaints in adolescence and depression and anxiety symptoms in young adulthood: A Swedish national cohort study
title_sort prospective associations between psychosomatic complaints in adolescence and depression and anxiety symptoms in young adulthood: a swedish national cohort study
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500464/
https://www.ncbi.nlm.nih.gov/pubmed/37720821
http://dx.doi.org/10.1016/j.ssmph.2023.101509
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