PDF(Pubmed)
Abstract：
Functional somatic symptoms, i.e., physical complaints that cannot be sufficiently explained by an objectifiable biomedical abnormality, become increasingly more prevalent in girls than in boys during adolescence. Both parents and adolescents report more functional somatic symptoms in girls, but their reports correspond only limitedly. It remains unknown whether parent-adolescent discordance contributes to the higher symptom prevalence in girls. This study investigated parent-adolescent discordance in reported functional somatic symptoms throughout adolescence, examined the longitudinal association of parent-adolescent discordance with symptom prevalence in early adulthood and focused on sex differences in these processes. Participants included 2229 adolescents (50.7% female) from four assessments (age 11 to 22 years) of the TRAILS population cohort. Parents and adolescents reported significantly more symptoms in girls than in boys during adolescence. Variance analyses showed that throughout adolescence, parents reported fewer symptoms than girls self-reported and more than boys self-reported. Regression analyses using standardized difference scores showed that lower parent-report than self-report was positively associated with symptom prevalence in early adulthood. Polynomial regression analyses revealed no significant interaction between parent-reported and adolescent self-reported symptoms. Associations did not differ between boys and girls. The findings show that lower parent-reported than self-reported symptoms predict future symptom prevalence in both sexes, but this discordance was more observed in girls. The higher functional somatic symptom prevalence in girls might be partly explained by parental underestimation of symptoms.
摘要：
功能性躯体症状,即，无法通过客观的生物医学异常充分解释的身体不适，在青春期，女孩比男孩越来越普遍。父母和青少年都报告女孩的功能性躯体症状更多，但是他们的报告只是有限的对应。尚不清楚父母与青少年的不一致是否会导致女孩的症状患病率更高。这项研究调查了在整个青春期报告的功能性躯体症状中父母与青少年的不一致，研究了成年早期父母-青少年不一致与症状患病率的纵向关联，并关注了这些过程中的性别差异。参与者包括来自TRAILS人群队列的四项评估（年龄11至22岁）的2229名青少年（50.7％为女性）。在青春期，父母和青少年报告的女孩症状明显多于男孩。方差分析显示，在整个青春期，父母报告的症状比女孩自我报告的少,比男孩自我报告的多.使用标准化差异评分的回归分析表明，父母报告低于自我报告与成年早期的症状患病率呈正相关。多项式回归分析显示，父母报告的症状和青少年自我报告的症状之间没有显着相互作用。男孩和女孩之间的关系没有区别。研究结果表明，父母报告的症状低于自我报告的症状可以预测两性未来的症状患病率，但是这种不和谐在女孩身上更常见。女孩的功能性躯体症状患病率较高，部分原因可能是父母对症状的低估。
