Somatic and Depressive Symptoms Among Children From Latin America and the English-Speaking Caribbean.

IF 1.8 4区医学 Q3 PSYCHIATRY

Clinical Child Psychology and Psychiatry Pub Date : 2024-04-01 Epub Date: 2023-05-25 DOI:10.1177/13591045231178890

Roger C Gibson, Gillian Lowe, Garth Lipps, Mia A Jules, Kelly Romero-Acosta, Avril Daley

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Abstract

Background: The extent to which depression is associated with somatic complaints in children from the English-speaking Caribbean and Latin America is not well established.

Objective: We sought to explore the association between depressive and somatic symptoms among children from the English-speaking Caribbean and Latin America, while accounting for age, sex, socioeconomic status, cultural background, and anxiety score.

Method: 1541 elementary school children, ages 9-12 years, from the English-speaking Caribbean and Latin America completed the Adolescent Depression Rating Scale (ARDS), the Numeric 0-10 Anxiety Self-Report Scale and the Children's Somatic Symptom Inventory-24 (CSSI-24). T-tests and ANOVA's were used to compare CSSI-24 and ARDS scores among countries, and the CSSI-24 scores of children with (ARDS ≥ 4) and without likely clinically significant depression. Regression analyses assessed possible predictors of CSSI-24 score.

Results: Depressive and somatic symptom scores were highest among the Jamaican children and lowest among the Colombian children (p < .001). Children with likely clinically significant depression exhibited higher mean somatic symptom scores (p < .001). Depressive symptom scores predicted somatic symptom scores (p < .001).

Conclusions: Depressive symptoms were a strong predictor of reporting somatic symptoms. Knowledge of this association may facilitate better recognition of depression among youth.

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拉丁美洲和加勒比英语国家儿童的躯体症状和抑郁症状。

背景：在讲英语的加勒比海地区和拉丁美洲儿童中，抑郁症与躯体不适的相关程度尚未得到很好的证实：我们试图在考虑年龄、性别、社会经济地位、文化背景和焦虑评分的情况下，探讨加勒比海英语国家和拉丁美洲儿童抑郁症状与躯体症状之间的关联：来自加勒比海英语国家和拉丁美洲的 1541 名 9-12 岁小学生填写了青少年抑郁量表 (ARDS)、0-10 分焦虑自评量表和儿童躯体症状量表-24 (CSSI-24)。我们使用 T 检验和方差分析来比较不同国家的 CSSI-24 和 ARDS 分数，以及患有（ARDS ≥ 4）和未患有可能有临床意义的抑郁症的儿童的 CSSI-24 分数。回归分析评估了CSSI-24评分的可能预测因素：牙买加患儿的抑郁和躯体症状评分最高，哥伦比亚患儿最低（p < .001）。可能患有严重临床抑郁症的儿童的平均躯体症状得分更高（p < .001）。抑郁症状评分可预测躯体症状评分（p < .001）：结论：抑郁症状是预测躯体症状报告的一个重要因素。了解这种关联有助于更好地识别青少年抑郁症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.