Medically unexplained symptoms in children and adolescents: Illness-related self-concept and parental symptom evaluations

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Autoren
  • Stefanie M Jungmann
  • Michael Witthoeft
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000531101100023&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1016/j.jbtep.2020.101565
eISSN
1873-7943
Externe Identifier
  • Clarivate Analytics Document Solution ID: LK8HO
  • PubMed Identifier: 32171996
ISSN
0005-7916
Zeitschrift
JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY
Schlüsselwörter
  • Children and adolescents
  • Functional somatic symptoms
  • Interoceptive predictive coding model
  • Medically unexplained somatic symptoms
  • Somatoform disorders
Artikelnummer
ARTN 101565
Datum der Veröffentlichung
2020
Status
Published
Titel
Medically unexplained symptoms in children and adolescents: Illness-related self-concept and parental symptom evaluations
Sub types
  • Article
Ausgabe der Zeitschrift
68

Datenquelle: Web of Science (Lite)

Andere Metadatenquellen:
Autoren
  • Stefanie M Jungmann
  • Michael Witthöft
DOI
10.1016/j.jbtep.2020.101565
ISSN
0005-7916
Zeitschrift
Journal of Behavior Therapy and Experimental Psychiatry
Sprache
en
Artikelnummer
101565
Paginierung
101565 - 101565
Datum der Veröffentlichung
2020
Status
Published
Herausgeber
Elsevier BV
Herausgeber URL
http://dx.doi.org/10.1016/j.jbtep.2020.101565
Datum der Datenerfassung
2022
Titel
Medically unexplained symptoms in children and adolescents: Illness-related self-concept and parental symptom evaluations
Ausgabe der Zeitschrift
68

Datenquelle: Crossref

Abstract
<h4>Background and objectives</h4>According to cognitive-behavioral models, illness-related symptom evaluations and self-concepts play a pivotal role in the development and maintenance of medically unexplained somatic symptoms (MUS). However, illness-related cognitions related to MUS have rarely been studied in children/adolescents and their parents.<h4>Methods</h4>Seventy-eight children and adolescents (M = 14.2 years; 59% female) performed two versions of the Implicit Association Test (IAT) to measure the implicit illness-related and the implicit anxiety-related self-concept. Illness-related evaluations of unspecific symptoms were assessed via the Health Norms Sorting Task (HNST), and MUS as well as characteristics of somatic symptom disorder (SSD) via questionnaires.<h4>Results</h4>MUS were significantly positively associated with the explicit (r = 0.30, p < .01) and implicit illness-related self-concept (r = 0.24, p = .04), but not with the anxiety-related self-concept (r = 0.15, p = .18). The implicit illness-related self-concept explained incremental variance in MUS (ΔR<sup>2</sup> = 0.05, p = .04) beyond the explicit illness-related self-concept. Regarding health anxiety, parental illness-related symptom evaluations moderated the relationship between child-reported severity of MUS and health anxiety (B = 0.12, p < .01).<h4>Limitations</h4>Some measures have been adapted for childhood and adolescence, but validations on larger samples are still pending.<h4>Conclusions</h4>A disorder-specific self-concept of being ill, as well as parental symptom evaluations, seem to play an essential role in MUS and health anxiety in childhood and adolescence. Due to the importance of the top-down processes found here, the findings are in line with current predictive coding models of somatic symptom perception.
Addresses
  • Department of Clinical Psychology, Psychotherapy, and Experimental Psychopathology, Johannes Gutenberg-University Mainz, Mainz, Germany. Electronic address: jungmann@uni-mainz.de.
Autoren
  • Stefanie M Jungmann
  • Michael Witthöft
DOI
10.1016/j.jbtep.2020.101565
eISSN
1873-7943
Externe Identifier
  • PubMed Identifier: 32171996
Open access
false
ISSN
0005-7916
Zeitschrift
Journal of behavior therapy and experimental psychiatry
Schlüsselwörter
  • Humans
  • Anxiety
  • Self Concept
  • Parents
  • Somatoform Disorders
  • Adolescent
  • Child
  • Female
  • Male
  • Symptom Assessment
  • Medically Unexplained Symptoms
Sprache
eng
Medium
Print-Electronic
Online publication date
2020
Paginierung
101565
Datum der Veröffentlichung
2020
Status
Published
Datum der Datenerfassung
2020
Titel
Medically unexplained symptoms in children and adolescents: Illness-related self-concept and parental symptom evaluations.
Sub types
  • Research Support, Non-U.S. Gov't
  • Journal Article
Ausgabe der Zeitschrift
68

Datenquelle: Europe PubMed Central

Abstract
BACKGROUND AND OBJECTIVES: According to cognitive-behavioral models, illness-related symptom evaluations and self-concepts play a pivotal role in the development and maintenance of medically unexplained somatic symptoms (MUS). However, illness-related cognitions related to MUS have rarely been studied in children/adolescents and their parents. METHODS: Seventy-eight children and adolescents (M = 14.2 years; 59% female) performed two versions of the Implicit Association Test (IAT) to measure the implicit illness-related and the implicit anxiety-related self-concept. Illness-related evaluations of unspecific symptoms were assessed via the Health Norms Sorting Task (HNST), and MUS as well as characteristics of somatic symptom disorder (SSD) via questionnaires. RESULTS: MUS were significantly positively associated with the explicit (r = 0.30, p < .01) and implicit illness-related self-concept (r = 0.24, p = .04), but not with the anxiety-related self-concept (r = 0.15, p = .18). The implicit illness-related self-concept explained incremental variance in MUS (ΔR2 = 0.05, p = .04) beyond the explicit illness-related self-concept. Regarding health anxiety, parental illness-related symptom evaluations moderated the relationship between child-reported severity of MUS and health anxiety (B = 0.12, p < .01). LIMITATIONS: Some measures have been adapted for childhood and adolescence, but validations on larger samples are still pending. CONCLUSIONS: A disorder-specific self-concept of being ill, as well as parental symptom evaluations, seem to play an essential role in MUS and health anxiety in childhood and adolescence. Due to the importance of the top-down processes found here, the findings are in line with current predictive coding models of somatic symptom perception.
Date of acceptance
2020
Autoren
  • Stefanie M Jungmann
  • Michael Witthöft
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/32171996
DOI
10.1016/j.jbtep.2020.101565
eISSN
1873-7943
Zeitschrift
J Behav Ther Exp Psychiatry
Schlüsselwörter
  • Children and adolescents
  • Functional somatic symptoms
  • Interoceptive predictive coding model
  • Medically unexplained somatic symptoms
  • Somatoform disorders
  • Adolescent
  • Anxiety
  • Child
  • Female
  • Humans
  • Male
  • Medically Unexplained Symptoms
  • Parents
  • Self Concept
  • Somatoform Disorders
  • Symptom Assessment
Sprache
eng
Country
Netherlands
Paginierung
101565
PII
S0005-7916(19)30194-6
Datum der Veröffentlichung
2020
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2021
Titel
Medically unexplained symptoms in children and adolescents: Illness-related self-concept and parental symptom evaluations.
Sub types
  • Journal Article
  • Research Support, Non-U.S. Gov't
Ausgabe der Zeitschrift
68

Datenquelle: PubMed

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