scholarly journals Pszichoszomatikus tünetek előfordulási gyakorisága 8–17 éves magyar gyermekek körében

2019 ◽  
Vol 160 (12) ◽  
pp. 464-472
Author(s):  
Piroska Fehér ◽  
Dorina Annár ◽  
Annamária Zsákai ◽  
Éva Bodzsár

Abstract: Introduction: Subjective health complaints are common among children as well. Age, gender, health status, etc. can modify the prevalence, intensity, frequency and the dimensions of the psychosomatic complaints. Aim: The main purposes were to analyse the frequency pattern of psychosomatic complaints in children as well as to study the influence of physical status and lifestyle factors on psychosomatic status. Method: The subjects of the present analysis represented a random sample of the Hungarian National Growth Study (n = 13 331; 8–17-year-old). The three clusters of the health complaints were somatic, psychological and sleeping disorders. The psychosomatic status of 8–17-year-old children was analysed by dividing them into subgroups of experiencing the subjective health complaints often (weekly or more often), on an average level or rarely. Frequency distributions were examined for each subjective health complaint. Multinomial logistic regression analysis was applied to reveal the relationship between the frequency pattern of psychosomatic complaints and the hypothesized predictive factors. Results: The prevalence of the psychosomatic complaints increased by age, and girls reported more symptoms than boys. Subjective health status, nutritional status, body image, academic achievement, stature, body mass and socioeconomic status influenced the frequency pattern of psychosomatic complaints in girls, while physical activity, self-esteem, socioeconomic status and subjective health status in boys. Conclusions: Age, gender, socioeconomic status and psychosocial status can affect the frequency pattern of the psychosomatic complaints. Orv Hetil. 2019; 160(12): 464–472.

Author(s):  
Youlim Kim ◽  
Hyeonkyeong Lee ◽  
Mikyung Lee ◽  
Hyeyeon Lee ◽  
Sookyung Kim ◽  
...  

Studies have examined the impact of social determinants of health on the health behaviors and health statuses of ethnic minority adolescents. This study examines the subjective health of this population by examining the direct effects of multicultural adolescents’ subjective socioeconomic status (SES) and the sequential mediating effects of their dietary behaviors and perceived stress. We utilized secondary data of 500 middle school students from multicultural families who participated in the 15th Korean Youth Health Behavior Survey, 2019. Information about SES, perceived stress, subjective health status, and dietary behavior (measured by the breakfast intake frequency during the prior week) were utilized. For the relationship between the SES and the subjective health status, we confirmed the sequential mediating effects of breakfast frequency and perceived stress using SPSS 25.0 and PROCESS macro with bootstrapping. The results showed that SES had a direct effect on subjective health status and indirectly influenced subjective health status through the sequential mediating effect of breakfast frequency and perceived stress. However, SES had no direct effects on perceived stress. These findings emphasize that broadening the community-health lens to consider the upstream factor of SES when preparing health promotion interventions is essential to achieving health equity for vulnerable populations.


2021 ◽  
Vol 12 ◽  
Author(s):  
Kenneth Sandin ◽  
Gemma E. Shields ◽  
Ragne G. H. Gjengedal ◽  
Kåre Osnes ◽  
Marianne Tranberg Bjørndal ◽  
...  

Objectives: The EQ-5D is a generic, self-report measure of health that is increasingly used in clinical settings, including mental health. The EQ-5D captures health using five dimensions: Mobility, Self-care, Usual activities, Pain/discomfort, and Anxiety/Depression. The validity of the EQ-5D is previously unexplored in patients on or at risk of sick leave due to depression and anxiety. The study’s aim was to examine its validity in this group of patients.Methods: Baseline data were collected from self-report questionnaires in an observational study (N=890) at a Norwegian outpatient-clinic. Participants were adults on or at risk of sick leave due to depression and anxiety who were referred for treatment by general practitioners. The crosswalk methodology was applied to estimate the EQ-5D value. Validity was assessed by comparing responses on the EQ-5D with the Beck Depression Inventory-II (BDI-II), the Beck Anxiety Inventory (BAI), and Subjective Health Complaints (SHC). An ordinal regression model was used to assess known-groups validity. Convergent validity was assessed using Pearson’s correlation coefficient, and a multivariate regression model that included sociodemographic characteristics.Results: The mean EQ-5D value was 0.631, indicating reduced health status compared to “full health” anchored at 1.0, and patients reported moderate levels of depression and anxiety. Ordinal regression indicated that the EQ-5D could discriminate between different levels of symptom severity for depression and anxiety. The EQ-5D value showed significant correlation with the clinical measures; r=−0.52 for the BDI-II, r=−0.49 for the BAI, and r=−0.44 for SHC. The multivariate regression showed that the clinical variables significantly predicted the EQ-5D value, explaining 40.1% of the variance. Depression and anxiety scores were the largest determinants of EQ-5D value, respectively, whilst sick leave, subjective health complaints, and gender made moderate contributions.Conclusion: The EQ-5D showed indication of validity in patients on or at risk of sick leave due to depression and anxiety in the present study. The EQ-5D value was sensitive to both symptom severity and functional impairment in the form of sick leave. The findings support the EQ-5D as a feasible and relevant measure of health status in these patients.


2018 ◽  
Vol 26 (4) ◽  
pp. 495-500
Author(s):  
Younpyo Lee ◽  
Su-keun Park ◽  
Jae-ho Khil ◽  
Sungho Maeng ◽  
Jungwon Shin ◽  
...  

2015 ◽  
Vol 66 (1) ◽  
pp. 43-52
Author(s):  
Katalin Nagyváradi ◽  
Zsuzsa Mátrai

AbstractSeveral research works in the related international literature on sociology and health sciences deal with the state of health in one selected population. In these studies, the chosen sample is often connected with special jobs, especially with healthcare professionals and their working conditions. These studies predominantly examine the self-rated subjective health status using questionnaires. There are others that assess the state of health based not only on self-rated subjective indicators, but also using objective data gained by measuring. Considering the international experiences, we chose a special population in our research – healthcare professionals working in an institute for chronically ill psychiatric patients. Our choice was influenced by the fact that we wanted to include their unique working conditions when exploring and assessing their health status. Moreover, our approach was to assess the objective state of health alongside the subjective factors, as our hypothesis was that the majority of the indicators presumably coincided. The data were collected with the help of three questionnaires and some indicators of the objective health statuses were measured. The findings were processed using the SPSS 17.0 mathematical-statistical software package. Following the descriptive statistics, we applied hierarchic cluster-analysis based on results of the WHOQOLD-BREF26 life-quality questionnaire, the WHO WBI-5 Well Being Index, and on the body composition analysis. The results show the objective and subjective health status of population and the factors that influenced it; the working conditions and the interpersonal contacts in the workplace. The conclusion was that in the examined population the subjective and objective health status doesn’t coincide.


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