Mulky Punya Yajnapal, (2017) Relationship of Unexplained Somatic Symptoms with temperament and life events in Children and Adolescents. Masters thesis, Madras Medical College, Chennai.
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Abstract
BACKGROUND: Children and adolescents reporting to the psychiatry OP with unexplained somatic symptoms are relatively common. More number of such cases are seen in the Indian setup as compared to Western countries. These disorders cause significant distress in children and caregivers. Hence understanding about the various causes, clinical presentations, course and symptom variations and their relationship to the child’s temperament, parenting and life events of these children will provide further insight in management. There is a paucity of Indian studies regarding the outcome of such symptoms. AIM AND OBJECTIVES: 1. To study the socio-demographic factors and illness variables in children who presented with somatic symptoms. 2. To assess the relationship of the child’s temperament, psychosocial stressors and parenting in these children. MATERIALS AND METHODS: This study was conducted in the Department of Child Psychiatry, Institute Of Child Health, for a period of 4 months from March 2016 – May 2016. The medical records of all the children who presented to the Department of Child Psychiatry from a period of Jan 2013 - Dec 2015 were reviewed. The children who presented with mainly somatic symptoms were short-listed, contacted over the phone and asked to come for follow-up. Children who presented for follow-up were assessed by the following tools: 1. Semi structured proforma. 2. Early Adolescent Temperament Questionnaire(EATQ) and Temperament in Middle Childhood Questionnaire(TMCQ) was used to assess temperament. 3. Life Events Scale for Indian Children (LESIC) was used to find the presence of stress factors in children and the effects of these on the symptoms. 4. Parenting Practices Questionnaire was used to assess parenting. 5. The general functioning of the child was assessed using Child Global Assessment Scale (CGAS). RESULTS: The most common symptom was headache followed by seizures. Symptoms showed a significant association with effortful control, negative affect and affiliativeness, authoritarian and permissive parenting. Stressful life events and global functioning was also found to be significantly associated with symptoms. CONCLUSION: Children with difficult temperament and poor parenting are more vulnerable to negative life events and tend to express their psychological distress through somatic symptoms.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | Reg.No.201428002 |
| Uncontrolled Keywords: | Unexplained Somatic Symptoms, temperament, life events, Children and Adolescents. |
| Subjects: | MEDICAL > Psychiatry |
| Depositing User: | Subramani R |
| Date Deposited: | 21 Jul 2020 11:07 |
| Last Modified: | 21 Jul 2020 11:07 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12632 |
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