Somatization disorder among adolescents in southeast Nigeria: a neglected issue

Abstract Background Adolescents do present with somatization disorder which is often neglected by pediatricians. This could have serious consequences if not curbed early. Objectives This study is aimed at determining the pattern and types of Somatization disorder among adolescents attending secondar...

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Main Authors: A. R. C. Nwokocha, J. M. Chinawa, V. Onukwuli, A. Ubesie, Appolos Ndukuba, A. T. Chinawa, Elias Aniwada, Samuel Uwaezuoke
Format: Article
Language:English
Published: BMC 2017-09-01
Series:International Journal of Mental Health Systems
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13033-017-0161-3
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author A. R. C. Nwokocha
J. M. Chinawa
V. Onukwuli
A. Ubesie
Appolos Ndukuba
A. T. Chinawa
Elias Aniwada
Samuel Uwaezuoke
author_facet A. R. C. Nwokocha
J. M. Chinawa
V. Onukwuli
A. Ubesie
Appolos Ndukuba
A. T. Chinawa
Elias Aniwada
Samuel Uwaezuoke
author_sort A. R. C. Nwokocha
collection DOAJ
description Abstract Background Adolescents do present with somatization disorder which is often neglected by pediatricians. This could have serious consequences if not curbed early. Objectives This study is aimed at determining the pattern and types of Somatization disorder among adolescents attending secondary schools in south east Nigeria. Methods Somatization disorder was investigated among 485 adolescents from mixed schools using a stratified random sampling of adolescents from four secondary schools in southeast Nigeria. The Enugu somatization scale was used to evaluate for presence of somatization in the participants. Statistical analysis was with statistical package for social sciences (SPPS) version 19 (Chicago IL). Results A total of 485 adolescents aged 10–19 years were included in this study. The mean age of the respondents was 16.36 with standard deviation (SD) of 3.14 years. Two hundred and fifty-one (51.8%) had head features, 262 (54.0%) had body features, 303 (62.5%) had either head or body features while 210 (43.3%) had both head and body features. One hundred and thirty-four males (51.3%) compared to 117 females (52.2%) reported symptoms consistent with head symptoms (p = 0.038). One hundred and eleven males (42.5%) compared to 99 females (44.2) reported symptoms related to the head and body (p = 0.137) while 135 males (51.7%) compared to 127 females (56.7%) reported symptoms related to the body (p = 0.925). There were significant associations of age in categories with head, body, either head or body as well as both head and body features (all p value <0.001). Conclusions Psychosomatic problems do exist and may be on the rise among adolescents.
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spelling doaj.art-5973525fa86c442daf34092f02acd5f92022-12-22T02:04:16ZengBMCInternational Journal of Mental Health Systems1752-44582017-09-011111710.1186/s13033-017-0161-3Somatization disorder among adolescents in southeast Nigeria: a neglected issueA. R. C. Nwokocha0J. M. Chinawa1V. Onukwuli2A. Ubesie3Appolos Ndukuba4A. T. Chinawa5Elias Aniwada6Samuel Uwaezuoke7Department of Pediatrics, College of Medicine, University of Nigeria, University of Nigeria/Teaching Hospital (UNTH)Department of Pediatrics, College of Medicine, University of Nigeria, University of Nigeria/Teaching Hospital (UNTH)Department of Pediatrics, College of Medicine, University of Nigeria, University of Nigeria/Teaching Hospital (UNTH)Department of Pediatrics, College of Medicine, University of Nigeria, University of Nigeria/Teaching Hospital (UNTH)Department of Psychological Medicine, University of Nigeria, University of Nigeria/Teaching Hospital (UNTH)Department of Community Medicine, ESUT Teaching HospitalDepartment Community Medicine, College of Medicine, University of Nigeria, University of Nigeria/Teaching Hospital (UNTH)Department of Pediatrics, College of Medicine, University of Nigeria, University of Nigeria/Teaching Hospital (UNTH)Abstract Background Adolescents do present with somatization disorder which is often neglected by pediatricians. This could have serious consequences if not curbed early. Objectives This study is aimed at determining the pattern and types of Somatization disorder among adolescents attending secondary schools in south east Nigeria. Methods Somatization disorder was investigated among 485 adolescents from mixed schools using a stratified random sampling of adolescents from four secondary schools in southeast Nigeria. The Enugu somatization scale was used to evaluate for presence of somatization in the participants. Statistical analysis was with statistical package for social sciences (SPPS) version 19 (Chicago IL). Results A total of 485 adolescents aged 10–19 years were included in this study. The mean age of the respondents was 16.36 with standard deviation (SD) of 3.14 years. Two hundred and fifty-one (51.8%) had head features, 262 (54.0%) had body features, 303 (62.5%) had either head or body features while 210 (43.3%) had both head and body features. One hundred and thirty-four males (51.3%) compared to 117 females (52.2%) reported symptoms consistent with head symptoms (p = 0.038). One hundred and eleven males (42.5%) compared to 99 females (44.2) reported symptoms related to the head and body (p = 0.137) while 135 males (51.7%) compared to 127 females (56.7%) reported symptoms related to the body (p = 0.925). There were significant associations of age in categories with head, body, either head or body as well as both head and body features (all p value <0.001). Conclusions Psychosomatic problems do exist and may be on the rise among adolescents.http://link.springer.com/article/10.1186/s13033-017-0161-3Psychosomatic disorderAdolescentsSecondary schoolsNigeria
spellingShingle A. R. C. Nwokocha
J. M. Chinawa
V. Onukwuli
A. Ubesie
Appolos Ndukuba
A. T. Chinawa
Elias Aniwada
Samuel Uwaezuoke
Somatization disorder among adolescents in southeast Nigeria: a neglected issue
International Journal of Mental Health Systems
Psychosomatic disorder
Adolescents
Secondary schools
Nigeria
title Somatization disorder among adolescents in southeast Nigeria: a neglected issue
title_full Somatization disorder among adolescents in southeast Nigeria: a neglected issue
title_fullStr Somatization disorder among adolescents in southeast Nigeria: a neglected issue
title_full_unstemmed Somatization disorder among adolescents in southeast Nigeria: a neglected issue
title_short Somatization disorder among adolescents in southeast Nigeria: a neglected issue
title_sort somatization disorder among adolescents in southeast nigeria a neglected issue
topic Psychosomatic disorder
Adolescents
Secondary schools
Nigeria
url http://link.springer.com/article/10.1186/s13033-017-0161-3
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