title: Somatic symptoms in traumatized children and adolescents.
abstract: Childhood exposure to trauma has been associated with increased rates of somatic symptoms (SS), which may contribute to diminished daily functioning. One hundred and sixty-one children residing at a residential treatment home who had experienced neglect and/or abuse were administered the Trauma Symptom Checklist for Children (TSCC), the Multidimensional Anxiety Scale for Children, and the Children's Depression Inventory (CDI). Primary caregivers completed the Child Behavior Checklist. Two composite measures of SS were formed to represent both child- and caregiver-rated SS. Over 95% of children endorsed at least one SS on the child-rated measure. Children who had experienced sexual abuse had higher rates of SS relative to children who had not. Child-rated SS were highly correlated with the CDI total score and the TSCC subscales of anxiety, depression, posttraumatic stress, dissociation, and anger. The TSCC anxiety subscale mediated the relationship between sexual abuse and child-rated SS.
authors.affiliation: Department of Psychology, University of South Florida, Tampa, FL, USA.
authors.forename: Brittany B
authors.initials: BB
authors.lastname: Kugler
authors.forename: Marlene
authors.initials: M
authors.lastname: Bloom
authors.forename: Lauren B
authors.initials: LB
authors.lastname: Kaercher
authors.forename: Tatyana V
authors.initials: TV
authors.lastname: Truax
authors.forename: Eric A
authors.initials: EA
authors.lastname: Storch
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000175:diagnosis / Q000503:physiopathology; D017028:Caregivers; D002648:Child; D002649:Child Abuse / Q000523:psychology*; D002652:Child Behavior / Q000502:physiology / Q000523:psychology; D002674:Child, Institutionalized / Q000523:psychology; D003863:Depression / Q000175:diagnosis / Q000503:physiopathology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004244:Dizziness / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010552:Personality Assessment; D011569:Psychiatric Status Rating Scales; D011603:Psychophysiology; D012114:Residential Treatment; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000523:psychology; D014202:Tremor / Q000175:diagnosis / Q000523:psychology; D014839:Vomiting / Q000175:diagnosis / Q000523:psychology