Childhood Somatic Complaints: Relationships with Child Emotional Functioning and Parental Factors

Abstract: Many schoolchildren experience somatic complaints such as headaches, abdominal pain and fatigue. The aim of the current research is to test the full model of previously found associations between negative affect and somatic complaints in parents and children. Participants were 199 children (aged 8-13, 47% boys) and their parents (aged 31-61, mostly mothers (87%). Self-reports of children and parents on worry, anxiety, depression and somatic complaints were used and parents' reactions to children's emotions wereassessed. The results of the study show that childhood negative affect and parental somatic complaints are positively associated with childhood somatic complaints. In turn, childhood negative affect is related to children's worrying and to parents' responses to children's emotions. The more anxious or depressed children felt, the more they worried. Maladaptive parental responses (such as reprimands and discomfort) to child emotions were positively related to depression. It was also found that parents who experienced more negative affect, reported more somatic complaints and tended to report more maladaptive responses towards their children's emotions

My peers, my friend, and I: Peer interactions and somatic complaints in boys and girls

In this article we present two studies about the relations between peer relationships and somatic complaints in children in Den Bosch, the Netherlands. In the first study (n = 711), when the children were average 10 years old, we focused on social status as rated by classmates (popular, neglected, controversial, rejected, and average), self-reported social anxiety and somatic complaints. The second study (n = 688) conducted 1.5 years later on the same sample, focused on possible positive influences of best friends on somatic complaints. We analyzed how reciprocity of the friendship, self-reported disclosure with the nominated best friend and self-reported emotion communication skill were related to children's somatic complaints. The results indicate an influence of peer interactions on somatic complaints. Social anxiety was associated with more somatic complaints, but peer status was unrelated to somatic complaints. Further, for girls with a reciprocated best friend, emotion communication skill was related to fewer somatic complaints. For boys emotion communication skill was negatively associated with somatic complaints when their friendship was unreciprocated, whereas disclosure with the nominated peer was related to the experience of more complaints in this case. The results indicate different associations of the sharing of emotions among boys and girls with regard to somatic complaints. It should be noted that self-reports on relationships and health may overlap more than classmates' reports of peer status because of shared method variance.Child Social Pain Somatic complaints Friendship Sociometric status The Netherlands Gender

Crying in Middle Childhood: A Report on Gender Differences

The aims of this study were (1) to confirm gender differences in crying in middle childhood and (2) to identify factors that may explain why girls cry more than boys in a Dutch sample (North Holland and Utrecht). We examined 186 children’s (age: 9–13 years) self-reports on crying, catharsis, seeking support for feelings, and internalizing feelings. Girls reported a greater crying frequency and crying proneness, and more emotional and physical catharsis after crying. In addition, they more frequently sought support for feelings and more often experienced sadness and somatic complaints than boys. Seeking help for negative feelings and the experience of sadness and somatic complaints were positively associated with crying frequency and crying proneness. Emotional catharsis was positively linked to crying proneness. Support was found for the potential mediating role of sadness and somatic complaints with respect to the gender difference in crying frequency and for the potential mediating role of emotional catharsis and somatic complaints for crying proneness. This study demonstrates that gender differences in crying frequency already exist in middle childhood and the findings suggest a linkage between these gender differences in crying and psychosocial factors

Postponing worrisome thoughts in children: The effects of a postponement intervention on perseverative thoughts, emotions and somatic complaints

In this study we examined the prospective relationships between perseverative thoughts, internalizing negative emotions, and somatic complaints in children aged 9-13, and evaluated whether a perseverative thoughts intervention had a beneficial effect on these experiences. Children (N = 227) from 7 primary schools in Leiden, the Netherlands, recorded their perseverative thoughts during one week, 138 of whom were instructed to postpone these thoughts to a special 30 min period in the early evening. Children who had received the postponement instructions showed a reduction in the frequency of perseverative thoughts, and girls also in the duration of them. Girl's perseverative thoughts were positively associated with the number of somatic complaints and with negative emotions. The postponement intervention also seemed to reduce somatic complaints in the seventh grade children. These findings confirm the previously found prospective relationship between perseverative thoughts and children's well-being and provide initial validation for the use of the postponement intervention to reduce perseverative thoughts in this age group, particularly for girls.Children Pain Worry Rumination Prevention The Netherlands Intervention

Somatic complaints and health care use in children: Mood, emotion awareness and sense of coherence

In this study, we compared several aspects of the emotional functioning of schoolchildren reporting very few somatic complaints (n=59), schoolchildren reporting many somatic complaints (n=61), and a clinical group of children with functional abdominal complaints who visited the outpatient clinical of the VU University Medical Centre in Amsterdam (n=33). The children had an average age of 10.6 years. We studied whether general moods (happiness, anger, fear, and sadness), symptoms of depressiveness, emotion awareness, and sense of coherence contributed to group classification. Eighty-three percent of the schoolchildren reporting very few somatic complaints were identified correctly on the basis of better emotional functioning. However, there was little difference in the emotional functioning of schoolchildren with many somatic complaints and that of the clinical group. We concluded that the variables studied are valuable for differentiating children who are troubled by somatic complaints from children experiencing few somatic complaints. The results stress the existence of emotional problems in children reporting many somatic complaints.Somatic complaints Mood Emotion awareness Sense of coherence Children The Netherlands

Inter- and intra-individual differences in teachers' self-efficacy : A multilevel factor exploration

This study explored inter- and intra-individual differences in teachers' self-efficacy (TSE) by adapting Tschannen-Moran and Woolfolk Hoy's (2001) Teachers' Sense of Efficacy Scale (TSES) to the domain- and student-specific level. Multilevel structural equation modeling was used to evaluate the factor structure underlying this adapted instrument, and to test for violations of measurement invariance over clusters. Results from 841 third- to sixth-grade students and their 107 teachers supported the existence of one higher-order factor (Overall TSE) and four lower-order factors (Instructional Strategies, Behavior Management, Student Engagement, and Emotional Support) at both the between- and within-teacher level. In this factor model, intra-individual differences in TSE were generally larger than inter-individual differences. Additionally, the presence of cluster bias in 18 of 24 items suggested that the unique domains of student-specific TSE at the between-teacher level cannot merely be perceived as the within-teacher level factors' aggregates. These findings underscore the importance of further investigating TSE in relation to teacher, student, and classroom characteristics