ISSN - 0973-0958

Pediatric Oncall Journal View Article

Childhood Somatoform Disorders and Its Associated Stressors
Ashish Marwah1, Mukesh Kumar Swami2, Mahesh Kumar2.
1Department of Pediatrics, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India,
2Department of Psychiatry, BPS Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India.
Aim: To study the clinical and socio-demographic profile of somatoform disorders and its associated stressors among pediatric population in a rural setting.
Settings and Design: This cross-sectional study was done from Jan 2015 to June 2015 at rural tertiary care teaching hospital.
Methods and Materials: Fifty children presenting with physically unexplained symptoms during the study period were assessed. Complete physical and psychiatric assessment was done and diagnosis was made using DSM -IV TR criteria. Patient Health questionnaire-15 (PHQ-15) was used for recording presenting symptoms and severity. Data were analyzed with Statistical Package for social sciences (SPSS 17) and association between different variables was determined using Chi-square test.
Results: Male: female ratio was 24:26. Forty-two (84%) of our patients were from rural background. Most common presenting symptom was fainting spells (28%) followed by pain in abdomen (20%). Stressors were elicited in 64% patients and most common stressor was strained interpersonal relations (20%) in family. Females presented with significantly more severe illness (p=0.024).
Conclusions: Psychosocial stressors especially interpersonal relations are important factor which needs to be evaluated while encountering patients with somatoform disorder.

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