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Burnout is a psychological consequence of prolonged work-related stress. Previous studies have concluded that guilt feelings could explain the development of the burnout process and its relationship with other health disorders. The aim of this study was to evaluate the mediating role of guilt feelings in the relationship between burnout and psychosomatic problems. The sample comprised 714 Brazilian teachers (82.10% women). Burnout was assessed using the Spanish Burnout Inventory (SBI). The hypotheses were evaluated together using a path model to test the mediating role of guilt feelings in the development of burnout and its relationship with psychosomatic problems. Two models were constructed: the hypothesized model (i.e., indolence → guilt → psychosomatic problems) vs. the alternative model (i.e., indolence → psychosomatic problems → guilt). According to the results, the hypothesized model obtained a satisfactory fit to the data, whereas the alternative model's fit was found to be inadequate. We concluded that the hypothesized model was a good representation of the relationship among burnout, guilt feelings and psychosomatic problems. We recommend taking into consideration feelings of guilt to improve the diagnosis of burnout. [ABSTRACT FROM AUTHOR]

Social responsibility goals have shown positive relationships with performance and well-being. However, being too diligent has also been raised as a possible contributing factor to students’ reports of feeling stress and pressure in school, as well as experiencing psychosomatic problems. This study investigates the long-term associations between students’ social responsibility goals, academic achievements, and psychosomatic problems from Grade 9 (n = 4,573) to Grade 12 (n = 3,552), and gender differences in these associations. Descriptive statistics showed that girls reported more psychosomatic problems, higher social responsibility goals, and higher GPAs. Structural equation models showed that psychosomatic problems and achievement were stable over time. Social responsibility goals were associated with less psychosomatic problems and higher achievement in Grade 9. For girls, higher achievement was also associated with psychosomatic problems. Social responsibility goals did not predict later achievement, yet they predicted future psychosomatic problems, although the prediction was significant only for boys. [ABSTRACT FROM AUTHOR]

Child welfare professionals face elevated psychosocial risks, especially during the COVID-19 pandemic, yet they are often overlooked in specialized literature, especially for Spanish workers. Most studies use linear models, neglecting nonlinear relationships. This study examined the role of job demands, resources, and COVID-19 impact on burnout, psychosomatic problems, and work engagement in 196 Spanish child welfare professionals. Demands predicted burnout and psychosomatic problems in both Hierarchical Regression Modelling (HRM) and Qualitative Comparative Analysis (QCA). Resources positively predicted engagement in both analyses. COVID-19 impact was significantly related to psychosomatic problems in QCA, highlighting nuances not captured by HRM. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Communication Theory & Research / Iletisim Kuram ve Arastirma Dergisi is the property of Gazi University, Faculty of Communication and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The purpose was to investigate the association between disability, and psychosomatic problems among adolescents at compulsory regular school also taking into account parental and student achievement expectations and student self‐efficacy. We analysed cross‐sectional questionnaire data collected in 2010, from 2004 Swedish adolescents. The results showed that the degree of psychosomatic problems and self‐efficacy varied with regard to whether the adolescent reported having a disability or not. The distribution of parents' and adolescents' own achievement expectations did not differ significantly with regard to having a disability. Neither achievement expectations nor self‐efficacy did moderate the association between disability and psychosomatic problems. [ABSTRACT FROM AUTHOR]

To analyze potential associations between sociodemographic factors and adolescents' worry about family finances and other types of worries during the COVID-19 pandemic and the potential associations between different worry themes and psychosomatic problems. From December 2020 to March 2021, 3,068 16–17 years old students in Sweden completed a questionnaire about the impact of the COVID-19 pandemic on their schooling and everyday life. From April to June 2020, 70% of these students also responded to questions about their psychosomatic health. Logistic regression was applied to analyze the associations between sociodemographic factors and different worry themes and estimate the association between worry and psychosomatic problems. Across all 13 worry themes, girls reported worry to a higher degree than boys. In most of the cases, adolescents with a lower parental educational background or immigrant background reported more frequent worrying. This was most evident for worry about family finances. The differences between adolescents with a Swedish background and those with a foreign background were large except for worry about climate change. All worry themes were associated with the students' psychosomatic health. Those who often or always experienced worry were more likely to report psychosomatic problems. Worry about family finances showed the highest odds ratio and marginal effect. Worry about family finances during the COVID-19 pandemic turns out to be a strong and socially structured stressor that may widen the health inequalities among young people. This underlines the need for preventive and promoting measures aimed at supporting socioeconomic disadvantaged groups. [ABSTRACT FROM AUTHOR]

During the COVID-19 pandemic, teachers had to adapt to the changes caused by remote working, experiencing prolonged stress situations that together with psychosocial factors can lead to burnout and psychosomatic health problems. This study focused on analyzing the influence of COVID-19 and psychosocial risks on psychosomatic problems and burnout at the peak of the pandemic in Spain, from March to April 2020. It combined two methodologies, hierarchical regression models (HRM) and qualitative comparative analysis (QCA). The two methodologies demonstrated greater predictive power for psychosocial demand factors (workload and role conflict) on burnout and psychosomatic health problems. In addition, the fsQCA models demonstrated the contribution of job insecurity and the lack of organizational justice, resources and COVID-19 information. These results can be used by educational managers to improve the daily work of teachers, impacting on the quality of teaching, as well as their response to pandemics, which will benefit society. [ABSTRACT FROM AUTHOR]

Background: Numerous researches have been done on the effect of two therapy cognitive and acceptance and commitment-based treatment on symptoms of depression and psychosomatic problems in the workplace. But the effect of combining therapy cognitive with acceptance and commitment on symptoms of depression and psychosomatic problems in the workplace there is a research gap. Aims: The aim of present study was the efficacy of combining therapy cognitive with acceptance and commitment on symptoms of depression and psychosomatic problems firefighters of Mashhad city. Methods: This was a quasi-experimental study with pre-test, post-test, follow up with control group. Statistical population included all 1100 firefighters in Mashhad in 2018. Out of 68 people identified in the screening , 30 subjects were selected by random sampling method and they were randomly divided into two groups (15 persons), one experimental groups and one control group. Research instruments include: depression index: (Beck et al., 1979), Psychosomatic symptoms in nonclinical context: (Mohr., 2000), General Health Questionnaire(Goldberg and Hillier., 1979), and Combining Therapy Cognitive with Acceptance and Commitment Sessions (Hallis., Cameli ., Dionne., Knäuper., 2016). The data were analyzed using repeated measures analysis of variance. Spss software version 22 was used for analysis. Results: There was a significant difference between the two groups in the posttest in symptoms of depression and psychosomatic problems. Experimental group showed a significant decrease compared to the control group (P< 0/001). Conclusion: Employees who attended combining therapy cognitive with acceptance and commitment sessions had reduced symptoms of depression and psychosomatic problems. This treatment plan is recommended for high- strain work environments prone to psychological problems such as depression and psychosomatic problems

Background: There are few studies on the association between bullying types and psychosomatic issues in pupils. The current study aimed to examine the association of verbal, relational, physical, and cyber bullying with psychosomatic problems among students. Methods: This was a cross-sectional study conducted in northern Iran on 834 participants, which were in 8th and 9th grades in 2014. Bullying and psychosomatic problems were measured by the Iranian-version of the Olweus Bullying and the Health and Illness Questionnaires. Descriptive statistics and multilevel logistic regression analysis were used for data analysis. Results: Findings revealed that bad temper was the most prevalent psychosomatic problem and the prevalence of headache (P=0.021), feeling low (P=0.009), bad temperedness (P=0.004), nervousness (P Conclusions: The results showed the different psychological and somatic burdens associated with various types of bullying. Therefore, it is necessary to implement preventive and interventional programs so as to reduce bullying behaviors in Iran. Implications of these findings for health care professionals, educational systems, and parents were further discussed.

Abstract Background An overarching objective in research comparing different sample groups is to ensure that the reported differences in outcomes are not affected by differences between groups in the functioning of the measurement instruments, i.e. the items have to work in the same way for the different sample groups to be compared. Lack of invariance across sample groups are commonly called Differential Item Functioning (DIF). There is a sense in which the DIF of an item can be taken account of by resolving (splitting) the item into group specific items, rather than deleting the item. Resolving improves fit, retains the reliability and content provided by the item, and compensates for the DIF in estimation of person parameters on the scale of the instrument. However, it destroys invariance of the item’s parameter value among the groups. Whether or not a DIF item should be resolved depends on whether the source of the DIF is relevant or irrelevant for the content of the variable. The present paper shows how external information can be used to investigate if the gender DIF found in the item “Stomach ache” in a psychosomatic symptoms scale used among adolescents may reflect abdominal pain because of a biological factor, the girls’ menstrual periods. Methods Swedish data from the international Health Behaviour in School-aged Children study (HBSC) collected in 2005/06, 2009/10 and 2013/14 were used, comprising a total of 18,983 students in grades 5, 7 and 9. A composite measure of eight items of psychosomatic problems was analysed for DIF with respect to gender and menstrual periods using the Rasch model. Results The results support the hypothesis that the source of the gender DIF for the item “Stomach ache” is a gender specific biological factor. In that case the DIF should be resolved if the psychosomatic measure is not intended to tap information about abdominal pain caused by a gender specific biological factor. In contrast, if the measure is intended to tap such information, the DIF should not be resolved. Conclusions The conceptualisation of the measure governs whether the item showing DIF should be resolved or not.

Medical education is highly demanding and evidence shows that medical students are three times more susceptible to deteriorating physical and mental health than the average college student. While trait anxiety may further increase such risk, little is known about the role of trait mindfulness in mitigating these effects. Here we examine the protective role of specific mindfulness facets as mediators in pathways from trait anxiety to perceived stress, psychosomatic burden and sleep-wake quality in medical students, across repeated measurements throughout the first trimester of the school year. Preclinical medical students enrolled in the second year of the Medical School of University of Bologna completed self-report questionnaires examining personality traits as well as physical and psychological wellbeing. Data were collected at the beginning (Time 1: N = 349) and the end of the first trimester (Time 2: N = 305). As students approached the end of the trimester and upcoming exams, reported levels of perceived stress, psychosomatic problems and difficulties in wakefulness increased significantly compared to the beginning of the trimester. Mediation results showed that trait anxiety predicted such outcomes whereas the protective role of mindfulness facets in mitigating these effects was significant only at Time 2. Specific facets of Nonjudging of inner experience and Acting with awareness proved to be the most effective mediators. Findings highlight that the beneficial role of mindfulness facets in mitigating negative consequences of trait anxiety on medical student wellbeing is revealed in high-pressure periods and when self-regulation is needed the most. Cultivating awareness and nonjudgmental acceptance of one's inner experiences is a crucial self-regulation resource that can help medical students sustain their wellbeing as they learn and throughout their high-pressure education and professional careers. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Social Work is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Modern socio-economic and political conditions in our country greatly affect the psycho-emotional state of fertile aged women and their partners. Unfortunately, the concept of psychological security is not widespread in Ukraine today. The radical approaches to the formation of public opinions and approaches by opinion leaders, which are covered in the media and social networks, unfortunately, reduce the credibility of the doctor as a person who fulfills state guarantees of quality free medical care. Such features of changing attitudes towards doctors greatly affect the efficiency of the doctor’s contact with the patient, which affects the effectiveness of treatment. In women of reproductive age with impaired reproductive health the strength of stressors that induce reproductive health disorders decreases in time to a certain level and goes into prolonged distress. Functioning of the central nervous system supports the formation of a negative internal dialogue in the patient because of interneuron interaction and passage of brain impulses by the shortest route and through areas of high vascularization. The article describes the main types of cognitive distortions that can interfere with the effective dialogue between doctor and patient. Cognitive distortions can be viewed as changes in the psycho-emotional state of women and as a result of the psycho-emotional pathology development, which is need parallel therapy or correction of the psycho-emotional state of such women addition to the treatment of reproductive disorders. The most common of cognitive distortions are mental filtering, positive deviations, maximization, minimization, dichotomous thinking, over-generalization, personalization, accusations, a sense of one’s own self-righteousness, emotional thinking. Timely detection of cognitive impairment in patients with reproductive health disorders allows establishing a trusting relationship between doctor and woman, increasing the effectiveness of treatment and reducing the time of conversation with patient.

Aims: To characterize changes in patterns of adolescent substance use in Sweden between 1988 and 2011, and to assess whether sex and psychosomatic problems were associated with substance use and whether these associations changed over time. Design Secondary analysis of repeated cross‐sectional survey data. Survey data were collected eight times and analyzed as four cohorts (1988–91, 1995–98, 2002–05 and 2008–11). Setting and participants: The sample included all 15–16‐year‐olds in Värmland County, Sweden (n = 20 057). Measurements Binary‐coded substance use measures included life‐time use of alcohol and tobacco, getting drunk and past school year use of inhalants. An eight‐item scale was used to assess psychosomatic problems. Findings A three‐class model fitted the data best (i.e. non/low use, mainly alcohol use and polysubstance use). The patterns of substance use were different among cohorts; most notably, adolescents in the last cohort had lower odds of being included in the alcohol and polysubstance use classes rather than the non/low use class than in the earlier cohorts (all Ps < 0.001). Males had higher odds than females of being in the polysubstance use class rather than the non/low use class among the first three cohorts (all Ps < 0.001) but not the last. Sex was not associated with inclusion in the alcohol use class rather than the non/low use class. Adolescents who reported more psychosomatic problems had higher odds of being included in the alcohol and polysubstance use classes rather than the non/low use class (all Ps < 0.001). The associations of sex and psychosomatic problems with class inclusion did not change during the study period. Conclusions: Between 1988 and 2011, patterns of substance use among adolescents in Sweden shifted away from polysubstance use and alcohol use to non‐use or low use. Associations between patterns of substance use and sex and psychosomatic problems remained largely consistent across the study period. [ABSTRACT FROM AUTHOR]

Aims: The aim of the present study was to examine changes over time in the relationship between self-reported school demands and psychosomatic problems, also considering the impact of student influence and teacher support. Methods: Data from a cross-sectional study (Young in Värmland) including eight data collections (1988–2011) among Swedish students aged 15–16 were used (n = 20,115). Analyses with multinomial logistic regression and descriptive statistics were applied. Results: Between 1988 and 2011, the proportions of students with a higher degree of psychosomatic problems increased, as did the proportion of students experiencing school demands that were too high. Finer-level analyses based on stratification of student groups did not show any associations at the aggregated level between increases of school demands and psychosomatic problems. Similarly, individual level analyses showed that the strength of the association between school demands and psychosomatic problems was not affected by year of investigation. Conclusions: Changes in school demands over time could not explain the increasing trend in psychosomatic problems among adolescents. Since the relationship between school demands and psychosomatic problems is strong across time, there is, however, a continued need for school-based interventions. More studies are required to gain further understanding of adolescent mental health from a trend perspective. [ABSTRACT FROM AUTHOR]

We talk about a psychosomatic illness when we are referring to a painful emotional behavior (headaches and back pains are among the most typical) where no structural changes on tissue or organs occur. Partner therapy, which addresses health problems of both spouses, exposes the connection between a bad condition and a bad relationship. As it will be possible to see from the presented extracts of the present therapeutic conversation, their relationship is based mainly on control, criticism, reproaches, blame, power measurements, failed attempts to exert control, gaining attention, acceptance and consideration. For many years now, they have been living in a vicious circle, full of controlling behaviors and thus losing– each in their own way - control over their own lives and their marriage. The presented case is a presentation of the harmful use of the psychological behaviors of external control in a partner relationship. The psychotherapeutic process involving the couple shows a way to create new figures, through which the spouses can appease their basic psychic needs more successfully and regain control over their lives and their marriage.

Although there is an increasing focus on trend analyses of adolescent mental health, yet too little attention is paid to the methodological challenges and pitfalls inherent in this type of analyses. The purpose of the study is to analyse the psychometric properties of a Finnish instrument on psychosomatic problems, with a major focus on Differential Item Functioning (DIF) across time. Questionnaire data collected in 1994, 1998, 2006 and 2014 among Finnish schoolchildren in grade 9 (15-year-olds) as part of the Health Behaviour in School-aged Children (HBSC) study were utilised. The polytomous Rasch model was used to examine the psychometric properties of a composite measure of psychosomatic problems. The results clearly indicate that the composite measure on psychosomatic problems consisting of nine items does not work invariantly over time. In particular, the item depressed shows DIF across years of investigations. This item works quite differently at the first year of investigation compared to the last year showing higher expected values 2014 (=less frequent problems) than 1994. This DIF affects the person measure of change in psychosomatic problems between 1994 and 2014. Resolving the item depressed for year of investigation DIF, or removing it, increases the difference in person mean values between the two years, implying increasing psychosomatic problems over time. Since the DIF affects the trend results, different options to address the problems need to be considered. Removing the item depressed would bring the Finnish measure of psychosomatic problems in better accordance with the content of the questions on psychosomatic problems in the international HBSC protocol in which the item depressed is not included. [ABSTRACT FROM AUTHOR]

This study aimed to analyze to what extent the strength of the previously established association between peer victimization and psychosomatic problems depends on which of two measures is being used, a measure of bullying and a measure of peer aggression. The study included 2568 Swedish adolescents aged 13-15 years. An Ordinary Least Square regression showed that all regressors representing bullying and peer aggression revealed significant effects on psychosomatic health using no peer victimization as the reference category. An ANOVA showed no significant differences in mean values on the Psychosomatic Problems Scale captured by the two measures. Given that both measures of peer victimization show strong associations with psychosomatic health, using only one of the two measures is therefore likely not just to underestimate the overall prevalence of peer victimization but also the number of children experiencing psychosomatic problems in relation with peer victimization. [ABSTRACT FROM AUTHOR]

Objective: Worldwide there are frequent reports on increasing psychosomatic problems, anxiety, emotional distress, conduct problems, and depression among adolescents. Recently, it was contended that secular studies on such aspects of adolescent mental health can only be evaluated adequately when data on symptom prevalence are analyzed together with data on functional impairment. Still, this has not yet been done in epidemiological time-trend studies on any aspect of adolescent mental health. Therefore, this study aims to investigate if, and to what extent, changes in adolescents' symptoms of psychosomatic problems are affected when data on functional impairment are taken into account simultaneously.Methods: A repeated cross-sectional population study relating self-reported symptoms of psychosomatic problems to functional impairment; covering the time-period 1988-2011 and including 19.823 adolescents 15-16years old in eight cohorts in one geographically defined population (Värmland, Sweden).Results: The proportion of adolescents with psychosomatic problems had increased significantly from 1988 to 2005/2008. In all cohorts the proportion of girls with psychosomatic problems was significantly higher than the proportion of boys reporting symptoms. Over the same period, there was a corresponding significant increase of the proportion of participants with symptoms of psychosomatic problems in combination with functional impairment. Adding functional impairment to the measure of psychosomatic problems decreased the prevalence rates, while the shapes of the trend-curves stayed congruent in form.Conclusion: The long-term pattern of increasing psychosomatic problems among adolescents remains evident, even when taking functional impairment data into account. Previously observed trends of a deteriorating adolescent mental health are thus consistent with this study. [ABSTRACT FROM AUTHOR]

Aims: Profound changes in family structure took place in many countries, during the second part of the previous century. The purpose of this paper is to analyse the association between the type of family residency and psychosomatic problems in younger and older adolescents, particularly focusing on alternate residency, and to examine the impact of child-parent relations. Methods: We used data collected in 2009 by Statistics Sweden among 172,298 Swedish students in Grade 6 and Grade 9 (approximate ages 12 and 15 years old); comprising 80% and 86%, respectively, of the entire population of students in those grades. We collected the data with a questionnaire, completed anonymously in school: We used the Psychosomatic Problems (PSP) scale as the outcome measure. Results: The type of family residency showed a weaker association with psychosomatic problems than the child-parent relationships did. Living in non-intact families increased the probability of adolescent psychosomatic problems by 0–0.05, compared to intact families. In Grade 9, there were no differences in psychosomatic problems between the students in alternate residency and those living with their two parents; and in Grade 6, these differences were relatively small. In comparison, a worse relationship with parents increased the probability of psychosomatic problems by 0.11–0.17, depending on the school grade and type of family residency. Conclusions: The structure of the family, as well as the child-parent relationships needs to be taken into account, to properly estimate the magnitude of the family situation as a determinant of adolescent psychosomatic problems. Our results justify universal intervention at the policy level. [ABSTRACT FROM AUTHOR]

Objective: To investigate the factors associated with exposure to in-real-life (IRL) bullying, cyberbullying, and both IRL and cyberbullying and to explore the relationship between these types of bullying and mental health among 13–16-year-old Swedish boys and girls. Methods: Data was derived from a cross-sectional web-based study of 13–16-year-old students in northern Sweden (n=1214, response rate 81.9%). Results: The combination of IRL- and cyberbullying was the most common type of bullying. A non-supportive school environment and poor body image were related to exposure to bullying for both genders but the relationship was more distinct in girls. All types of bullying were associated with depressive symptoms in both boys and girls and all forms of bullying increased the likelihood of psychosomatic problems in girls. Conclusions: Cyberbullying can be seen as an extension of IRL bullying. A combination of IRL- and cyberbullying seems to be particularly negative for mental health. Interventions should focus on improved school environment and body image as well as anti-violence programmes. Gender aspects of bullying need to be acknowledged. [ABSTRACT FROM PUBLISHER]

BACKGROUND AND OBJECTIVE: A previous meta-analysis showed that being bullied during childhood is related to psychosomatic problems, but many other studies have been published since then, including some longitudinal studies. We performed a new meta-analysis to quantify the association between peer victimization and psychosomatic complaints in the school-aged population. METHODS: We searched online databases up to April 2012, and bibliographies of retrieved studies and of narrative reviews, for studies that examined the association between being bullied and psychosomatic complaints in children and adolescents. The original search identified 119 nonduplicated studies, of which 30 satisfied the prestated inclusion criteria. RESULTS: Two separate random effects meta-analyses were performed on 6 longitudinal studies (odds ratio = 2.39, 95% confidence interval, 1.76 to 3.24) and 24 cross-sectional studies (odds ratio = 2.17, 95% confidence interval, 1.91 to 2.46), respectively. Results showed that bullied children and adolescents have a significantly higher risk for psychosomatic problems than non-bullied agemates. In the cross-sectional studies, the magnitude of effect size significantly decreased with the increase of the proportion of female participants in the study sample. No other moderators were statistically significant. CONCLUSIONS: The association between being bullied and psychosomatic problems was confirmed. Given that school bullying is a widespread phenomenon in many countries around the world, the present results indicate that bullying should be considered a significant international public health problem. [ABSTRACT FROM AUTHOR]

Copyright of Musiktherapeutische Umschau is the property of Vandenhoeck & Ruprecht GmbH & Co. KG and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

CONTEXT. In the last few years, there has been an increasing amount of research showing the concurrent and long-term consequences of bullying and being bullied by peers. OBJECTIVE. We performed a meta-analysis to quantify the association between involvement in bullying and psychosomatic complaints in the school-aged population. METHODS. We searched online databases (Embase, Medline, Psychinfo, Scopus) up to March 2008, bibliographies of existing studies, and qualitative reviews for studies that examined the association between involvement in bullying and psychosomatic complaints in children and adolescents. The original search identified 19 studies, of which 11 satisfied prestated inclusion criteria. RESULTS. Three random-effects meta-analyses were performed for the following 3 groups of children aged between 7 and 16 years: victims, bullies, and bully-victims. Bully-victims, victims, and bullies had a significantly higher risk for psychosomatic problems compared with uninvolved peers. CONCLUSIONS. The association between involvement in bullying and psychosomatic problems was demonstrated. Given that school bullying is a widespread phenomenon in many countries around the world, the present results suggest that bullying be considered a significant international public health issue. [ABSTRACT FROM AUTHOR]

The dynamic continuum between internalizing and externalizing symptoms could explain the complex association between specific emotional and behavioural problems and adolescent substance use.

Development of the psychosomatic problems picky eating and headache and stomachache complaints in middle childhood was investigated from an emotion regulation perspective. The role of negative emotionality and family emotion regulatory factors (attachment to mother and parental perceived control) was studied. The sample (N=87) was a predominantly middleclass, community sample. The study was longitudinal, based on data from several data collections between child age 11 months and 9 years. The results showed that headache and stomachache complaints were mainly predicted by early negative emotionality, and picky eating by the family factors. More negative emotionality, insecure attachment and less perceived control were related to more psychosomatic problems in linear and interaction models. The findings were interpreted as showing that by considering emotion regulation, a fruitful perspective for understanding the development of psychosomatic problems could be elaborated. Copyright © 2004 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Abstract Background Advances in medical science have enabled many children with chronic diseases to survive to adulthood. The transition of adult patients with childhood-onset chronic diseases from pediatric to adult healthcare systems has received attention in Europe and the United States. We conducted a questionnaire survey among 41 pediatricians at pediatric hospitals and 24 nurses specializing in adolescent care to compare the perception of transition of care from pediatric to adult healthcare services for such patients. Findings Three-fourths of the pediatricians and all of the nurses reported that transition programs were necessary. A higher proportion of the nurses realized the necessity of transition and had already developed such programs. Both pediatricians and nurses reported that a network covering the transition from pediatric to adult healthcare services has not been established to date. Conclusions It has been suggested that spreading the importance of a transition program among pediatricians and developing a pediatric-adult healthcare network would contribute to the biopsychosocial well-being of adult patients with childhood-onset chronic disease.