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How ubiquitous are physical and psychological complaints in young and middle adulthood?

A longitudinal perspective

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Abstract

Objectives

To investigate continuity and change of self-reported physical and psychological complaints in young adults over a period of 20 years.

Study design and setting

The Zurich Study – a long-term panel survey in psychiatric epidemiology – is based on a stratified sample of 591 subjects born in 1958 (women) and 1959 (men). The sample strata combine SCL-90-R high-scorers and low-scorers in a 2:1 ratio. Up to now, the Zurich Study has included six interviews between 1979 and 1999, i.e. 20 years of life in young adults. We analysed the longitudinal frequency data of a variety of physical and psychological complaints, as well as information about subjective suffering and use of professional help. The analyses utilised on the McNemar’s test, the Q-test and Markov chain models.

Results

Sleep disorders, depression, menstruation, backache, headache, stomach and bowel complaints yielded cumulative prevalence rates of 80% or higher. Physical and psychological complaints systematically differ with respect to the change patterns between 1979 and 1999. Moreover, strong differences were found in view of subjective suffering and use of professional help.

Conclusions

Even though many self-reported physical and psychological complaints are very common in young adulthood, the underlying dynamics and the implications largely differ. It seems to be crucial whether respondents use somatic glasses or psychological lenses.

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Notes

  1. For example, the two initial questions of the depression section in the 1999 interview were: (a) During the last 12 months, have you ever felt devoid of energy, depressed, sad, tired of living, or have you suffered from a loss of efficiency, feelings of inferiority, a complete lack of interests, or have you just had “the blues”? (b) Were you extremely unhappy and did not enjoy anything and even good news could not cheer you up?

References

  1. Derogatis L (1977) SCL-90. Administration, scoring and procedures manual-1 for the R (revised) version and other instruments of the Psychopathology Rating Scale Series, Chicago

  2. Goldberg DP, Hillier VF (1979) A scaled version of the general health questionnaire. Psychol Med 9:139–145

    Article  PubMed  CAS  Google Scholar 

  3. Pennebaker JW (2000) Psychological factors influencing the reporting of physical symptoms. In: Stone AA, Turkkan JS, Bachrach CA, Jobe JB, Kurtzman HS, Cain VS (eds) The science of self-report. Implications for research and practice. Lawrence Erlbaum Associates, Mahwah, pp 299–316

    Google Scholar 

  4. Kolk AM, Hanewald GJ, Schagen S, Gijsbers van Wijk CM (2003) A symptom perception approach to common physical symptoms. Soc Sci Med 57:2343–2354

    Article  PubMed  Google Scholar 

  5. Myrtek M (1998) Gesunde Kranke – kranke Gesunde. Hans Huber, Bern

    Google Scholar 

  6. Barsky AJ (2000) The validity of bodily symptoms in medical outpatients. In: Stone AA, Turkkan JS, Bachrach CA, Jobe JB, Kurtzman HS, Cain VS (eds) The science of self-report. Implications for research and practice. Lawrence Erlbaum Associates, Mahwah, pp 339–362

    Google Scholar 

  7. Grootendorst PV, Feeny DH, Furlong W (1997) Does it matter whom and how you ask? Inter- and intra-rater agreement in the Ontario Health Survey. J Clin Epidemiol 50:127–135

    Article  PubMed  CAS  Google Scholar 

  8. Kroenke K, Spitzer RL, Williams JB (2002) The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med 64:258–266

    PubMed  Google Scholar 

  9. Knauper B, Turner PA (2003) Measuring health: improving the validity of health assessments. Qual Life Res 12(Suppl 1):81–89

    Article  PubMed  Google Scholar 

  10. Angst J, Binder J (1980) Epidemiology of depressive symptoms in a 20-year-old Swiss population. Psychiatria Fennica 65–70

  11. Binder J, Dobler-Mikola A, Angst J (1981) An epidemiological study of minor psychiatric disturbances. A field study among 20-year-old females and males in Zürich. Soc Psychiatr 16:31–41

    Article  Google Scholar 

  12. Angst J, Dobler-Mikola A, Binder J (1984) The Zurich Study – a prospective epidemiological study of depressive, neurotic and psychosomatic syndroms. 1. Problem, methodolgy. Eur Arch Psychiatr Neurol Sci 234:13–20

    Article  CAS  Google Scholar 

  13. Eich D, Ajdacic-Gross V, Condrau M, Huber H, Gamma A, Angst J, Rossler W (2003) The Zurich Study: participation patterns and symptom checklist 90-R scores in six interviews, 1979–99. Acta Psychiatr Scand Suppl:11–14

    Article  Google Scholar 

  14. American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM IV). American Psychiatric Association, Washington, DC

    Google Scholar 

  15. Bortz J, Lienert GA, Boehnke K (2000) Verteilungsfreie Methoden in der Biostatistik [Nonparametric methods in biostatistics]. Springer, Berlin

    Google Scholar 

  16. Bishop YMM, Fienberg SE, Holland PW (1975) Discrete multivariate analysis. MIT Press, Cambridge, MA

    Google Scholar 

  17. Vermunt JK (1997) lEM: a general program for the analysis of categorical data. Tilburg University

  18. Metzger MH, Goldberg M, Chastang JF, Leclerc A, Zins M (2002) Factors associated with self-reporting of chronic health problems in the French GAZEL cohort. J Clin Epidemiol 55:48–59

    Article  PubMed  CAS  Google Scholar 

  19. Kroenke K, Spitzer RL (1998) Gender differences in the reporting of physical and somatoform symptoms. Psychosom Med 60:150–155

    PubMed  CAS  Google Scholar 

  20. Hotopf M, Mayou R, Wadsworth M, Wessely S (1998) Temporal relationships between physical symptoms and psychiatric disorder. Brit J Psychiatr 173:255–261

    Article  CAS  Google Scholar 

  21. Chen H, Guarnaccia PJ, Chung H (2003) Self-attention as a mediator of cultural influences on depression. Int J Soc Psychiatr 49:192–203

    Article  Google Scholar 

  22. Eriksen HR, Svendsrød R, Ursin G, Ursin H (1998) Prevalence of subjective health complaints in the Nordic European countries in 1993. Eur J Public Health 8:294–298

    Article  Google Scholar 

  23. Ladwig KH, Marten-Mittag B, Formanek B, Dammann G (2000) Gender differences of symptom reporting and medical health care utilization in the German population. Eur J Epidemiol 16:511–518

    Article  PubMed  CAS  Google Scholar 

  24. Terre L, Carlos Poston WS, Foreyt J, Jeor STS (2003) Do somatic complaints predict subsequent symptoms of depression? Psychother Psychosom 72:261–267

    Article  PubMed  Google Scholar 

  25. Ajdacic-Gross V, Graf M (2003) Bestandesaufnahme und Daten zur psychiatrischen Epidemiologie. Schweizerisches Gesundheitsobservatorium, Neuchatel

    Google Scholar 

  26. Hays RD, Stewart AL (1990) The structure of self-reported health in chronic disease patients. Psychol Assess 2:22–30

    Article  Google Scholar 

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Acknowledgement

The study was supported by the Swiss National Science foundation (Grant # 32-50881.97).

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Authors and Affiliations

  1. Psychiatric University Hospital, Militärstr. 8, 8004, Zürich, Switzerland

    Vladeta Ajdacic-Gross Phil, Stephan Horvath MA, Mirjana Canjuga MA, Alex Gamma PhD, Jules Angst MD, Wulf Rössler MD, MA & Dominique Eich MD

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  1. Vladeta Ajdacic-Gross Phil
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  2. Stephan Horvath MA
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  3. Mirjana Canjuga MA
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  4. Alex Gamma PhD
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  5. Jules Angst MD
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  6. Wulf Rössler MD, MA
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  7. Dominique Eich MD
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Correspondence to Vladeta Ajdacic-Gross Phil.

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Ajdacic-Gross, V., Horvath, S., Canjuga, M. et al. How ubiquitous are physical and psychological complaints in young and middle adulthood?. Soc Psychiat Epidemiol 41, 881–888 (2006). https://doi.org/10.1007/s00127-006-0111-x

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  • DOI: https://doi.org/10.1007/s00127-006-0111-x

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