Publication: Okul Çocuklarında Somatizasyon ve Somatik Belirtiler Nedeniyle Okul Revirine Başvuru Durumu
Abstract
Amaç: Bu çalışma ilköğretim çağı çocuklarında somatizasyon durumunu ve somatik belirtiler nedeniyle okul revirine başvuru durumlarını belirlemek amacıyla yapıldı. Gereç ve Yöntem: Tanımlayıcı tipte olan çalışma İstanbul'da bulunan iki kamu ilköğretim okulunun 3-8. sınıflarında öğrenim gören 453 öğrenci ile 2011 bahar döneminde gerçekleştirildi. Çalışmada veriler Sosyo-Demografik Anket, Çocuk Somatizasyon Envanteri- 24 (çocuk formu) ve Okul Reviri İzlem Formu ile toplandı. Bulgular: Araştırmaya katılan öğrencilerin Çocuk Somatizasyon Envanteri toplam puan ortanca değeri kızlarda 12 (6-19.25), erkeklerde 8 , tüm grupta 10 bulundu. Cinsiyete göre öğrencilerin somatizasyon puanları arasında istatistiksel olarak fark saptandı (p < 0.001). Kızlarda yaş gruplarına göre değerlendirildiğinde, somatizasyon ortanca puanı 12-14 yaş grubunda (ortanca 14 [8, 22]) 9-11 yaş grubundan (ortanca 11 [5, 17.75]) istatistiksel olarak anlamlı yüksek bulundu (p=0.01). Öğrencilerde en yaygın şikayet olarak %75.7 başağrısı, %57.4 midede ya da karnında ağrı, %55.8 kollarda ya da bacaklarda ağrı, %50.8 enerjide azalma hissi, %47.2 kaslarda güçsüzlük olarak belirlendi. Öğrencilerin %38.1'i yiyeceklerin hasta etmesi, %36.4'ü kusma, %36'sı kabızlık, %35.3'ü baygınlık/baş dönmesi ve kalbinde/göğsünde ağrı, %34.6'sı midede/karında ağrı, %34'ü kollarda/bacaklarda ağrı nedeniyle okul revirine başvurdukları belirlendi.Sonuç: Çalışma bulguları Türk adölesanlarda somatik şikayetlerin olduğunu, adölesan kızların somatizasyon puanının daha yüksek olduğunu ve somatik belirtileri olan çocukların en fazla %38'inin okul revirini ziyaret ettiğini göstermiştir
Objectives: This study was conducted to determine the somatization scores of schoolchildren and to determine the frequency with which schoolchildren visit school health offices with somatic complaints.Methods: This descriptive design study was carried out in two public primary schools in Istanbul in the spring of 2011 and included 453 schoolchildren in grades 3-8. Data were collected using the Demographic Questionnaire, the Children's Somatization Inventory-24 (child form) and the School Health Office Follow-up Form.Results: The median score of the Children's Somatization Inventory was 12 (range 6-19.25) for girls, 8 for boys, and 10 for boys and girls combined. The difference in the median somatization scores was significant with respect to gender (p < 0.001). Girls aged 12-14 years had a significantly higher median score [median 14 (8, 22)] than girls aged 9-11 years [median 11 (5, 17.75)] (p=0.01). The most common symptoms reported were headache (75.7%), pain in the stomach (57.4%), pain in the arms or legs (55.8%), feeling low in energy or slowed down (50.8%), and numbness or tingling in parts of the body (47.2%). It was reported that the students were visiting the school health office with somatic complaints such as getting sick from food (38.1%), vomiting (36.4%), constipation (36%), faintness or dizziness and pain in the heart or chest (35.3%), pain in the stomach or abdomen (34.6%) and pain in the arms or legs (34%).Conclusion: Results of this study indicate that there are Turkish school children with somatic symptoms. Adolescent girls had more somatic symptoms than did boys or younger girls, and 38% of schoolchildren with somatic complaints visited the school health office
Objectives: This study was conducted to determine the somatization scores of schoolchildren and to determine the frequency with which schoolchildren visit school health offices with somatic complaints.Methods: This descriptive design study was carried out in two public primary schools in Istanbul in the spring of 2011 and included 453 schoolchildren in grades 3-8. Data were collected using the Demographic Questionnaire, the Children's Somatization Inventory-24 (child form) and the School Health Office Follow-up Form.Results: The median score of the Children's Somatization Inventory was 12 (range 6-19.25) for girls, 8 for boys, and 10 for boys and girls combined. The difference in the median somatization scores was significant with respect to gender (p < 0.001). Girls aged 12-14 years had a significantly higher median score [median 14 (8, 22)] than girls aged 9-11 years [median 11 (5, 17.75)] (p=0.01). The most common symptoms reported were headache (75.7%), pain in the stomach (57.4%), pain in the arms or legs (55.8%), feeling low in energy or slowed down (50.8%), and numbness or tingling in parts of the body (47.2%). It was reported that the students were visiting the school health office with somatic complaints such as getting sick from food (38.1%), vomiting (36.4%), constipation (36%), faintness or dizziness and pain in the heart or chest (35.3%), pain in the stomach or abdomen (34.6%) and pain in the arms or legs (34%).Conclusion: Results of this study indicate that there are Turkish school children with somatic symptoms. Adolescent girls had more somatic symptoms than did boys or younger girls, and 38% of schoolchildren with somatic complaints visited the school health office