Interaction between emotions and somatic complaints in children who did or did not seek medical care

Abstract

This study aimed to investigate how emotional functioning can be linked to health problems in children. Three groups were compared: (1) a clinical group, consisting of children with abdominal pain, attending an out-patient clinic; (2) a group from the general population who had high scores on a self-report somatic complaint list; and (3) a group from the general population who reported no or few somatic complaints. It was shown that groups 1 and 2 experienced negative moods and negative emotions with a higher frequency and/or intensity, and had a lower feeling of competence than group 3. They were also more likely to act upon physical complaints in emotionally stressful situations than group 3, although all groups made use of emotion-focused strategies. It is suggested that it is not an impaired capacity to identify emotions (an important feature of alexithymia), but an inability to differentiate between, and cope with, negative emotions that might be an important factor in children's health problems. Suggestions for future research are made.

Acknowledgements

The authors wish to thank Nienke Hoekstra and Rozemarijn Martens for their help with data collection, Fouad Karimi for designing the drawings that were used in this study, and Anna Brett and Anne Miers for their corrections.