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Somatic Symptoms and Anxiety Among African American Adolescents
Julie Newman Kingery
Hobart and William Smith Colleges, kingery{at}hws.edu
Golda S. Ginsburg
Johns Hopkins University School of Medicine
Candice A. Alfano
Children's National Medical Center
Somatic symptoms are an associated feature of anxiety disorders that have received little research attention among non-White samples. In addition, the majority of previous studies have examined the influence of somatic symptoms in a cross-sectional rather than a prospective manner. This study examines the prevalence of 12 somatic symptoms, the association of somatic and anxiety symptoms (both concurrently and prospectively) with psychosocial functioning, and gender differences in somatic symptoms among a community sample of 114 African American adolescents (57 girls). In all, 83% of the sample reported at least one somatic symptom (some or most of the time within the past 2 weeks), and on average, adolescents reported 2.5 somatic symptoms. Somatic symptoms correlated positively with severity of anxiety symptoms and negatively with aspects of perceived competence. After the initial level of anxiety symptoms was controlled for, somatic symptoms were a unique predictor of perceived competence (at initial assessment) and anxiety symptoms (at 6-month follow-up). Overall, girls endorsed significantly more somatic symptoms than did boys. Findings replicate those of studies with White samples and suggest that somatic symptoms may be a risk factor for anxiety disorders among African American youth.
Key Words: anxiety somatic symptoms adolescents African American
References
- Barbarin, O.A., & Soler, R.E. (1993). Behavioral, emotional, and academic adjustment in a national probability sample of African American children: Effects of age, gender, and family structure. Journal of Black Psychology, 19, 423-446.[Abstract]
- Beidel, D.C., Christ, M.G., & Long, P.J. (1991). Somatic complaints in anxious children. Journal of Abnormal Child Psychology, 19, 659-670.[CrossRef][Medline]
[Order article via Infotrieve]
- Bernstein, G.A., Garfinkel, B.D., & Hoberman, H.M. (1989). Self-reported anxiety in adolescents. American Journal of Psychiatry, 146, 384-386.[Abstract/Free Full Text]
- Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., et al. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 545-553.
- Block, C.B. (1981). Black Americans and the cross-cultural counseling and psychotherapy experience. In A. J. Marsella & P. B. Pederson (Eds.), Cross-cultural counseling and psychotherapy (pp. 177-194). New York: Pergamon.
- Bouchey, H.A., & Harter, S. (2005). Reflected appraisals, academic self-perceptions, and math/science performance during early adolescence. Journal of Educational Psychology, 97, 673-686.[CrossRef]
- Boyd, R.C., Ginsburg, G.S., Lambert, S.F., Cooley, M.R., & Campbell, K.D.M. (2003). Screen for Child Anxiety Related Emotional Disorders (SCARED): Psychometric properties in an African American parochial high school sample. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 1188-1196.[CrossRef]
- Cooper-Patrick, L., Gallo, J., Powe, N.R., Steinwachs, D.M., Eaton, W.W., & Ford, D.E. (1999). Mental health service utilization by African Americans and Whites: The Baltimore Epidemiologic Catchment Area follow-up. Medical Care, 37, 1034-1045.[CrossRef][Medline]
[Order article via Infotrieve]
- Dhossche, D., Ferdinand, R., van der Ende, J., & Verhulst, F. (2001). Outcome of self-reported functional-somatic symptoms in a community sample of adolescents. Annals of Clinical Psychiatry, 13, 191-199.[CrossRef][Medline]
[Order article via Infotrieve]
- Egger, H.L., Costello, E.J., Erkanli, A., & Angold, A. (1999). Somatic complaints and psychopathology in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 852-860.[CrossRef]
- Garber, J., Walker, L.S., & Zeman, J. (1991). Somatization symptoms in a community sample of children and adolescents: Further validation of the Children's Somatization Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 588-595.
- Ginsburg, G.S., Riddle, M.A., & Davies, M. (2006). Somatic symptoms in children and adolescents with anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 45, 1179-1187.[CrossRef]
- Harter, S. (1988). Manual for the Self-Perception Profile for Adolescents. Denver, CO: University of Denver.
- Jacquez, F., Cole, D.A., & Searle, B. (2004). Self-perceived competence as a mediator between maternal feedback and depressive symptoms in adolescents. Journal of Abnormal Child Psychology, 32, 355-367.[CrossRef][Medline]
[Order article via Infotrieve]
- Lambert, S.F., Cooley, M.R., Campbell, K.D.M., Benoit, M.Z., & Stansbury, R. (2004). Assessing anxiety sensitivity in inner-city African American children: Psychometric properties of the Childhood Anxiety Sensitivity Index. Journal of Clinical Child and Adolescent Psychology, 33, 248-259.[CrossRef]
- Last, C.G. (1991). Somatic complaints in anxiety disordered children. Journal of Anxiety Disorders, 5, 125-138.[CrossRef]
- Majors, R., Tyler, R., Peden, B., & Hall, R. (1994). Cool pose: A symbolic mechanism for masculine role enactment and coping by Black males. In R. Majors & J. U. Gordon (Eds.), The American Black male (pp. 245-261). Chicago: Nelson-Hall.
- March, J.S., Parker, J.D.A., Sullivan, K., Stallings, P., & Conners, K. (1997). The Multidimensional Anxiety Scale for Children (MASC): Factor structure, reliability, and validity. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 554-565.
- March, J.S., Sullivan, K., & Parker, J. (1999). Test-retest reliability of the Multidimensional Anxiety Scale for Children. Journal of Anxiety Disorders, 13, 349-358.[CrossRef][Medline]
[Order article via Infotrieve]
- Masi, G., Favilla, L., Millepiedi, S., & Mucci, M. (2000). Somatic symptoms in children and adolescents referred for emotional and behavioral disorders. Psychiatry, 63, 140-149.[Medline]
[Order article via Infotrieve]
- Muris, P., & Meesters, C. (2004). Children's somatization symptoms: Correlations with trait anxiety, anxiety sensitivity, and learning experiences. Psychological Reports, 94, 1269-1275.[CrossRef][Medline]
[Order article via Infotrieve]
- Neal, A.M., & Turner, S.M. (1991). Anxiety disorders research with African Americans: Current status. Psychological Bulletin, 109, 400-410.[CrossRef][Medline]
[Order article via Infotrieve]
- Robins, L., & Regier, D. (1991). Psychiatric disorders in America. New York: Free Press.
- Smith, T., & Brody, G.H. (2000). Intra- and extracultural perceptions of competence in rural African American youth. Journal of School Psychology, 38, 407-422.[CrossRef]
- Snowden, L.R., & Pingitore, D. (2002). Frequency and scope of mental health service delivery to African Americans in primary care. Mental Health Services Research, 4, 123-130.[CrossRef][Medline]
[Order article via Infotrieve]
- Tram, J.M., & Cole, D.A. (2000). Self-perceived competence and the relation between life events and depressive symptoms in adolescence: Mediator or moderator? Journal of Abnormal Psychology, 109, 753-760.[CrossRef][Medline]
[Order article via Infotrieve]
- White, K.S., & Farrell, A.D. (2006). Anxiety and psychosocial stress as predictors of headache and abdominal pain in urban early adolescents. Journal of Pediatric Psychology, 31, 582-596.[Abstract/Free Full Text]
Journal of Black Psychology, Vol. 33, No. 4,
363-378 (2007)
DOI: 10.1177/0095798407307041

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