Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Patterns of internalizing symptoms and disability functioning in children and adolescents
Authors: Amendola, Simone
Hengartner, Michael P.
Spensieri, Valentina
Grillo, Luciano
Cerutti, Rita
et. al: No
DOI: 10.1007/s00787-021-01789-4
Published in: European Child & Adolescent Psychiatry
Volume(Issue): 31
Issue: 9
Page(s): 1455
Pages to: 1464
Issue Date: 2021
Publisher / Ed. Institution: Springer
ISSN: 1018-8827
1435-165X
Language: English
Subjects: Internalizing symptom; Cluster analysis; Disability; Functioning; Youth
Subject (DDC): 618.92: Pediatrics
Abstract: Despite findings from previous studies, there is still little consistent knowledge regarding the co-occurrence patterns of somatic, depressive and anxiety symptoms in childhood and adolescence. Moreover, functional disability due to somatic symptoms at different concomitant levels of depression and anxiety is understudied. The present study examined the cooccurrence patterns of somatic symptoms and symptoms of depression and anxiety, in children and adolescents using twostep cluster analysis. Differences in functional disability due to somatic symptoms were tested with ANCOVA controlling for gender and age. The sample comprised 1127 Italian children and adolescents (48.7% males, n = 549) aged 8–16 years (Mage = 11.7, SD = 2.37). Data were collected using the Children Somatization Inventory-24, the Children Depression Inventory, the Screen for Child Anxiety Related Emotional Disorders, and the Functional Disability Inventory. A four-cluster solution based on the co-occurrence of internalizing symptoms best fit the data. The four clusters were labelled as follows: cluster 1: “High somatic symptoms and average depression/anxiety”; cluster 2: “High somatic symptoms and high depression/anxiety”; cluster 3: “Average somatic symptoms and above average depression/anxiety”; and cluster 4: “Low somatic symptoms and low depression/anxiety”. Significant differences between the four groups according to gender and age were shown. Participants with high levels of somatic, depressive, and anxiety symptoms reported greater functional disability due to somatic symptoms than the other three groups. Our findings indicate that children and adolescents who demonstrate high symptoms of depression and anxiety also reported higher levels of disability in daily life due to somatic symptoms.
URI: https://digitalcollection.zhaw.ch/handle/11475/23871
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: Applied Psychology
Organisational Unit: Psychological Institute (PI)
Appears in collections:Publikationen Angewandte Psychologie

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Amendola, S., Hengartner, M. P., Spensieri, V., Grillo, L., & Cerutti, R. (2021). Patterns of internalizing symptoms and disability functioning in children and adolescents. European Child & Adolescent Psychiatry, 31(9), 1455–1464. https://doi.org/10.1007/s00787-021-01789-4
Amendola, S. et al. (2021) ‘Patterns of internalizing symptoms and disability functioning in children and adolescents’, European Child & Adolescent Psychiatry, 31(9), pp. 1455–1464. Available at: https://doi.org/10.1007/s00787-021-01789-4.
S. Amendola, M. P. Hengartner, V. Spensieri, L. Grillo, and R. Cerutti, “Patterns of internalizing symptoms and disability functioning in children and adolescents,” European Child & Adolescent Psychiatry, vol. 31, no. 9, pp. 1455–1464, 2021, doi: 10.1007/s00787-021-01789-4.
AMENDOLA, Simone, Michael P. HENGARTNER, Valentina SPENSIERI, Luciano GRILLO und Rita CERUTTI, 2021. Patterns of internalizing symptoms and disability functioning in children and adolescents. European Child & Adolescent Psychiatry. 2021. Bd. 31, Nr. 9, S. 1455–1464. DOI 10.1007/s00787-021-01789-4
Amendola, Simone, Michael P. Hengartner, Valentina Spensieri, Luciano Grillo, and Rita Cerutti. 2021. “Patterns of Internalizing Symptoms and Disability Functioning in Children and Adolescents.” European Child & Adolescent Psychiatry 31 (9): 1455–64. https://doi.org/10.1007/s00787-021-01789-4.
Amendola, Simone, et al. “Patterns of Internalizing Symptoms and Disability Functioning in Children and Adolescents.” European Child & Adolescent Psychiatry, vol. 31, no. 9, 2021, pp. 1455–64, https://doi.org/10.1007/s00787-021-01789-4.


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