A developmental perspective on functional somatic symptoms

J Pediatr Psychol. 2008 Jun;33(5):547-62. doi: 10.1093/jpepsy/jsm113. Epub 2007 Dec 3.

Abstract

Objective: To provide a new approach for conceptualizing and studying functional somatic symptoms (FSS) in children and adolescence.

Methods: A developmental model is proposed based on the synthesis of the extant literature and previous theoretical perspectives of FSS in children and adolescents.

Results: Multiple risk and protective factors from child, familial, social, and environmental domains, the interactions across risk domains, and potential developmental pathways of FSS are identified.

Conclusions: This article underscores the necessity of taking a broader, developmental view of FSS. The tenets of developmental psychopathology emphasize the utility of viewing FSS on a continuum of severity rather than as a discrete entity or diagnosis. This article concludes with directions for future research and treatment implications.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Child
  • Disease Progression
  • Family Relations
  • Humans
  • Object Attachment
  • Personality Development
  • Prognosis
  • Risk Factors
  • Social Environment
  • Somatoform Disorders / diagnosis
  • Somatoform Disorders / psychology*
  • Systems Theory