Skip to main content
Log in

Stress and Somatic Complaints in Low-Income Urban Adolescents

  • Published:
Journal of Youth and Adolescence Aims and scope Submit manuscript

Abstract

The present study examined (1) rates of somatic complaints and (2) the association between stress and somatic complaints in low-income urban youth. Participants were 1030 low-income urban 6th–8th grade adolescents. Results indicate that, for both boys and girls, somatization was the most commonly reported internalizing symptom in this sample, and that heightened rates of urban stress predicted heightened rates of somatic complaints. In addition, a significantly higher percentage of youth in this sample reported clinically elevated levels of somatic complaints (17%) relative to that reported by normative samples (5%). The 2 most common somatic complaints were stomachaches and headaches, and females reported higher rates of somatic complaints than males. These findings suggest that somatic complaints are the most common expression of internalizing symptoms among low-income urban youth, and that exposure to heightened rates of stress places low-income urban adolescents at heightened risk for somatization. Implications of these findings and directions for future research are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • Abramson, L. Y., Seligman, H. E. P. and Teasdale, J. (1978). Learned helplessness in humans: Critique and reformulation. J. Abnorm. Psychol. 87: 49–74.

    Google Scholar 

  • Achenbach, T. M. (1991). Manual for theYouth Self-Report and 1991 profile. Department of Psychiatry, University of Vermont, Burlington, VT.

    Google Scholar 

  • Achenbach, T. M. (1995). Diagnosis, assessment, and comorbidity in psychosocial treatment research. J. Abnorm. Child Psychol. 23: 45–65.

    Google Scholar 

  • Achenbach, T. M., and Edelbrock, C. (1987). Youth Self-Report. Department of Psychiatry, University of Vermont, Burlington, VT.

    Google Scholar 

  • Allgood-Menen, B., Lewinsohn, P. M., and Hops, H. (1990). Sex differences and adolescent depression. J. Abnorm. Psychol. 99: 53–63.

    Google Scholar 

  • Allison, K. W., Burton, L., Marshall, S., Perez-Febles, A., Yarrington, J., Bloch Kirsch, L., and Merriwether-DeVries, C. (2001). Life experiences among urban adolescents: Measurement and the role of context. Manuscript submitted for publication.

  • Angold, A., and Costello, E. J. (1993). Depressive comorbidity in children and adolescents: Empirical, theoretical, and methodological issues. Amer. J. Psychiat. 150: 1779–1791.

    Google Scholar 

  • Attar, B. K., Guerra, N. G., and Tolan, P. H. (1994). Neighborhood disadvantage, stressful life events, and adjustment in urban elementary-school children. J. Clin. Child Psychol. 23: 391–400.

    Google Scholar 

  • Banez, G. A., and Compas, B. E. (1990). Children's and parents' daily stressful events and psychological symptoms. J. Abnorm. Psychol. 18: 591–605.

    Google Scholar 

  • Barreto, S., and McManus, M. (1997). Casting the net for “depression” among ethnic minority children from the high-risk urban communities. Clin. Psychol. Rev. 17(8): 823–845.

    Google Scholar 

  • Bell, C., and Jenkins, E. (1993). Community violence and children on Chicago's southside. Psychiatry: Interpersonal and Biological Processes 56(1): 46–54.

    Google Scholar 

  • Brooks-Gunn, J., and Petersen, A. C. (1991). Studying the emergence of depression and depressive symptoms during adolescence. J. Youth Adolesc. 20: 115–119.

    Google Scholar 

  • Brown, D. R., Ahmed, F., Gary, L. E., and Milburn, H. G. (1995). Major depression in a community sample of African Americans. Am. J. Psychiatry 152(3): 373–378.

    Google Scholar 

  • Campo, J., and Fritsch, S. (1994). Somatization in children and adolescents. J. Am. Acad. Child Adolesc. Psychiatry 33(9): 1223–1235.

    Google Scholar 

  • Children's Defense Fund (1999). The state of America's children yearbook. Washington, D.C.: Children's Defense Fund.

    Google Scholar 

  • Chicago Public Schools Office of Accountability (1995). The state report cards for 1994—95: Analysis of the first decade. Chicago: Chicago Public Schools Office of Accountability.

    Google Scholar 

  • Cohen, L., Burt, C., and Bjorck, J. (1987). Life stress and adjustment: Effects of life events experienced by young adolescents and their parents. Develop. Psychol. 23: 583–592.

    Google Scholar 

  • Compas, B. E., Davis, G. E., Forsythe, C. J., and Wagner, B. M. (1987). Assessment of major and daily stressful events during adolescence: The Adolescent Perceived Events Scale. J. Consult. Clin. Psychol. 55: 534–541.

    Google Scholar 

  • Compas, B. E., and Hammen, C. (1994). Child and adolescent depression: Covariation and comorbidity in development. In Haggerty, R. J., Garmezy, N., Rutter, M., and Sherrod, L. (eds.), Risk and Resilience in Children: Developmental Approaches. Cambridge University Press, New York, pp. 225–267.

    Google Scholar 

  • Compas, B. E., Howell, D. C., Phares, V., Williams, R. A., and Guinta. (1989). Risk factors for emotional/behavioral problems in young adolescents: A prospective analysis of adolescent and parental stress and symptoms. J. Consult. Clin. Psychol. 57: 732–740.

    Google Scholar 

  • Conger, R. D., Ge, X., Elder, G. H., Lorenz, F. O., and Simons. R. L. (1994). Economic stress, coercive family process and developmental problems of adolescents. Child Develop. 65: 541–561.

    Google Scholar 

  • Crnic, K. A., and Greenberg, M.T. (1990). Minor parenting stresses with young children. Child Develop. 61: 1628–1637.

    Google Scholar 

  • DuBois, D. L., Felner, R. D., Brand, S., Adan, A. M., and Evans, E. G. (1992). A prospective study of life stress, social support, and adaptation in early adolescence. Child Dev. 63: 542–557.

    Google Scholar 

  • Forehand, R., Biggar, H., and Kotchick, B. A. (1998). Cumulative risk across family stressors: Short and long-term effects for adolescents. J. Abnorm. Child Psychol. 26: 119–128.

    Google Scholar 

  • Freeman, L. N., Mokros, H., and Poznanski, E. (1993).Violent events reported by normal urban schoolaged children: Characteristics and depression correlates. J. Amer. Acad. Child Adolesc. Psychiat. 32: 331–345.

    Google Scholar 

  • Fritz, G. D., Fritsch, S., and Hagino, O. (1997). Somatoform disorders in children and adolescents: A review of the past 10 years. J. Am. Acad. Child Adolesc. Psychiatry 36: 1329–1338.

    Google Scholar 

  • Garber, J., Walker, L. S., and Zeman, J. (1991). Somatization symptoms in a community sample of children and adolescents: Further validation of the children's somatization inventory. Psychol. Assess. 3: 588–595.

    Google Scholar 

  • Garrison, C., Schluchter, M. Schoenbach, V., and Kaplan, B. (1989). Epidemiology of depressive symptoms in young adolescents. J. Amer. Acad. Child Adolesc. Psychiat. 28: 343–351.

    Google Scholar 

  • Grant, K. E., and Compas, B. E. (1995). Stress and symptoms of depression/anxiety among adolescents: Searching for mechanisms of risk. J. Consult. Clin. Psychol. 63: 1015–1021.

    Google Scholar 

  • Grant, K. E., Katz, B. N., O'Koon, J. H., and Thomas, K. J. (2001). Internalizing symptoms affecting low income urban youth. Manuscript submitted for publication.

  • Grant, K. E., O'Koon, J., Davis, T., Roache, N., Armstrong, M., and Poindexter, L. (2001). Stress and psychological symptoms in low income urban African American youth. Manuscript submitted for publication.

  • Grant, K. E., Lyons, A. L., Landis, D., Cho, M. H., Scudiero, M., Reynolds, L., Murphy, J., and Bryant, H. (1999). Gender, body image, and depressive symptoms among low-income African American adolescents. J. Soc. Issues 55: 299–316.

    Google Scholar 

  • Greene, J. W., Walker, L. S., Hickson, G., and Thompson, J. (1989). Stressful life events and somatic complaints in adolescents. International Universities Press, Madison, pp. 633–642.

    Google Scholar 

  • Greene, J. W., and Walker, L. S. (1997). Psychosomatic problems and stress in adolescence. Pediatr. Clin. North Am. 44: 1557–1572.

    Google Scholar 

  • Guerra, N. G., Huesmann, L. R., Tolan, P. H., and Van Acker, R. (1995). Stressful events and individual beliefs as correlates of economic disadvantage and aggression among urban children. Special Section: Prediction and prevention of child and adolescent antisocial behavior. J. Consult. Clin. Psychol. 63: 518–528.

    Google Scholar 

  • Hammen, C. (1991). The generation of stress in the course of unipolar depression. J. Abnorm. Psychol. 100: 555–561.

    Google Scholar 

  • Hammen, C. (1992). Life events and depression: The plot thickens. Amer. J. Comm. Psychol. 20: 179–193.

    Google Scholar 

  • Hammen, C., and Compas, B. E. (1994). Unmasked depression in children and adolescent: The problem of comorbidity. Clin. Psychol. Rev. 14: 585–603.

    Google Scholar 

  • Hammond, W. R., and Yung, B. (1991). Preventing violence in at-risk African-American youth. J. Health Care Poor Underserved 2: 359–373.

    Google Scholar 

  • Harrington, R., Fudge, H., Rutter, M., and Pickles, A. (1990). Adult outcomes of childhood and adolescent depression: I. Source. Arch. Gen. Psychiatry 47: 465–473.

    Google Scholar 

  • Hinden, B. R., Compas, B. E., Howell, D. C., and Achenbach, T. M. (1997). Covariation of the anxious depressed syndrome during adolescence: Separating fact from artifact. J. Consult. Clin. Psychol. 65: 6–14.

    Google Scholar 

  • Hodges, K., Kline, J. J., Barbero, G., and Flanery, R. (1984). Life events occurring in families of children with recurrent abdominal pain. J. Psychosom. Res. 28: 185–188.

    Google Scholar 

  • Ingersoll, G. M., Grizzle, K., Beiter, M., and Orr, D. P. (1993). Frequent somatic complaints and psychosocial risk in adolescents. J. Early Adolesc. 13: 67–78.

    Google Scholar 

  • Kandel, D. B., and Davies, M. (1986). Adult sequelae of adolescent depressive symptoms. Arch. Gen. Psychiatry 43: 255–262.

    Google Scholar 

  • Kanner, A. D., Coyne, J. C., Schaefer, C., and Lazarus, R. S. (1981). Comparison of two modes of stress measurement: Daily hassles and uplifts versus major life events. J. Behav. Med. 4: 1–39.

    Google Scholar 

  • Katon, W., Kleinman, A., and Rosen, G. (1982). Depression and somatization: A review. Am. J. Med. 72: 127–135.

    Google Scholar 

  • Kirmayer, L. J., Dao, T. H. T., and Smith, A. (1998). Somatization and psychologization Understanding cultural idioms of distress. In S. O. Okpaku (ed.). Clinical methods in transcultural psychiatry. Washington. D.C.: American Psychiatric Press, Inc.

    Google Scholar 

  • Kirmayer, L., and Young, A. (1998). Culture and somatization: Clinical, epidemiological, and ethnographic perspectives. Psychosom. Med. 60: 420–430.

    Google Scholar 

  • Kovacs, M., and Devlin, B. (1998). Internalizing disorders in childhood. J. Child Psychol. Psychiatry 39: 47–63.

    Google Scholar 

  • Lewinsohn, P. M., Hops, H., Roberts, R. E., and Seeley, J. R. (1993). Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. J. Abnorm. Psychol. 102: 517.

    Google Scholar 

  • Lipowski, Z. J. (1988). Somatization: The concept and its clinical application. J. Amer. Acad. Child Adolesc. Psychiat. 145: 1358–1368.

    Google Scholar 

  • Mason, C. A., Cauce, A. M., Gonzales, N., Hiraga, Y., and Grove. (1994). An ecological model of externalizing behaviors in African-American adolescents: No family is an island. Special issue: Affective processes in adolescence. J. Res. Adolesc. 4(4): 639–655.

    Google Scholar 

  • McCauley, E., Carlson, G. A., and Calderon, R. (1991). The role of somatic complaints in the diagnosis of depression in children and adolescents. J. Am. Acad. Child Adolesc. Psychiatry 30: 631–635.

    Google Scholar 

  • McConaughy, S. H., and Skiba, R. J. (1993). Comorbidity of externalizing and internalizing problems. School Psychol. Rev. 22: 421–443.

    Google Scholar 

  • McLoyd, V. C. (1998). Socioeconomic disadvantage and child development. Amer. Psychol. 53: 185–204.

    Google Scholar 

  • Mosley, J. L., and Lex, A. (1990). Indentification of potentially stressful life events experienced by a population of urban minority youth. J. Multicul. Counse. Develop. 18: 118–125.

    Google Scholar 

  • Myers, A. P. (1992). Stressful life events, temperament, coping, and psychological adjustment in late adolescence. Dissertation Abstracts International 52: 3923–3924.

    Google Scholar 

  • Nolen-Hoeksema, S. (1994).An interactive model for the emergence of gender differences in depression in adolescence. J. Res. Adolesc. 4(4): 519–534.

    Google Scholar 

  • Nolen-Hoeksema, S., and Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychol. Bulletin 115: 424–443.

    Google Scholar 

  • O'Koon, J. (1999). Covariation of internalizing and externalizing symptoms among low-income urban youth. Unpublished doctoral dissertation. DePaul University Chicago.

    Google Scholar 

  • Osofsky, J. D., Weivers, S., Hann, D. M., and Flick, A. C. (1993). Chronic community violence: What is happening to our children? Psychiat.: Interpers. Biolog. Proc. 56: 36–45.

    Google Scholar 

  • Petersen, A. C., Compas, B. E., Brooks-Gunn, J., Stemmler, M., Ey, S., and Grant, K. E. (1993). Depression in adolescence. Am. Psychol. 48: 155–168.

    Google Scholar 

  • Petersen, A. C., Sarigiani, P. A., and Kennedy, R. E. (1991). Adolescent depression: Why more girls? J. Youth Adolesc. 20: 247–271.

    Google Scholar 

  • Richters, J. E., and Martinez, P. (1993). The NIMH community violence project: I. Children as victims of and witnesses to violence. Psychiatry 56: 7–21.

    Google Scholar 

  • Roberts, R. E., and Sobhan, M. (1992). Symptoms of depression in adolescence: A comparison of Anglo, African, and Hispanic Americans. J. Youth Adolesc. 21(6): 639–651.

    Google Scholar 

  • Roosa, M.W., Beals, J., Sandler, I. N., and Pillow, D. R. (1990). The role of risk and protective factors in predicting symptomatology in adolescent self-identified children of alcoholic parents. Amer. J. Comm. Psychol. 18: 725–741.

    Google Scholar 

  • Schichor, A., Bernstein, B., and King, S. (1994). Self-reported depressive symptoms in inner-city adolescents seeking routine health care. Adolescence 29: 379–388.

    Google Scholar 

  • Seidman, E. (1991). Growing up the hard way: Pathways of urban adolescents. Am. J. Commun. Psychol. 19: 173–205.

    Google Scholar 

  • Seligman, M. E. P. (1975). Helplessness: On depression, development, and death. San Francisco: W. W. Freeman.

    Google Scholar 

  • Siegel, J. M., and Brown, J. D. (1988).A prospective study of stressful circumstances, illness symptoms, and depressed mood among adolescents. Dev. Psychol. 24: 715–721.

    Google Scholar 

  • Stanger, C., McConaughy, S., and Achenbach, T. M. (1992). Three-year course of behavioral/emotional problems in a national sample of 4-to 16-year olds: II. Predictors of syndromes. J. Amer. Acad. Child Adolesc. Psychiat. 31: 941–950.

    Google Scholar 

  • Straus, M., and Gelles, R. J. (1986). Societal change and change in family violence from 1975 to 1985 as revealed by two national surveys. J. Marri. Fam. 48: 465–479.

    Google Scholar 

  • Terre, L., and Ghiselli, W. (1997). A developmental perspective on family risk factors in somatization. J. Psychosom. Res. 42(2): 197–208.

    Google Scholar 

  • Tolan, P. H., and Henry, D. (1996). Patterns of psychopathology among urban poor children: Comorbidity and aggression effects. J. Consult. Clin. Psychol. 61: 1094–1099.

    Google Scholar 

  • U.S. Bureau of the Census (1992).

  • Wagner, B. M., Compas, B. E., and Howell, D. C. (1988). Daily and major life events: A test of an integrative model of psychosocial stress. Amer. J. Comm. Psychol. 16: 189–205.

    Google Scholar 

  • Walker, L. S., Garber, J., and Greene, J.W. (1994 ). Somatic complaints in pediatric patients?Aprospective study of the role of negative life events, child social and academic competence and parental somatic complaints. J. Consult. Clin. Psychol. 62: 1231–1221.

    Google Scholar 

  • Weiss, M. G., and Kleinman, A. (1988). Depression in cross-cultural perspective: Developing a culturally informed model. In P. R. Dasen and J.W. Berry (eds.). Health and cross-cultural psychology: Toward applications. Newbury Park, CA: Sage Publications, Inc.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reynolds, L.K., O'Koon, J.H., Papademetriou, E. et al. Stress and Somatic Complaints in Low-Income Urban Adolescents. Journal of Youth and Adolescence 30, 499–514 (2001). https://doi.org/10.1023/A:1010401417828

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1010401417828

Keywords

Navigation