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Symptom development and timing of menarche: A longitudinal study
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2004 (English)In: International Journal of Methods in Psychiatric Research, ISSN 1049-8931, E-ISSN 1557-0657, Vol. 13, no 1, 40-53 p.Article in journal (Refereed) Published
Abstract [en]

Self-reported somatic complaints among females were studied cross sectionally at age 15 and 43, and longitudinally between these two ages. Specifically, the relationship between symptom development and timing of menarche was considered. The sample consisted of 477 females representing the general Swedish population. All the included symptoms were significantly related to each other at both ages. There was also longitudinal correlational stability for all the studied symptoms. Moreover, symptoms at age 15 were associated with early menarcheal timing. Pattern analyses of the studied symptoms were conducted with roots in person-oriented methodology. These results revealed structural as well as individual stability in patterns of symptom reporting for nearly 30 years. That is, similar configurations of symptoms were found at both ages, and it was the same females who reported being either symptom free or reporting a high symptom load at both ages. At age 15 fewer early maturing females than expected by chance reported being symptom free, whereas more of the late maturing females than expected reported being symptom free. However, there were no effects of menarcheal timing on symptom reporting at age 43.

Place, publisher, year, edition, pages
2004. Vol. 13, no 1, 40-53 p.
Keyword [en]
biological maturation, somatic complaints, methodology, females
National Category
Psychology
Identifiers
URN: urn:nbn:se:su:diva-22882OAI: oai:DiVA.org:su-22882DiVA: diva2:189675
Available from: 2004-04-23 Created: 2004-04-23 Last updated: 2011-01-04Bibliographically approved
In thesis
1. Women's subjective and objective health over time: the role of psychosocial conditions and physiological stress responses
Open this publication in new window or tab >>Women's subjective and objective health over time: the role of psychosocial conditions and physiological stress responses
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Today, health problems are likely to have a complex and multifactorial etiology, whereby psychosocial factors interact with behaviour and bodily responses. Women generally report more health problems than men. The present thesis concerns the development of women’s health from a subjective and objective perspective, as related to psychosocial living conditions and physiological stress responses. Both cross-sectional and longitudinal studies were carried out on a representative sample of women. Data analysis was based on a holistic person-oriented approach as well as a variable approach. In Study I, the women’s self-reported symptoms and diseases as well as self-rated general health status were compared to physician-rated health problems and ratings of the general health of the women, based on medical examinations. The findings showed that physicians rated twice as many women as having poor health compared to the ratings of the women themselves. Moreover, the symptom ”a sense of powerlessness” had the highest predictive power for self-rated general health. Study II investigated individual and structural stability in symptom profiles between adolescence and middle-age as related to pubertal timing. There was individual stability in symptom reporting for nearly thirty years, although the effect of pubertal timing on symptom reporting did not extend into middle-age. Study III explored the longitudinal and current influence of socioeconomic and psychosocial factors on women’s self-reported health. Contemporary factors such as job strain, low income, financial worries, and double exposure in terms of high job strain and heavy domestic responsibilities increased the risk for poor self-reported health in middle-aged women. In Study IV, the association between self-reported symptoms and physiological stress responses was investigated. Results revealed that higher levels of medically unexplained symptoms were related to higher levels of cortisol, cholesterol, and heart rate. The empirical findings are discussed in relation to existing models of stress and health, such as the demand-control model, the allostatic load model, the biopsychosocial model, and the multiple role hypothesis. It was concluded that women’s health problems could be reduced if their overall life circumstances were improved. The practical implications of this might include a redesign of the labour market giving women more influence and control over their lives, both at and away from work.

Place, publisher, year, edition, pages
Stockholm: Psykologiska institutionen, 2004. 66 p.
Keyword
health, medically unexplained symptoms, females, longitudinal, psychosocial, stress
National Category
Psychology
Identifiers
urn:nbn:se:su:diva-124 (URN)91-7265-853-3 (ISBN)
Public defence
2004-05-07, David Magnussonsalen (U31), hus 8, Frescati hagväg 8, Stockholm, 14:00
Opponent
Supervisors
Available from: 2004-04-23 Created: 2004-04-23Bibliographically approved

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