Skip to main content
Top
Published in: Social Psychiatry and Psychiatric Epidemiology 8/2015

01-08-2015 | Original Paper

Cross-sectional time trends in psychological and somatic health complaints among adolescents: a structural equation modelling analysis of ‘Health Behaviour in School-aged Children’ data from Switzerland

Authors: Michelle Dey, Anthony F. Jorm, Andrew J. Mackinnon

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 8/2015

Login to get access

Abstract

Purpose

This study examined cross-sectional time trends in health complaints among adolescents living in Switzerland, including differences between population subgroups and sources of differential response to items.

Methods

Swiss data were analysed from the Health Behaviour in School-aged Children (HBSC; including 11–15 years old) from 1994 (n = 7008), 1998 (n = 8296), 2002 (n = 9066) and 2006 (n = 9255). Structural equation modelling was used to assess (1) the structure of the HBSC Symptom Checklist (HBSC-SCL; questionnaire, which asks about the frequency of eight health complaints) and (2) associations between the HBSC-SCL with year of data collection and demographic characteristics of the participants.

Results

Two correlated factors fitted the data better than a single factor. The psychological factor included the items ‘feeling low,’ ‘irritability and bad temper,’ ‘nervousness’ and ‘difficulties in getting to sleep,’ and the somatic factor the items ‘headache’, ‘backache’, ‘stomach ache’ and ‘dizziness’. Relative to 1994, lower levels of psychological health complaints were experienced in 1998, 2002 and 2006. However, the changes were only minor. In contrast, somatic health complaints increased monotonically over the years of the survey. Experiencing psychological and somatic health complaints was more pronounced with age among females relative to males and was associated with living in particular language regions of Switzerland.

Conclusions

Different cross-sectional time trends were identified for the psychological and somatic latent variables, indicating that both factors should be investigated when studying period effects.
Literature
1.
go back to reference Bor W, Dean A, Najman J, Hayatbakhsh R (2014) Are child and adolescent mental health problems increasing in the 21st century? A systematic review. Aust N Z J Psychiatry 48(7):606–616PubMedCrossRef Bor W, Dean A, Najman J, Hayatbakhsh R (2014) Are child and adolescent mental health problems increasing in the 21st century? A systematic review. Aust N Z J Psychiatry 48(7):606–616PubMedCrossRef
3.
go back to reference Currie C, Nic Gabhainn S, Godeau E (2009) The Health Behaviour in School-aged Children: WHO collaborative cross-national (HBSC) study: origins, concept, history and development 1982-2008. Int J Public Health 54(Suppl 2):131–139. doi:10.1007/s00038-009-5404-x PubMedCrossRef Currie C, Nic Gabhainn S, Godeau E (2009) The Health Behaviour in School-aged Children: WHO collaborative cross-national (HBSC) study: origins, concept, history and development 1982-2008. Int J Public Health 54(Suppl 2):131–139. doi:10.​1007/​s00038-009-5404-x PubMedCrossRef
4.
5.
go back to reference Haugland S, Wold B, Stevenson J, Aaroe LE, Woynarowska B (2001) Subjective health complaints in adolescence—a cross-national comparison of prevalence and dimensionality. E J Public Health 11(1):4–10. doi:10.1093/eurpub/11.1.4 CrossRef Haugland S, Wold B, Stevenson J, Aaroe LE, Woynarowska B (2001) Subjective health complaints in adolescence—a cross-national comparison of prevalence and dimensionality. E J Public Health 11(1):4–10. doi:10.​1093/​eurpub/​11.​1.​4 CrossRef
7.
8.
go back to reference Holstein B, Andersen A, Due P, Hansen EH (2009) Children’s and adolescent’s use of medicine for aches and psychological problems: secular trends from 1988 to 2006. Ugeskr Laeger 171(1–2):24–28PubMed Holstein B, Andersen A, Due P, Hansen EH (2009) Children’s and adolescent’s use of medicine for aches and psychological problems: secular trends from 1988 to 2006. Ugeskr Laeger 171(1–2):24–28PubMed
9.
go back to reference Ottova V, Hillebrandt D, Ravens-Sieberer U, Deutschland H-T (2012) Trends in subjective health and well-being of children and adolescents in Germany: results of the Health Behaviour in School-aged Children (HBSC) study 2002 to 2010. Gesundheitswesen 74:S15–S24. doi:10.1055/S-0032-1312640 PubMedCrossRef Ottova V, Hillebrandt D, Ravens-Sieberer U, Deutschland H-T (2012) Trends in subjective health and well-being of children and adolescents in Germany: results of the Health Behaviour in School-aged Children (HBSC) study 2002 to 2010. Gesundheitswesen 74:S15–S24. doi:10.​1055/​S-0032-1312640 PubMedCrossRef
12.
go back to reference Ravens-Sieberer U, Erhart M, Torsheim T, Hetland J, Freeman J, Danielson M, Thomas C (2008) An international scoring system for self-reported health complaints in adolescents. Eur J Public Health 18(3):294–299. doi:10.1093/eurpub/ckn001 PubMedCrossRef Ravens-Sieberer U, Erhart M, Torsheim T, Hetland J, Freeman J, Danielson M, Thomas C (2008) An international scoring system for self-reported health complaints in adolescents. Eur J Public Health 18(3):294–299. doi:10.​1093/​eurpub/​ckn001 PubMedCrossRef
13.
go back to reference Christensen H, Jorm AF, Mackinnon AJ, Korten AE, Jacomb PA, Henderson AS, Rodgers B (1999) Age differences in depression and anxiety symptoms: a structural equation modelling analysis of data from a general population sample. Psychol Med 29(2):325–339PubMedCrossRef Christensen H, Jorm AF, Mackinnon AJ, Korten AE, Jacomb PA, Henderson AS, Rodgers B (1999) Age differences in depression and anxiety symptoms: a structural equation modelling analysis of data from a general population sample. Psychol Med 29(2):325–339PubMedCrossRef
14.
go back to reference Le Gauffey Y (1994) Das Gesundheitsverhalten Schweizer Schüler. Distributed by FORS, Lausanne, 2002. Schweizerische Fachstelle für Alkohol-und andere Drogenprobleme-SFA, Case postale 870, 1001 Lausanne Le Gauffey Y (1994) Das Gesundheitsverhalten Schweizer Schüler. Distributed by FORS, Lausanne, 2002. Schweizerische Fachstelle für Alkohol-und andere Drogenprobleme-SFA, Case postale 870, 1001 Lausanne
15.
go back to reference Janin Jacquat B (1998) Das Gesundheitsverhalten Schweizer Schüler. Distributed by FORS, Lausanne, 2002. Schweizerische Fachstelle für Alkohol-und andere Drogenprobleme-SFA, Case postale 870, 1001 Lausanne Janin Jacquat B (1998) Das Gesundheitsverhalten Schweizer Schüler. Distributed by FORS, Lausanne, 2002. Schweizerische Fachstelle für Alkohol-und andere Drogenprobleme-SFA, Case postale 870, 1001 Lausanne
16.
go back to reference Schmid H (2002) Das Gesundheitsverhalten Schweizer Schüler. Distributed by FORS, Lausanne, 2002. Schweizerische Fachstelle für Alkohol-und andere Drogenprobleme-SFA, Case postale 870, 1001 Lausanne Schmid H (2002) Das Gesundheitsverhalten Schweizer Schüler. Distributed by FORS, Lausanne, 2002. Schweizerische Fachstelle für Alkohol-und andere Drogenprobleme-SFA, Case postale 870, 1001 Lausanne
17.
go back to reference Schmid H, Delgrande Jordan M (2006) Das Gesundheitsverhalten Schweizer Schüler. Distributed by FORS, Lausanne, 2002. Schweizerische Fachstelle für Alkohol-und andere Drogenprobleme-SFA, Case postale 870, 1001 Lausanne Schmid H, Delgrande Jordan M (2006) Das Gesundheitsverhalten Schweizer Schüler. Distributed by FORS, Lausanne, 2002. Schweizerische Fachstelle für Alkohol-und andere Drogenprobleme-SFA, Case postale 870, 1001 Lausanne
19.
go back to reference Arbuckle JL (2013) Amos (Version 22). SPSS, Chicago Arbuckle JL (2013) Amos (Version 22). SPSS, Chicago
22.
go back to reference Blunch NJ (2011) Introduction to structural equation modelling using SPSS and AMOS. SAGE Publications Ltd, London Blunch NJ (2011) Introduction to structural equation modelling using SPSS and AMOS. SAGE Publications Ltd, London
24.
go back to reference Tucker LR, Lewis C (1973) A reliability coefficient for maximum likelihood factor analysis. Psychometrika 38:1–10CrossRef Tucker LR, Lewis C (1973) A reliability coefficient for maximum likelihood factor analysis. Psychometrika 38:1–10CrossRef
25.
go back to reference Brown MW, Cudeck R (1992) Alternative ways of assessing model fit. Sociol Methods Res 21:230–258CrossRef Brown MW, Cudeck R (1992) Alternative ways of assessing model fit. Sociol Methods Res 21:230–258CrossRef
26.
go back to reference Jöreskog KG, Sörbom D (1996) LISREL 8: User’s reference guide. Chicago Jöreskog KG, Sörbom D (1996) LISREL 8: User’s reference guide. Chicago
30.
32.
go back to reference Benjet CB, Hernandez-Guzman L (2002) A short-term longitudinal study of pubertal change, gender, and psychological well-being of Mexican early adolescents. J Youth Adolesc 31(6):429–442CrossRef Benjet CB, Hernandez-Guzman L (2002) A short-term longitudinal study of pubertal change, gender, and psychological well-being of Mexican early adolescents. J Youth Adolesc 31(6):429–442CrossRef
33.
go back to reference Holstein BE, Currie C, Boyce W, Damsgaard MT, Gobina I, Kokonyei G, Hetland J, de Looze M, Richter M, Due P, Grp HSIF (2009) Socio-economic inequality in multiple health complaints among adolescents: international comparative study in 37 countries. Int J Public Health 54:260–270. doi:10.1007/s00038-009-5418-4 PubMedCrossRef Holstein BE, Currie C, Boyce W, Damsgaard MT, Gobina I, Kokonyei G, Hetland J, de Looze M, Richter M, Due P, Grp HSIF (2009) Socio-economic inequality in multiple health complaints among adolescents: international comparative study in 37 countries. Int J Public Health 54:260–270. doi:10.​1007/​s00038-009-5418-4 PubMedCrossRef
Metadata
Title
Cross-sectional time trends in psychological and somatic health complaints among adolescents: a structural equation modelling analysis of ‘Health Behaviour in School-aged Children’ data from Switzerland
Authors
Michelle Dey
Anthony F. Jorm
Andrew J. Mackinnon
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 8/2015
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-015-1040-3

Other articles of this Issue 8/2015

Social Psychiatry and Psychiatric Epidemiology 8/2015 Go to the issue