Development of Somatic Complaints Among Adolescents and Young Adults in Switzerland

André Berchtold 1 , Joan-Carles Surís 2 , Thomas Meyer 3  and Zhivko Taushanov 1
  • 1 Institute of Social Sciences & National Centre of Competence in Research LIVES, University of Lausanne, CH-1015, Lausanne
  • 2 Institute of Social and Preventive Medicine and General Pediatrics, Lausanne University Hospital, CH-1015, Lausanne
  • 3 Institute of Sociology, University of Bern, CH-3012, Bern


In this study we explored the development of somatic complaints among adolescents and young adults aged 16 to 30 years in Switzerland. Using data from the Transitions from Education to Employment (TREE) study, we applied a hidden Markovian model with covariates to cluster trajectories representing the sum of eight somatic complaints. The resulting groups differed mainly in terms of gender, reading literacy, and substance use. The trajectories of somatic complaints were also related to the number of critical events experienced by the respondents.

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  • Barkmann, Claus, Christiane Otto, Gerhard Schön, Michael Schulte-Markwort, Robert Schlack, Ulrike Ravens-Sieberer, Fionna Klasen, and BELLA Study Group. 2015. Modelling Trajectories of Psychosomatic Health Complaints in Children and Adolescents: Results of the BELLA Study. European Child & Adolescent Psychiatry 24(6): 685–694.

  • Barsky, Arthur J., Heli M. Peekna, and Jonathan F. Borus. 2001. Somatic Symptom Reporting in Women and Men. Journal of General Internal Medicine 16(4): 266–275.

  • Bekhuis, Ella, Lynn Boschloo, Judith G. M. Rosmalen, Marrit K. de Boer, and Robert A. Schoevers. 2016. The Impact of Somatic Symptoms on the Course of Major Depressive Disorder. Journal of Affective Disorders 205: 112–118.

  • Berchtold, André. 2002. High-Order Extensions of the Double Chain Markov Model. Stochastic Models 18(2): 193–227.

  • Berchtold, André and Joan-Carles Surís. 2017. Imputation of Repeatedly-Observed Multinomial Variables in Longitudinal Surveys. Communications in Statistics – Simulation and Computation 46(4): 3267–3283.

  • Bolano, Danilo. 2015. Markovian Modelling of Life Course Data. University of Geneva.

  • Bolano, Danilo and André Berchtold. 2016. General Framework and Model Building in the Class of Hidden Mixture Transition Distribution Models. Computational Statistics & Data Analysis 93: 131–145.

  • Boudon, Raymond. 1973. Education, Opportunity, and Social Inequality: Changing Prospects in Western Society. New York: Wiley.

  • Bourdieu, Pierre. 1977. Cultural Reproduction and Social Reproduction. Pp. 487–511 in Power and Ideology in Education, edited by Pierre Bourdieu. New York: Oxford University Press.

  • Choi, Laura. 2009. Financial Stress and Its Physical Effects on Individuals and Communities. Community Development Investment Review 3: 120–122.

  • Compas, Bruce E., Barry M. Wagner, Lesley A. Slavin, and Kathryn Vannatta. 1986. A Prospective Study of Life Events, Social Support, and Psychological Symptomatology During the Transition From High School to College. American Journal of Community Psychology 14(3): 241–257.

  • Dey, Michelle, Anthony F. Jorm, and Andrew J. Mackinnon. 2015. 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. Social Psychiatry and Psychiatric Epidemiology 50(8): 1189–1198.

  • Eliasen, Marie, Svend Kreiner, Jeanette F. Ebstrup, Chalotte H. Poulsen, Cathrine J. Lau, Sine Skovbjerg, Per K. Fink, and Torben Jørgensen. 2016. Somatic Symptoms: Prevalence, Co-Occurrence and Associations With Self-Perceived Health and Limitations Due to Physical Health – A Danish Population-Based Study. PLOS ONE 11(3): e0150664.

  • Ganzeboom, Harry B. G., Paul M. de Graaf, Donald J. Treiman, Jan de Leeuw, H. B. G. Ganzeboom, P. M. de Graaf, D. J. Treiman, and J. de Leeuw. 1992. A Standard International Socio-Economic Index of Occupational Status. Tilburg University, Work and Organization Research Centre. (02.08.2017).

  • Goodwin, Guy M. 2006. Depression and Associated Physical Diseases and Symptoms. Dialogues in Clinical Neuroscience 8(2): 259–265.

  • Grob, Alexander, Ruth Lüthi, Florian G. Kaiser, August Flammer, Andrew Mackinnon, and Alex J. Wearing. 1991. Berner Fragebogen zum Wohlbefinden Jugendlicher (BFW). Diagnostica 37(1): 66–75.

  • Härmä, Ann-Mari, Riittakerttu Kaltiala-Heino, Matti Rimpelä, and Päivi Rantanen. 2002. Are Adolescents With Frequent Pain Symptoms More Depressed? Scandinavian Journal of Primary Health Care 20(2): 92–96.

  • Hart, Shayla L., Stacy C. Hodgkinson, Harolyn M. E. Belcher, Corine Hyman, and Michele Cooley-Strickland. 2013. Somatic Symptoms, Peer and School Stress, and Family and Community Violence Exposure Among Urban Elementary School Children. Journal of Behavioral Medicine 36(5): 454–465.

  • Jonsson, Frida, Anne Hammarström, and Per E. Gustafsson. 2014. Social Capital Across the Life Course and Functional Somatic Symptoms in Mid-Adulthood. Scandinavian Journal of Public Health, September, 42(7): 581–588.

  • Kapfhammer, Hans-Peter. 2006. Somatic Symptoms in Depression. Dialogues in Clinical Neuroscience 8(2): 227–239.

  • Mohapatra, Satyakam, Sardar J. K. Deo, Ashirbad Satapathy, and Neelmadhav Rath. 2014. Somatoform Disorders in Children and Adolescents. German Journal of Psychiatry 17(1): 19–24.

  • Nakao, Mutsuhiro and Eiji Yano. 2006. Somatic Symptoms for Predicting Depression: One-Year Followup Study in Annual Health Examinations. Psychiatry and Clinical Neurosciences 60(2): 219–225.

  • Poikolainen, Kari, Riitta Kanerva, and Jouko Lönnqvist. 1995. Life Events and Other Risk Factors for Somatic Symptoms in Adolescence. Pediatrics 96(1): 59–63.

  • Radke-Yarrow, Marian and Earnestine Brown. 1993. Resilience and Vulnerability in Children of Multiple-Risk Families. Development and Psychopathology 5(4): 581–592.

  • Raftery, Adrian. 1995. Bayesian Model Selection in Social Research (with Discussion by Andrew Gelman & Donald B. Rubin, and Robert M. Hauser, and a Rejoinder). Sociological Methodology 25: 111–163.

  • Sacchi, Stefan, Sandra Hupka Brunner, Barbara Stalder, and Markus Gangl. 2011. The Impact of Social Origin and Migration Background on Transition Into Post Compulsory Education and Training. Pp. 120–156 in Youth Transitions in Switzerland: Results From the TREE Panel Study, edited by Manfred Max Bergman, Sandra Hupka-Brunner, Anita Keller, Thomas Meyer, and Barbara Elisabeth Stalder. Zurich: Seismo.

  • Sek-yum, Steven Ngai, Lam Ching Man, and Choy Bing Kong. 1992. Stressful Life Events, Perceived Stress and Somatic Problems Among Young People in Hong Kong. Asia Pacific Journal of Social Work and Development 2(1): 27–44.

  • Sigmon, Sandra T., Jennifer J. Pells, Nina E. Boulard, Stacy Whitcomb-Smith, Teresa M. Edenfield, Barbara A. Hermann, Stephanie M. LaMattina, Janell G. Schartel, and Elizabeth Kubik. 2005. Gender Differences in Self-Reports of Depression: The Response Bias Hypothesis Revisited. Sex Roles 53(5–6): 401–411.

  • Spini, Dario, Laura Bernardi, and Michel Oris. 2017. Toward a Life Course Framework for Studying Vulnerability. Research in Human Development 14(1): 5–25.

  • Surís, Joan-Carles, Christina Akre, Claire Piguet, Anne-Emmanuelle Ambresin, Grégoire Zimmermann, and André Berchtold. 2014. Is Internet Use Unhealthy? A Cross-Sectional Study of Adolescent Internet Overuse. Swiss Medical Weekly 144: w14061.

  • Taushanov, Zhivko and André Berchtold. 2017. A Direct Local Search Method and Its Application to a Markovian Model. Statistics, Optimization & Information Computing 5: 19–34.

  • TREE. 2016. Documentation on the First TREE Cohort (TREE1), 2000–2016. Bern: TREE. (09.02.2017).

  • Tsai, Chung-Huang. 2010. Factor Analysis of the Clustering of Common Somatic Symptoms: A Preliminary Study. BMC Health Services Research 10: 160.

  • Vassend, Olav. 1989. Dimensions of Negative Affectivity, Self-Reported Somatic Symptoms, and Health-Related Behaviors. Social Science & Medicine 28(1): 29–36.

  • Verhoof, Eefje, Heleen Maurice-Stam, Hugo Heymans, and Martha Grootenhuis. 2012. Growing Into Disability Benefits? Psychosocial Course of Life of Young Adults With a Chronic Somatic Disease or Disability. Acta Paediatrica 101(1): e19–26.

  • Wright, Maijaliisa Rauste-von and Johan von Wright. 1981. A Longitudinal Study of Psychosomatic Symptoms in Healthy 11–18 Year Old Girls and Boys. Journal of Psychosomatic Research 25(6): 525–534.

  • Yoshimasu, Kouichi. 2012. Substance-Related Disorders and Somatic Symptoms: How Should Clinicians Understand the Associations? Current Drug Abuse Reviews 5(4): 291–303.

  • Zijlema, Wilma L., Ronald P. Stolk, Bernd Löwe, Winfried Rief, BioSHaRE, Peter D. White, and Judith G. M. Rosmalen. 2013. How to Assess Common Somatic Symptoms in Large-Scale Studies: A Systematic Review of Questionnaires. Journal of Psychosomatic Research 74(6): 459–468.


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