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KMID : 0389420110190040293
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Korean Journal of Stress Research
2011 Volume.19 No. 4 p.293 ~ p.301
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The Association of Mental Symptoms with Physical Symptoms through Student Health Examination among Elementary School Students at South-river Region in Seoul
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Shin Sun-Mi
Cho Sung-Sook
Lee Hee-Woo
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Abstract
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We explored prevalence of symptoms, and association of mental symptoms with physical symptoms among elementary school students at South-river region in Seoul. The study population consisted of 1,636 schoolchildren (53.9% for boys and 46.1% for girls) in the 1st and 4th grades of 7 elementary schools receiving Student Health Examination in Seoul Metropolitan Children’s Hospital in 2010. We used questionnaire, Medical History Form, developed by Ministry of Education, Science and Technology. The questionnaire had 5 questions of mental symptoms and 22 questions of physical symptoms experienced during last one month. Students’ parents or guardian filled out the Form. We conducted Chi-square, correlation and multiple logistic regression. Of students, 22.7% had one or more mental symptoms (25.8% for male and 19.1% for female, and 24.8% for the 4th grade students and 20.3% for the 1st grade). Students’ most frequent mental symptom was hyperactivity (16.5% for male and 11.1% for female). 54.4% of students had one or more physical symptoms. The most frequent symptom was sneezing with watery nasal discharge (21.7%) among physical symptoms. Mental symptom cluster was also associated with physical symptom cluster (correlation coefficient 0.20~0.31). This coexistence strongly means that considerable physical symptoms are psychosomatic symptoms. The most associated physical symptom with mental symptoms was headache followed by short of breath during exercise, and getting bruises very easily on one’s body. Therefore, it is essential to develop plans to manage symptoms and to use at school field for student’s mental symptoms associated with physical symptoms especially for male and higher grade elementary students.
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KEYWORD
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Association, Mental symptom, Physical symptom, Student Health Examination, Elementary school students
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