ArticleBMJ open2025
Association between somatic symptoms and depression and anxiety in adolescents: a cross-sectional school-based study.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- BRS-Assessed Resilience, Symptom Burden, and Functional Burden in Adolescents With Depressive, Anxiety, or Somatic Symptom-Related Disorders: A Single-Center Real-World Cross-Sectional Study.Brain and behavior · 2026Article
- Beyond Medical Absence: Grade-Related and Year-To-Year Persistent Patterns of Parent-Reported Psychological/Functional Absence in Routine School Attendance Records.The Journal of school health · 2026Article
- Exploring Mental Health Barriers Among At-Risk Adolescents: An Integrative Analysis of Self-Reports and School Nurses' Perspectives.Behavioral sciences (Basel, Switzerland) · 2026Article
- The mediating and moderating roles of physical sub-health in the relationship between family functioning and mental health problems among Chinese adolescents.BMC public health · 2026Article
- An AI-based intelligent diagnosis system for adolescent mental health based on multitask deep learning.Frontiers in psychiatry · 2026Article
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Authors and funding
5 authors.
Funding
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Abstract
objectivesTo explore the associations between somatic symptoms, depression and anxiety among Chinese adolescents in non-clinical settings.
designA cross-sectional study.
settingThe questionnaire was distributed among Chinese students in Grades 10-11 from four vocational high schools (two in Anhui Province and two in Sichuan Province).
participantsAcross the four schools, 85 out of 4500 eligible students were excluded because of parental refusal, 296 students were excluded because they were absent from school during the survey time, and 4119 completed the questionnaire (38.29% females). PRIMARY OUTCOME MEASURES: Students' somatic symptoms, depression and anxiety were measured using the somatisation subscale of the Brief Symptom Inventory 18, the Patient Health Questionnaire-9 and the Generalised Anxiety Disorder-7, respectively.
resultsAfter controlling for gender, age, family economic status, and paternal and maternal education level, compared with students without somatic symptoms, students with mild (OR=8.15; 95% CI=6.46 to 10.29), moderate (OR=18.78; 95% CI=13.08 to 26.96) and severe (OR=23.07; 95% CI=8.86 to 60.07) somatic symptoms reported significantly higher prevalence of depression; students with mild (OR=6.70; 95% CI=5.03 to 8.93), moderate (OR=16.41; 95% CI=11.38 to 23.67) and severe (OR=20.03; 95% CI=8.52 to 47.11) somatic symptoms reported significantly higher prevalence of anxiety.
conclusionThe associations between somatic symptoms, depression and anxiety urge attention from caregivers and educators on young individuals experiencing somatic symptoms. Our findings highlight the potential predictive effects of somatic symptoms on depression and anxiety among Chinese students.
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