Adolescents who feel socially isolated or who have difficulty in relationships with peers are more vulnerable for stress-related psychosomatic problems. Family support Family support may also alter the effects of stress on adolescent health. It is important to determine the not only the quantity but also the nature of support received by a teenager from his family. In families of young children with severe somaticheskmi symptoms commonly observed reaction of parents to their children's symptoms in the form of attention and special privileges that may contribute-vat increased symptoms and disability. In these families, the nature of support for the teenager may increase the dependence associated with the role of the patient, thus disrupting the development of competencies necessary for successful coping. Another important aspect of family environment includes a protrusion diseases and disorders abilities. Families of children with recurrent pain syndromes are characterized by high levels of morbidity and other family members. And, indeed, higher levels of somatization symptoms in parents were associated with significantly higher levels of somatization symptoms in children with rekurentnymi pain. In these families, parents can model the pathological behavior, increasing the likelihood that children will perceive such behavior, especially during times of stress, when the symptoms can provide them excusable reason to avoid problem situations such as examinations, or athletic competitions. Cognitive assessment of one of the ways in which individual and social resources can reduce the impact of stress, this is the way of their influence on individual interpretation or assessment of the stressor. Assessment involves determining the significance and severity of the stressor and also aware of his ability to overcome them. When the requirements associated with stress are realized as exceeding available resources can be triggirovany negative emotions and physiological reactions that occur in somatic complaints and the need to seek medical care. Thus, adolescents with low levels of competence and social support can evaluate the stressors as more threatening and their potential for confrontation is lower than that adolescents are more competent and having greater access to social support. Common psychosomatic symptoms Teenager assessing the situation as threatening may exhibit a variety of reactions in response to a stressful situation. These reactions of the organism can osoznovatsya and interpreted as discomfort or pain. Various body systems may cause sensations and symptoms including first-lovokruzhenie, fatigue, shortening of breath and syncope. Individuals can have a separate organ system in which they are most pronounced discomfort, such as the gastrointestinal tract or muscular-skeletal system. For example, adolescents who complained of abdominal pain, may be a higher sensitivity of the gastro-intestinal system. Laboratory studies show that acute stressors psihollogicheskie may violate the motility of the stomach, toknogo and large intestine in some individuals, it is not clear whether stress triggiruet dysmotility or violates individual stress tolerance to certain somatic sensations that others are regarded as normal and are ignored.
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