Carter and coworkers have found ...

Carter and coworkers found that subjects with chronic fatigue often more than the control subjects, according to measurements of Child Behavior Checklist internalizing behaviors, withdrawal symptoms and somatization. Nonspecific symptoms of other nonspecific symptoms, including dizziness, syncope, or fatigue, often associated with family problems, stress, school problems and depression among high school students the school, attending school doctor. Also, hyperventilation and respiratory functional stridor are states in which there is no organic component, and as these problems often lead to psychological stress. Manifestation of symptoms and assessment of adolescents and their families often resort to care about the physical symptoms, which tend to be non-organic causes. Decision to seek medical care may reflect the severity of symptoms and duration of discomfort, provide meaningful symptom or the degree of anxiety of other family members. In many cases, physical symptoms associated with stressors exceed the capacities of adolescents to resist them, which is manifested in feelings of helplessness. Most visits about psychosomatic symptoms is likely a reaction to the psychosocial distress than an attempt to influence a doctor, that is the simulation. Simulation is regarded as being under the control of the patient's left is a deliberate false representation leniem or enhanced physical or psychological symptoms. Simulations can be used at the unwillingness to attend school in order to obtain unnecessary treatment. According to the authors' experience, most teens do not deliberately apply these symptoms in this way. Nevertheless, they can get a secondary benefit from their symptoms. For example, parents are less likely to punish children or teenagers because of their poor grades or behavior when they have competing somatic complaints, rather than in their absence. Thus, parents may inadvertently reinforce the symptoms and the inability of their fundamentals osvbozhdaya adolescents from normal duties. Planning representatives can meet the health of patients with psychosomatic problems during the initial onset of symptoms or after symptoms become chronic or recurrent. If this is the primary manifestation, doctors with large practices may be related time and being unable to adequately assess the psychosocial causes. In this situation the pro-cess evaluation may be initiated and planned follow-up visits after relatively short periods of time throughout the entire process of diagnosis. Under appropriate conditions, is more likely that physician will be aware of the chronic nature of symptoms and can be scheduled over a long initial meeting. The initial interview is usually a teenager with chronic symptomatic symptoms for the first time at the clinic accompanied by a parent.