小児科でみられる心身症

Many children have undergone stressful experiences, and have been in jeopardy for maladaptation due to a variety of life stresses, including disturbances of parent-child relationship, ineffective peer relation, difficulties in adapting successfully to the school environment. The presence of these cumulative life stresses has been shown to be related to an increase in number of psychosomatic disorders in children. Children with psychosomatic disorder revealed the internalizing behavior problem (e.g., withdrawal, somatic complaints, anxiety-depression), negative self-esteem, ego-overcontrol and the decline in social competence. Psychological supportive intervention was focused on amelioration and remediation of children's vulnerability, and promoted competent adaptation and resilience in response to varying environmental circumstances. As with positive appraisal of oneself and ego-resilience, children cope more adaptively to varying adversity. Utilizing intervention strategies on family dynamics can facilitate the treatment process.