Family healthcare patterns as a proxy for transgenerational transmission of functional somatic symptoms in early childhood... 2024 Hogendoorn et al

Discussion in 'Other psychosomatic news and research' started by Andy, Jul 1, 2024 at 10:20 AM.

  1. Andy

    Andy Committee Member

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    Full title: Family healthcare patterns as a proxy for transgenerational transmission of functional somatic symptoms in early childhood – A longitudinal cohort study

    All authors: Hogendoorn, Münker, Rimvall, Frostholm, Carlsen, Jeppesen, Rosmalen and Rask

    Abstract

    Objective
    Functional somatic symptoms (FSS) accumulate within families. Exposure to family patterns of high healthcare use may induce maladaptive symptom coping and thereby potentially contribute to the transgenerational transmission of FSS. This study aimed to uncover associations between parental and child healthcare use during the child's first years of life (age 0–4) and childhood FSS at age 5–7.

    Methods
    We utilized data from the Copenhagen Child Cohort (CCC2000), a population-based birth cohort. Parent-reported FSS of their 5–7-year-old children were linked to Danish national registry data on parental and child healthcare use (including general practitioner [GP] consultations and hospital contacts) during child age 0–4 years. Logistic regression analyses were performed to investigate longitudinal associations between family healthcare use and child FSS.

    Results
    We found an association between prior parental healthcare use and child FSS at age 5–7 (OR = 1.02, 95% CI [1.01–1.04]). Key sensitivity analyses specifically focusing on GP consultations, revealed modest but statistically significant associations between parental (OR = 1.03, 95% CI [1.02–1.05]) and child (OR = 1.18, 95% CI [1.04–1.34]) GP consultations and impairing FSS at age 5–7.

    Conclusion
    Family healthcare use, especially within the general practice, may play a role in the transgenerational transmission of FSS. Early-stage FSS identification and care might be improved through training aimed at GPs. Future research may identify vulnerable families at whom parent-focused interventions for symptom-coping could be targeted. This could potentially contribute to the prevention of transgenerational transmission of FSS.

    Open access, https://www.sciencedirect.com/science/article/pii/S0022399924002174
     
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  2. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    Doesn't this just show that parents who take their children relatively often to the doctor about intermittent ailments aged 0-4 continue to take them to the doctor more often 5-7 for such ailments?

    Does a six year old say to a parent - "you always used to take me to the doctor with tummy ache, please take me again".
     
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  3. Kitty

    Kitty Senior Member (Voting Rights)

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    Glaikit crossword no. 3742


    1. Touting wordy asinine theory scurrilously, initially (5)
     
  4. Sean

    Sean Moderator Staff Member

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    Conclusion
    Family healthcare use, especially within the general practice, may play a role in the transgenerational transmission of FSS. Early-stage FSS identification and care might be improved through training aimed at GPs. Future research may identify vulnerable families at whom parent-focused interventions for symptom-coping could be targeted.

    Or, they have a genetic and/or non-psychosocial environmental component in common, which increases healthcare usage across generations.

    As for 'symptom-coping', that is about as blatant an example of a selective interpretation as it gets. They simply assume psychopathology and proceed from there. As per usual.
     
  5. Joan Crawford

    Joan Crawford Senior Member (Voting Rights)

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    "Family healthcare use, especially within the general practice, may play a role in the transgenerational transmission of FSS."

    Perhaps it is picking up on the increased incidences of illness in the children of poorly parents?

    There is possibly/probably a link between mothers who have ME/CFS (and FMS) and their children being more likely affected. I have not seen this link with ill fathers.

    Rosemary Underhill looked into this and published several papers (from memory). I am sure others have looked into environmental factors too.
     
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  6. NelliePledge

    NelliePledge Moderator Staff Member

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    Yeah unfathomable that members of a family living in insecure accommodation on low income would all suffer worse health than average family
     
  7. Arnie Pye

    Arnie Pye Senior Member (Voting Rights)

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    I would assume that similar health problems in multiple generations are more likely to be caused by family diet and family genetics than anything "functional". And wealth, or lack of it, does have a tendency to pass from generation to generation. I would guess that it's rare for a family to be living in absolute poverty, and then two generations later to be wealthy.
     
  8. rvallee

    rvallee Senior Member (Voting Rights)

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    Oh, definitely. Those experts in human behavior and psychology really know how to human, what makes people tick. So famous the stories are, children who grow up with sick parents, all they can think of is "wow this is great, I want to be just like that when I grow up, this is fun and awesome and I love it soooo much". It's a complete parody of human behavior and psychology.

    They're basically setting this up as behavior so bizarre and inhuman, basically masochist mindset, that you would struggle to see a single one in an entire career, but it's so common that you likely won't spend a day without seeing at least one, when they absurdly extrapolate that anything not explained in a short consultation is basically this weird contraption.

    Then of course it's actually a common motivation to go into medicine, people who saw a beloved family member suffer, possibly die young, and decided that they wanted to go into medicine to help alleviate that suffering, to maybe cure it so that it doesn't harm others. Which I guess makes them different, heroes, unlike, say, 30% of the freaking population, who somehow want those sweet, sweet secondary benefits that no one has actually ever benefited from. Freaking hell this is asinine.

    After all, it's not as if there are hundreds of likely reasons for this, ranging from genetics to living in the same environment, eating much of the same food, sharing germs and pathogens and so on. In addition to illness usually leading to poverty, which is well-known to lead to worse health, No, those are just superstitions, everything must be created in the mind. The mind of mediocre physicians, it turns out.

    As usual, the data don't support their beliefs, the differences are trivial and easily explained by real factors, but they say it anyway, always as the same bunch of "may be"s and "could be"s. Because nothing matters to ideologues.
     
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