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      Linking Anger Trait with Somatization in Low-Grade College Students: Moderating Roles of Family Cohesion and Adaptability.

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          Abstract

          Between 22% and 58% of patients in primary care settings complain of somatic symptoms. Previous research has found that somatization was associated with anger traits and family functions. However, studies that specifically assess the moderating effect of family function in how anger traits become somatic complaints are lacking.

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          Most cited references34

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          Little emperors: behavioral impacts of China's One-Child Policy.

          We document that China's One-Child Policy (OCP), one of the most radical approaches to limiting population growth, has produced significantly less trusting, less trustworthy, more risk-averse, less competitive, more pessimistic, and less conscientious individuals. Our data were collected from economics experiments conducted with 421 individuals born just before and just after the OCP's introduction in 1979. Surveys to elicit personality traits were also used. We used the exogenous imposition of the OCP to identify the causal impact of being an only child, net of family background effects. The OCP thus has significant ramifications for Chinese society.
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            How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors.

            The authors developed a methodological basis for investigating how risk factors work together. Better methods are needed for understanding the etiology of disorders, such as psychiatric syndromes, that presumably are the result of complex causal chains. Approaches from psychology, epidemiology, clinical trials, and basic sciences were synthesized. The authors define conceptually and operationally five different clinically important ways in which two risk factors may work together to influence an outcome: as proxy, overlapping, and independent risk factors and as mediators and moderators. Classifying putative risk factors into these qualitatively different types can help identify high-risk individuals in need of preventive interventions and can help inform the content of such interventions. These methods may also help bridge the gaps between theory, the basic and clinical sciences, and clinical and policy applications and thus aid the search for early diagnoses and for highly effective preventive and treatment interventions.
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              Mapping the road from childhood trauma to adult somatization: the role of attachment.

              This study tested whether insecure attachment mediates the link between childhood trauma and adult somatization. A community sample of 101 couples completed self-report measures, including the Relationship Scales Questionnaire, the Childhood Trauma Questionnaire, the Somatic Symptom Inventory, the Beck Depression Inventory, and the Conflict Tactics Scale. Childhood trauma was associated with higher levels of somatization and insecure attachment. Insecure attachment style was also associated with higher levels of somatization. Controlling for age, income, and recent intimate partner violence, analyses showed that fearful attachment fully mediated the link between childhood trauma and somatization for women. For men, there was no such mediation, but both childhood trauma and insecure attachment styles made independent contributions to predicting levels of somatization. Findings are consistent with the hypothesis that, for women, childhood trauma influences adult levels of somatization by fostering insecure adult attachment. For men, findings suggest that trauma and attachment are both important independent predictors of adult somatization. Study results support the idea that childhood trauma shapes patients' styles of relating to others in times of need, and these styles, in turn, influence the somatization process and how patients respond to providers. Screening for attachment style may provide information that could allow health care providers to tailor treatment more effectively.
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                Author and article information

                Journal
                Shanghai Arch Psychiatry
                Shanghai archives of psychiatry
                1002-0829
                1002-0829
                Feb 25 2017
                : 29
                : 1
                Affiliations
                [1 ] Pudong New District Mental Health Center, Shanghai, China.
                [2 ] Department of clinical psychology, Shanghai East Hospital, Tongji University School of Medical, Shanghai, China.
                [3 ] Tonjgi University, Shanghai, China.
                Article
                10.11919/j.issn.1002-0829.216102
                5518252
                28769543
                c4a72664-08a6-4d74-8b33-abcf476fcc99
                History

                family cohesion,somatization,moderation,family conflict,family adaptability,anger trait,anger proneness

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