Psychosomatic Symptoms, Smoking and Binge Drinking in Adolescence: a Nationwide Study in Greece


  • George Giannakopoulos Department of Child Psychiatry, Athens University Medical School
  • Dimitra Petanidou
  • Chara Tzavara
  • Christine Dimitrakaki
  • Gerasimos Kolaitis
  • Yannis Tountas



Psychosomatic symptoms, Adolescence, Drinking, Smoking


Aim: The present study aimed to investigate differences in smoking and binge drinking between adolescents with high and low levels of psychosomatic symptoms and explore the associations of adolescent smoking and binge drinking with self-reported psychosomatic symptoms in a large nationwide random school-based sample of Greek adolescents aged 12-18 years.

Method: Adolescents with high levels of psychosomatic symptoms were compared in terms of smoking, binge drinking, gender, age and socio-economic status to their peers with lower levels of psychosomatic symptoms. In order to evaluate the multiple effects of adolescents’ smoking, binge drinking and socio-demographic features on psychosomatic symptoms, a multiple logistic regression model was constructed.

Results: Adolescents with smoking and/or binge drinking practices reported higher levels of psychosomatic symptoms compared to peers with no experiences of such health-risk behaviours. Moreover, adolescents with smoking and/or binge drinking practices had an amplified risk for high levels of psychosomatic symptoms, revealing a significantly impaired psychosomatic functioning compared to abstainers.

Conclusions: Professionals in school and clinical settings should be cautious for smoking and binge drinking practices when assessing adolescents with high levels of psychosomatic symptoms, so as early identification of at-risk individuals and timely, appropriate care planning is facilitated.






Psychiatry & Mental Health