Anxiety, depression, suicidal ideation, and stressful life events in non-cardiac adolescent chest pain: a comparative study about the hidden part of the iceberg

Eliaçık, Kayı; Kanık, Ali; Bolat, Nurullah; Mertek, Hilal; Güven, Barış; Karadaş, Ulaş; Dogrusoz, Buket; Bakiler, Ali Rahmi

doi:10.1017/s1047951116002109

Cited by 17 publications

(19 citation statements)

References 37 publications

(20 reference statements)

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“…The majority of selected studies had been published in the last decade (n=20 33,34,36,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57] ; 80% published after 2010; table 1). Studies were geographically diverse, and mainly based on community samples (n=17 [33][34][35][36]43,44,[46][47][48][49][50][51]53,55,[57][58][59] ), using cross-sectional designs (n=18 35,41,43,46,47,[49][50][51][52][53][54][55][56]…”

Section: Resultsmentioning

confidence: 99%

“…Studies were geographically diverse, and mainly based on community samples (n=17 [33][34][35][36]43,44,[46][47][48][49][50][51]53,55,[57][58][59] ), using cross-sectional designs (n=18 35,41,43,46,47,[49][50][51][52][53][54][55][56][57][58][59][60][61] ). Eighteen studies recruited participants aged 10 to 19 years, [33][34][35][36]42,[45][46][47][48][50][51][52][53][57][58][59]…”

Section: Resultsmentioning

confidence: 99%

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The relationship between pain and suicidal vulnerability in adolescence: a systematic review

Hinze

Crane

Ford

et al. 2019

The Lancet Child & Adolescent Health

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Leading suicide theories and research in adults suggest that pain may exacerbate an individual's suicidal risk. Although pain and suicidality both increase in prevalence during adolescence, their relationship remains unclear. We aimed to systematically review the empirical evidence for an association between pain and suicidality in adolescence (PROSPERO: CRD42018097226). In total, 25 observational studies, published between 1961 and December 2018, exploring the potential pain-suicidality association in adolescence (10-19 years) were included. Across various samples and manifestations of pain and suicidality, we found that pain approximately doubles adolescents' suicidal risk, with a few studies suggesting that pain may predict suicidality longitudinally. Although depression was an important factor, it did not fully explain the painsuicidality association. Evidence on associations between pain characteristics and suicidality is sparse and inconclusive, potentially hiding developmental differences. Identification of psychological mediators and moderators is required to develop interventions tailored to the needs of adolescents in pain.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The relationship between pain and suicidal vulnerability in adolescence: a systematic review

Hinze

Crane

Ford

et al. 2019

The Lancet Child & Adolescent Health

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“…Several authors reported higher rates of psychogenic causes than organic causes as the aetiology of chest pain in children. 27 Khairandish 12 analysed the patients aged 11-18 years and found the psychological causes to be the second most common cause for chest pain. In McDonnell's review, 28 it has been reported that 2-19% of chest pain cases were categorised as psychological.…”

Section: Discussionmentioning

confidence: 99%

Aetiological evaluation of chest pain in childhood and adolescence

et al. 2020

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Background:Chest pain, as a common cause of hospital admissions in childhood, necessitates detailed investigations due to a wide range of differential diagnoses. In this study, we aimed to determine the distribution of diseases causing chest pain in children and investigate the clinical characteristics of children with chest pain.Methods:This study included 782 patients aged between 3 and 18 years who presented to a paediatric cardiology outpatient clinic with chest pain between April 2017 and March 2018. Aetiological causes and demographic features of the patients were analysed.Results:Most prevalent causes of chest pain were musculoskeletal system (33%) and psychogenic (28.4%) causes. Chest pain due to cardiac reasons was seen in eight patients (1%). Diseases of musculoskeletal and gastrointestinal systems and psychogenic disorders were significantly more common in male and female patients, respectively (p < 0.001 for all). In winter, patients’ age and the number of patients with ≥12 years were higher than those in other seasons (p < 0.001). Most of the parents (70.8%) and patients (90.2%) thought that chest pain in their children was caused by cardiac causes.Conclusion:Most of the diagnoses for chest pain in childhood period are benign and include the musculoskeletal system and psychogenic diseases. Although chest pain due to cardiac diseases is rare, a comprehensive analysis of medical history, detailed physical examination and cardiac imaging with echocardiography is needed to reach more accurate diagnoses.

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“…[19]. In another study, 100 adolescent patients with non-cardiac chest pain were compared with the control group and anxiety, depression and suicidal ideation were significantly higher in the patient group [20]. In another study investigating anxiety, depression, and attention deficit and hyperactivity disorder in patients with non-cardiac chest pain, anxiety was found at a rate of 76% and depression at 24% [21].…”

Section: Discussionmentioning

confidence: 98%

A preliminary study of the child abuse and central sensitization in adolescent patients with chronic non-organic chest pain and an overlooked condition: juvenile fibromyalgia syndrome

Mansız-Kaplan¹,

Ayhan²,

Cagli³

et al. 2020

Pediatr Rheumatol

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Background: Only a small percentage of pediatric chest pain is of cardiac origin and the most common detected cause is musculoskeletal. Among musculoskeletal causes, acute chest pain is better described, with the causes of chronic pain not being adequately investigated in the literature. The aim of studuy is to evaluate the musculoskeletal causes of non-cardiac chest pain and investigate the relationship of chest pain with child abuse and central sensitization. Methods: Patients aged 12 to 18 years presenting with chest pain for at least 3 months were evaluated by a pediatric cardiologist and those without an organic pathology were referred to the physical medicine and rehabilitation clinic. In addition to detailed history and physical examination, juvenile fibromyalgia was questioned according to the 2016 revised diagnostic criteria of the American College of Rheumatology. The visual analog scale (to measure intensity of chest pain), the Central Sensitization Inventory (to evaluate the presence of central sensitization), the Hospital Anxiety Depression Scale (to determine depression and anxiety), the Childhood Trauma Questionnaire (to assess the presence of child abuse) were administered. Results: The study was completed with 64 patients. Twenty-six percent of patient (n = 17) were diagnosed with juvenile fibromyalgia, and central sensitization was detected in 34.4% (n = 22). Pain intensity, anxiety, depression and abuse scores were higher in patients with juvenile fibromyalgia than those without juvenile fibromyalgia and in patients with central sensitization compared to those without central sensitization (p < 0.001 for both). Higher scores of pain were related with child abuse [beta = 0.763, p < 0.001, (%95 CI, 4.397; 8.841)] and central sensitization of pain [beta = 0.382, p = 0.008 (95% CI: (0.986;6.231)] in regression analyses. Conclusion: In this study, juvenile fibromyalgia was detected as a cause of non-cardiac chest pain. Juvenile fibromyalgia or central sensitization may also indicate childhood abuse.

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Anxiety, depression, suicidal ideation, and stressful life events in non-cardiac adolescent chest pain: a comparative study about the hidden part of the iceberg

Cited by 17 publications

References 37 publications

The relationship between pain and suicidal vulnerability in adolescence: a systematic review

The relationship between pain and suicidal vulnerability in adolescence: a systematic review

Aetiological evaluation of chest pain in childhood and adolescence

A preliminary study of the child abuse and central sensitization in adolescent patients with chronic non-organic chest pain and an overlooked condition: juvenile fibromyalgia syndrome

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