Role of anxiety and depression in adolescents with chest pain referred to a cardiology clinic

Khairandish, Zahra; Jamali, Leila; Haghbin, Saeedeh

doi:10.1017/s1047951116000238

Cited by 19 publications

(23 citation statements)

References 27 publications

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“…This finding was consistent with the expectations, suggesting that high anxiety level is a significant risk factor for the development of UCP [7,9,10]; and UCP itself may cause enormous anxiety [12] and negative perception of self [40] and depressive symptoms [8]. Interestingly, the parental SDQ failed to provide sufficient information about emotional problems of the adolescents.…”

Section: Discussionsupporting

confidence: 81%

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Adolescent mental health, attachment characteristics, and unexplained chest pain: a case–control study

Bolat

Eliaçık

Yavuz

et al. 2018

Psychiatry and Clinical Psychopharmacology

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OBJECTIVES: Psychological factors may be the underlying causes in unexplained chest pain (UCP). Chest pain symptom may influence the emotional status and peer relationships of the children and adolescents negatively. However, the number of studies focussing on the aetiology and consequences of the adolescent UCP are still limited. The aim of this study is to investigate the relationships among psychological problems, attachment characteristics, and the UCP in a group of adolescents. METHODS: Seventy-three adolescents with UCP and seventy-one healthy adolescents were included in the study. The adolescents completed the short form of Inventory of Parent and Peer Attachment (s-IPPA), and Strengths and Difficulties Questionnaire (SDQ), while their parents completed the parental form of the SDQ. RESULTS: Contrary to expectations, there was no significant interaction between total parental attachment levels and UCP in the adolescents with UCP. There were significant correlations between the attachment problems and total difficulties score of SDQ. Binary logistic regression analysis revealed that higher emotional and conduct problems and lower prosocial characteristics predict the UCP in adolescents, significantly. CONCLUSIONS: The results suggested that emotional/behavioural problems and lower prosocial behaviour scores are associated with UCP. However, further studies are needed for better understanding about the relationships between the UCP and attachment quality. ARTICLE HISTORY

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Section: Discussionsupporting

confidence: 81%

“…High anxiety [8,9] and depression levels [9,10], hypervigilance to the physical sensations and excessive body monitoring [11] may increase the risk of UCP. Although chest pain is rarely caused by cardiac reasons, it still creates significant anxiety because of the potential consequences such as sudden death [12].…”

Section: Introductionmentioning

confidence: 99%

Adolescent mental health, attachment characteristics, and unexplained chest pain: a case–control study

Bolat

Eliaçık

Yavuz

et al. 2018

Psychiatry and Clinical Psychopharmacology

View full text Add to dashboard Cite

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“…As for anxiety and depression in patients, previous studies have been conducted in different diseases and different populations. Studies have shown that patients with coronary heart disease, asthma, chest pain and other diseases may have obvious anxiety and depression problems . Anxiety is associated with sex, age, pain intensity and pain treatment, while depression is associated with gender, pain intensity and duration of treatment, according to a study of psychological problems in patients with chronic pain .…”

Section: Discussionmentioning

confidence: 99%

Assessment of anxiety and depression in patients with incidental pulmonary nodules and analysis of its related impact factors

Zhao

2020

Thoracic Cancer

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Objectives: To assess anxiety and depression in patients with incidental pulmonary nodules and analyze the related impact factors. Methods: All patients were assessed by questionnaires for their anxiety and depression after incidentally found pulmonary nodules. Hospital anxiety and depression scale (HAD), generalized anxiety disorder scale-7 (GAD-7), and multidimensional scale of perceived social support (MSPSS) were used to evaluate their anxiety and depression in order to understand the basic information and social support, and to analyze the related factors. Results: The HAD scale was used in 201 patients with pulmonary nodules. Univariate analysis showed the frequency of visits and social support had significant effects on anxiety (χ 2 = 9.604, 20.912, P < 0.05). Regression analysis showed that social support (OR = 4.042, 95% CI: 2.1617.558, P < 0.05) was an independent influencing factor of anxiety. Univariate analysis showed that marital status, exposure history and social support had significant effects on depression (χ 2 = 10.626, 6.005, 3.984, P < 0.05). Regression analysis showed that marital status (OR = 0.375, 95% CI: 0.186-0.754, P < 0.05) and social support (OR = 2.206, 95% CI: 1.016-4.789, P < 0.05) were independent influencing factors of depression. The results of GAD-7 showed the incidence of anxiety in patients with pulmonary nodules was 59.3% (108/182). Univariate analysis showed that anxiety was correlated with a history of chronic disease, psychological disease and social support (χ 2 = 9.949, 8.356, 11.872, P < 0.05). Further regression analysis showed that a previous history of psychological disease (OR = 5.088, 95% CI: 1.804-14.339) and social support (OR = 2.768, 95% CI: 1.505-5.094), were independent influencing factors of anxiety. Conclusions: The results of the study concluded that anxiety was affected by social support and previous psychological factors, while depression was affected by marital status and social support. Doctors should therefore strengthen communication with patients, and alleviate the negative emotions of patients as far as possible.

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“…It was reported that anxiety is associated with nearly half of the cases presenting with non-cardiac chest pain, while depression is less commonly seen [18]. [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].…”

Section: Discussionmentioning

confidence: 95%

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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Role of anxiety and depression in adolescents with chest pain referred to a cardiology clinic

Cited by 19 publications

References 27 publications

Adolescent mental health, attachment characteristics, and unexplained chest pain: a case–control study

Adolescent mental health, attachment characteristics, and unexplained chest pain: a case–control study

Assessment of anxiety and depression in patients with incidental pulmonary nodules and analysis of its related impact factors

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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