Adolescents with unexplained chest pain reported depression and impaired emotional and social functioning

Eliacik K., BOLAT N., Kanik A., Malas N., Demircan T., Hortu H., ...Daha Fazla

ACTA PAEDIATRICA, cilt.109, sa.8, ss.1642-1648, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 109 Sayı: 8
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1111/apa.15144
  • Dergi Adı: ACTA PAEDIATRICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Agricultural & Environmental Science Database, BIOSIS, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Psycinfo, Public Affairs Index, Veterinary Science Database
  • Sayfa Sayıları: ss.1642-1648
  • Anahtar Kelimeler: adolescent, chest pain, depression, social functionality, somatic complaints, CHILDREN, SYMPTOMS, INVENTORY
  • Çanakkale Onsekiz Mart Üniversitesi Adresli: Evet

Özet

Aim Chest pain is common in adolescence, but there are no established criteria for managing this problem, which is rarely associated with cardiac disease. This study addressed the gaps in the literature by evaluating psychosocial factors that could be associated with medically unexplained chest pain. Methods We consecutively selected 100 patients (68% girls) aged 13-18 who were diagnosed with unexplained chest pain when they presented to the cardiology outpatient clinics of Tepecik Research Hospital, Izmir, Turkey, between 30 September 2015 and 30 June 2018. The controls were 76 age- and sex-matched adolescents (69% girls) aged 13-18 who were undergoing routine cardiology assessments before joining sports clubs. We assessed their health-related quality of life and any depression and physical symptoms. Results Regression analysis showed some adolescents were a number of times more likely to report chest pain. These included those who reported boredom (4.1 times), felt stressed or anxious (2.2) and those who experienced sleep disturbance (2.6), co-morbid headaches (2.0), back pain (3.1) and impaired social functioning (1.2). Conclusion The results indicated a significant association between unexplained chest pain and physical symptoms, depression and impaired emotional and social functioning. These factors warrant further evaluation.