Adolescents with unexplained chest pain reported depression and impaired emotional and social functioning
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...
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| Veröffentlicht in: | Acta Paediatrica 2020-08, Vol.109 (8), p.1642-1648 |
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| container_title | Acta Paediatrica |
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| creator | Eliacik, Kayi Bolat, Nurullah Kanik, Ali Malas, Nasuh Demircan, Tülay Hortu, Hacer Özyurt, Gonca Orbatu, Dilek Alaygut, Demet Guven, Baris |
| description | 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, İzmir, 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. |
| doi_str_mv | 10.1111/apa.15144 |
| format | Article |
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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, İzmir, 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.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.15144</identifier><identifier>PMID: 31860731</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adolescents ; Cardiology ; Chest ; chest pain ; Chest Pain - epidemiology ; Chest Pain - etiology ; Coronary artery disease ; depression ; Depression - epidemiology ; Emotions ; Female ; Headache ; Heart diseases ; Humans ; Male ; Mental depression ; Pain ; Quality of Life ; Sleep ; social functionality ; Social Interaction ; somatic complaints ; Teenagers ; Turkey - epidemiology</subject><ispartof>Acta Paediatrica, 2020-08, Vol.109 (8), p.1642-1648</ispartof><rights>2019 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><rights>2019 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>2020 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3884-79eeeb20ac5f2e8922a83cc30409838e200b1b42c08e134f023ec784f09fae743</citedby><cites>FETCH-LOGICAL-c3884-79eeeb20ac5f2e8922a83cc30409838e200b1b42c08e134f023ec784f09fae743</cites><orcidid>0000-0002-4520-5574 ; 0000-0002-2529-2906 ; 0000-0002-7573-387X ; 0000-0001-9529-9719 ; 0000-0003-3304-0992 ; 0000-0002-7646-6339 ; 0000-0002-2164-4652 ; 0000-0002-0508-0594 ; 0000-0002-5716-2938</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.15144$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.15144$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31860731$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eliacik, Kayi</creatorcontrib><creatorcontrib>Bolat, Nurullah</creatorcontrib><creatorcontrib>Kanik, Ali</creatorcontrib><creatorcontrib>Malas, Nasuh</creatorcontrib><creatorcontrib>Demircan, Tülay</creatorcontrib><creatorcontrib>Hortu, Hacer</creatorcontrib><creatorcontrib>Özyurt, Gonca</creatorcontrib><creatorcontrib>Orbatu, Dilek</creatorcontrib><creatorcontrib>Alaygut, Demet</creatorcontrib><creatorcontrib>Guven, Baris</creatorcontrib><title>Adolescents with unexplained chest pain reported depression and impaired emotional and social functioning</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>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, İzmir, 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.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Cardiology</subject><subject>Chest</subject><subject>chest pain</subject><subject>Chest Pain - epidemiology</subject><subject>Chest Pain - etiology</subject><subject>Coronary artery disease</subject><subject>depression</subject><subject>Depression - epidemiology</subject><subject>Emotions</subject><subject>Female</subject><subject>Headache</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Male</subject><subject>Mental depression</subject><subject>Pain</subject><subject>Quality of Life</subject><subject>Sleep</subject><subject>social functionality</subject><subject>Social Interaction</subject><subject>somatic complaints</subject><subject>Teenagers</subject><subject>Turkey - epidemiology</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtLxDAUhYMoOj4W_gEpuNFFNblJp-lyEF8g6ELXJZPeOpG2qUmLzr_3zoy6EMwmNycfh3sOY8eCXwg6l6Y3FyITSm2xiZhmIgWAfJtNuOYyzSCTe2w_xjfOQRZqusv2pNBTnksxYW5W-QajxW6IyYcbFsnY4WffGNdhldgFxiHp6ZEE7H0YSKuwDxij811iuipxLX0H0rH1A4mmWcvRW0djPXZ2pbru9ZDt1KaJePR9H7CXm-vnq7v04fH2_mr2kFqptUrzAhHnwI3NakBdABgtrZVc8UJLjcD5XMwVWK5RSFVTJrS5pqGoDeZKHrCzjW8f_PtI-5eto3xNYzr0YyxBQpFDIXVO6Okf9M2PgSIQpQC4UEUGRJ1vKBt8jAHrsg-uNWFZCl6u-i-p_3LdP7En347jvMXql_wpnIDLDfDhGlz-71TOnmYbyy-gJY9q</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Eliacik, Kayi</creator><creator>Bolat, Nurullah</creator><creator>Kanik, Ali</creator><creator>Malas, Nasuh</creator><creator>Demircan, Tülay</creator><creator>Hortu, Hacer</creator><creator>Özyurt, Gonca</creator><creator>Orbatu, Dilek</creator><creator>Alaygut, Demet</creator><creator>Guven, Baris</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4520-5574</orcidid><orcidid>https://orcid.org/0000-0002-2529-2906</orcidid><orcidid>https://orcid.org/0000-0002-7573-387X</orcidid><orcidid>https://orcid.org/0000-0001-9529-9719</orcidid><orcidid>https://orcid.org/0000-0003-3304-0992</orcidid><orcidid>https://orcid.org/0000-0002-7646-6339</orcidid><orcidid>https://orcid.org/0000-0002-2164-4652</orcidid><orcidid>https://orcid.org/0000-0002-0508-0594</orcidid><orcidid>https://orcid.org/0000-0002-5716-2938</orcidid></search><sort><creationdate>202008</creationdate><title>Adolescents with unexplained chest pain reported depression and impaired emotional and social functioning</title><author>Eliacik, Kayi ; Bolat, Nurullah ; Kanik, Ali ; Malas, Nasuh ; Demircan, Tülay ; Hortu, Hacer ; Özyurt, Gonca ; Orbatu, Dilek ; Alaygut, Demet ; Guven, Baris</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3884-79eeeb20ac5f2e8922a83cc30409838e200b1b42c08e134f023ec784f09fae743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Cardiology</topic><topic>Chest</topic><topic>chest pain</topic><topic>Chest Pain - epidemiology</topic><topic>Chest Pain - etiology</topic><topic>Coronary artery disease</topic><topic>depression</topic><topic>Depression - epidemiology</topic><topic>Emotions</topic><topic>Female</topic><topic>Headache</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Male</topic><topic>Mental depression</topic><topic>Pain</topic><topic>Quality of Life</topic><topic>Sleep</topic><topic>social functionality</topic><topic>Social Interaction</topic><topic>somatic complaints</topic><topic>Teenagers</topic><topic>Turkey - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eliacik, Kayi</creatorcontrib><creatorcontrib>Bolat, Nurullah</creatorcontrib><creatorcontrib>Kanik, Ali</creatorcontrib><creatorcontrib>Malas, Nasuh</creatorcontrib><creatorcontrib>Demircan, Tülay</creatorcontrib><creatorcontrib>Hortu, Hacer</creatorcontrib><creatorcontrib>Özyurt, Gonca</creatorcontrib><creatorcontrib>Orbatu, Dilek</creatorcontrib><creatorcontrib>Alaygut, Demet</creatorcontrib><creatorcontrib>Guven, Baris</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eliacik, Kayi</au><au>Bolat, Nurullah</au><au>Kanik, Ali</au><au>Malas, Nasuh</au><au>Demircan, Tülay</au><au>Hortu, Hacer</au><au>Özyurt, Gonca</au><au>Orbatu, Dilek</au><au>Alaygut, Demet</au><au>Guven, Baris</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adolescents with unexplained chest pain reported depression and impaired emotional and social functioning</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2020-08</date><risdate>2020</risdate><volume>109</volume><issue>8</issue><spage>1642</spage><epage>1648</epage><pages>1642-1648</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>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, İzmir, 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.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31860731</pmid><doi>10.1111/apa.15144</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4520-5574</orcidid><orcidid>https://orcid.org/0000-0002-2529-2906</orcidid><orcidid>https://orcid.org/0000-0002-7573-387X</orcidid><orcidid>https://orcid.org/0000-0001-9529-9719</orcidid><orcidid>https://orcid.org/0000-0003-3304-0992</orcidid><orcidid>https://orcid.org/0000-0002-7646-6339</orcidid><orcidid>https://orcid.org/0000-0002-2164-4652</orcidid><orcidid>https://orcid.org/0000-0002-0508-0594</orcidid><orcidid>https://orcid.org/0000-0002-5716-2938</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta Paediatrica, 2020-08, Vol.109 (8), p.1642-1648 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Adolescent Adolescents Cardiology Chest chest pain Chest Pain - epidemiology Chest Pain - etiology Coronary artery disease depression Depression - epidemiology Emotions Female Headache Heart diseases Humans Male Mental depression Pain Quality of Life Sleep social functionality Social Interaction somatic complaints Teenagers Turkey - epidemiology |
| title | Adolescents with unexplained chest pain reported depression and impaired emotional and social functioning |
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