Key result
Psychosocial factors such as boredom, back pain, and sleep disturbance were associated with unexplained chest pain in adolescents.
Why the study?
Chest pain is common in adolescence but rarely linked to cardiac disease, and established management criteria are lacking. The study evaluated psychosocial factors associated with medically unexplained chest pain.
Is medically unexplained chest pain in adolescents associated with depression, physical symptoms, and impaired psychosocial functioning?
Case-Control (n=176)
No
Is medically unexplained chest pain in adolescents associated with depression, physical symptoms, and impaired psychosocial functioning?
Unexplained chest pain in adolescents is significantly associated with psychosocial factors such as depression, anxiety, and somatic symptoms, suggesting a need for psychological evaluation in this population.
Answers are grounded in this paper and cite their sources.
Psychosocial factors warrant consideration in adolescent chest pain evaluation; leaves open whether targeted interventions improve outcomes.
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.
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Eliaçık et al. (2019) conducted a case-control in Unexplained chest pain (n=176). Psychosocial factors and physical symptoms vs. Healthy controls was evaluated on Unexplained chest pain (OR 4.1 for boredom). Psychosocial factors such as boredom, back pain, and sleep disturbance were associated with unexplained chest pain in adolescents.
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