Key result
Pediatric vasovagal syncope linked to higher rates of depression and anxiety disorders versus controls.
Why the study?
Syncope is frequently associated with psychopathologies in the pediatric age group, prompting evaluation of vasovagal syncope cases for additional psychopathologies, depression, and anxiety levels compared to controls.
Do children and adolescents with vasovagal syncope have higher levels of psychopathologies, depression, and anxiety compared to controls?
Case-Control (n=97)
Do children and adolescents with vasovagal syncope have higher levels of psychopathologies, depression, and anxiety compared to controls?
Children and adolescents with vasovagal syncope have significantly higher rates of underlying psychopathologies, highlighting the potential need for psychological assessment in their clinical evaluation.
Higher psychopathology rates link to pediatric vasovagal syncope; hypothesis-generating and requires prospective studies before screening implications.
Vasovagal syncope constitutes 61% to 80% of syncope cases in the pediatric age group. Syncope is frequently associated with psychopathologies such as depressive disorders, anxiety disorders, somatization disorders, etc. Our study aims to evaluate vasovagal syncope cases in terms of additional psychopathologies, depression, and anxiety levels with a control group. A total of 97 people were included in the study (47 cases and 50 controls). After conducting a cardiological examination, the participants were evaluated for psychopathologies using Kiddie-Sads-Present and Lifetime Version, Child Depression Inventory, and Screen for Child Anxiety Related Emotional Disorders. The case group had a higher rate of psychopathology compared with the control group. Depression, social anxiety disorder, generalized anxiety disorder, separation anxiety, and conversion disorder were significantly higher in the case group than in the control group. Syncope in children can be an underlying psychopathology or the clinical manifestation of a psychosomatic condition. Psychological assessment, which could offer beneficial contributions to the diagnosis and treatment of syncope, was considered necessary for a holistic evaluation of patients.
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Kara et al. (2021) conducted a case-control in Vasovagal syncope (n=97). Vasovagal syncope vs. Control group was evaluated on Psychopathology, depression, and anxiety levels. Children and adolescents with vasovagal syncope had significantly higher rates of depression, social anxiety, generalized anxiety, separation anxiety, and conversion disorder compared to controls.
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