کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4165772 1607485 2012 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Psychiatric Disorders in Youth with Medically Unexplained Chest Pain versus Innocent Heart Murmur
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Psychiatric Disorders in Youth with Medically Unexplained Chest Pain versus Innocent Heart Murmur
چکیده انگلیسی

ObjectiveTo examine the prevalence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition psychiatric disorders in youth with chest pain compared with a control sample with innocent heart murmur.Study designWe assessed youth ages 8 to 17 years who were examined in cardiology settings for medically unexplained chest pain (n = 100) or innocent heart murmur (n = 80). We conducted semi-structured interviews and assessed medical history, quality of life, and disability.ResultsYouth with chest pain had a higher prevalence of psychiatric disorders compared with youth with murmur (74% versus 47%, χ2 = 13.3; P < .001). Anxiety disorders predominated, although major depression was also more common in the chest pain group (9% versus 0%; Fisher exact tests; P < .01). Onset of psychiatric disorders generally preceded chest pain. Patterns were similar for boys and girls and for children and adolescents. Chest pain was associated with poorer quality of life and with pain-related disability for youth with co-morbid psychiatric disorder.ConclusionsIn childhood and adolescence, medically unexplained chest pain is associated with a high prevalence of psychiatric disorders. Systematic mental health screening may improve detection and enhance treatment of these patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Pediatrics - Volume 160, Issue 2, February 2012, Pages 320–324
نویسندگان
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