Psychiatric Disorders in Youth with Medically Unexplained Chest Pain vs. Innocent Heart Murmur
| Autor: | Rubin S. Cooper, Joshua D. Lipsitz, Merav Gur, Zvi Marans, Anne Marie Albano, Daphne T. Hsu, Howard D. Apfel |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Chest Pain Adolescent Comorbidity Chest pain Article Sex Factors Quality of life Risk Factors Surveys and Questionnaires medicine Humans Medical history Psychiatry Child Depressive Disorder Major Heart Murmurs business.industry Mental Disorders Medically unexplained Age Factors medicine.disease Innocent heart murmur Mental health Anxiety Disorders Diagnostic and Statistical Manual of Mental Disorders Pediatrics Perinatology and Child Health Physical therapy Heart murmur Quality of Life Female medicine.symptom business |
| Popis: | To 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.We 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.Youth with chest pain had a higher prevalence of psychiatric disorders compared with youth with murmur (74% versus 47%, χ(2)=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.In 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. |
| Databáze: | OpenAIRE |
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