Anxiety and depressive symptoms and anxiety sensitivity in youngsters with noncardiac chest pain and benign heart murmurs
Anxiety and depressive symptoms and anxiety sensitivity in youngsters with noncardiac chest pain and benign heart murmurs
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DOI：
10.1093/jpepsy/jsh062
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发表时间：
2004-12-01
影响因子：
3.6
通讯作者：
Fyer, AJ
中科院分区：
文献类型：
--
作者：
Lipsitz, JD;Masia-Warner, C;Fyer, AJ
目的儿童和青少年胸痛很少与心脏疾病相关。我们试图检查患有医学上无法解释的胸痛的青少年的心理症状。我们假设患有医学上无法解释的胸痛的儿童和青少年有很高的焦虑和抑郁症状。方法对65例非心源性胸痛（NCCP）青少年和45例良性心脏杂音青少年进行焦虑、抑郁症状和焦虑敏感性的自评评定。结果与无症状良性心脏杂音组相比，NCCP组的某些焦虑症状和焦虑敏感性明显增高。抑郁症状差异不显著。结论虽然是初步的，结果表明，年轻人胸痛可能会遇到一些心理症状的水平增加。未来对青少年非心源性胸痛的研究应包括更大的样本和全面的诊断评估以及长期随访评估。
Objective Chest pain in children and adolescents is rarely associated with cardiac disease. We sought to examine psychological symptoms in youngsters with medically unexplained chest pain. We hypothesized that children and adolescents with medically unexplained chest pain would have high rates of anxiety and depressive symptoms. Methods We assessed 65 youngsters with noncardiac chest pain (NCCP) and 45 comparison youngsters with benign heart murmurs using self-report measures of anxiety and depressive symptoms and anxiety sensitivity. Results Compared with the asymptomatic benign-murmur group, youngsters with NCCP had higher levels of some anxiety symptoms and anxiety sensitivity. Differences on depressive symptoms were not significant. Conclusions Though preliminary, results suggest that youngsters with chest pain may experience increased levels of some psychological symptoms. Future studies of noncardiac chest pain in youngsters should include larger samples and comprehensive diagnostic assessments as well as long-term follow-up evaluations.