Anxiety and depressive symptoms and anxiety sensitivity in youngsters with noncardiac chest pain and benign heart murmurs

Joshua D. Lipsitz, Carrie Masia, Howard Apfel, Zvi Marans, Beth Hellstern, Nicholas Forand, Yosef Levenbraun, Abby J. Fyer

Research output: Contribution to journalArticleResearchpeer-review

46 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)607-612
Number of pages6
JournalJournal of Pediatric Psychology
Volume29
Issue number8
DOIs
StatePublished - 1 Dec 2004

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Heart Murmurs
Chest Pain
Anxiety
Depression
Psychology
Self Report
Heart Diseases

Keywords

  • Anxiety
  • Chest pain
  • Children
  • Depressive
  • Murmurs

Cite this

Lipsitz, Joshua D. ; Masia, Carrie ; Apfel, Howard ; Marans, Zvi ; Hellstern, Beth ; Forand, Nicholas ; Levenbraun, Yosef ; Fyer, Abby J. / Anxiety and depressive symptoms and anxiety sensitivity in youngsters with noncardiac chest pain and benign heart murmurs. In: Journal of Pediatric Psychology. 2004 ; Vol. 29, No. 8. pp. 607-612.
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Anxiety and depressive symptoms and anxiety sensitivity in youngsters with noncardiac chest pain and benign heart murmurs. / Lipsitz, Joshua D.; Masia, Carrie; Apfel, Howard; Marans, Zvi; Hellstern, Beth; Forand, Nicholas; Levenbraun, Yosef; Fyer, Abby J.

In: Journal of Pediatric Psychology, Vol. 29, No. 8, 01.12.2004, p. 607-612.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Lipsitz, Joshua D.

AU - Masia, Carrie

AU - Apfel, Howard

AU - Marans, Zvi

AU - Hellstern, Beth

AU - Forand, Nicholas

AU - Levenbraun, Yosef

AU - Fyer, Abby J.

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AB - 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.

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