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Anxiety, depression, suicidal ideation, and stressful life events in non-cardiac adolescent chest pain: a comparative study about the hidden part of the iceberg
Chest pain in adolescents is rarely associated with cardiac disease. Adolescents with medically unexplained chest pain usually have high levels of anxiety and depression. Psychological stress may trigger non-cardiac chest pain. This study evaluated risk factors that particularly characterise adolesc...
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Published in: | Cardiology in the young 2017-08, Vol.27 (6), p.1098-1103 |
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creator | Eliacik, Kayi Kanik, Ali Bolat, Nurullah Mertek, Hilal Guven, Baris Karadas, Ulas Dogrusoz, Buket Bakiler, Ali Rahmi |
description | Chest pain in adolescents is rarely associated with cardiac disease. Adolescents with medically unexplained chest pain usually have high levels of anxiety and depression. Psychological stress may trigger non-cardiac chest pain. This study evaluated risk factors that particularly characterise adolescence, such as major stressful events, in a clinical population. The present study was conducted on 100 adolescents with non-cardiac chest pain and 76 control subjects. Stressful life events were assessed by interviewing patients using a 36-item checklist, along with the Children’s Depression Inventory and Spielberger’s State-Trait Anxiety Inventory for children, in both groups. Certain stressful life events, suicidal thoughts, depression, and anxiety were more commonly observed in adolescents with non-cardiac chest pain compared with the control group. Moreover, binary logistic regression analysis showed that trouble with bullies, school-related problems, and depression may trigger non-cardiac chest pain in adolescents. Non-cardiac chest pain on the surface may point to the underlying psychosocial health problems such as depression, suicidal ideas, or important life events such as academic difficulties or trouble with bullies. The need for a psychosocial evaluation that includes assessment of negative life events and a better management have been discussed in light of the results. |
doi_str_mv | 10.1017/S1047951116002109 |
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Adolescents with medically unexplained chest pain usually have high levels of anxiety and depression. Psychological stress may trigger non-cardiac chest pain. This study evaluated risk factors that particularly characterise adolescence, such as major stressful events, in a clinical population. The present study was conducted on 100 adolescents with non-cardiac chest pain and 76 control subjects. Stressful life events were assessed by interviewing patients using a 36-item checklist, along with the Children’s Depression Inventory and Spielberger’s State-Trait Anxiety Inventory for children, in both groups. Certain stressful life events, suicidal thoughts, depression, and anxiety were more commonly observed in adolescents with non-cardiac chest pain compared with the control group. Moreover, binary logistic regression analysis showed that trouble with bullies, school-related problems, and depression may trigger non-cardiac chest pain in adolescents. Non-cardiac chest pain on the surface may point to the underlying psychosocial health problems such as depression, suicidal ideas, or important life events such as academic difficulties or trouble with bullies. The need for a psychosocial evaluation that includes assessment of negative life events and a better management have been discussed in light of the results.</description><identifier>ISSN: 1047-9511</identifier><identifier>EISSN: 1467-1107</identifier><identifier>DOI: 10.1017/S1047951116002109</identifier><identifier>PMID: 27830640</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adolescents ; Age ; Anxiety ; Anxiety - epidemiology ; Anxiety - etiology ; Anxiety - psychology ; Bullying ; Cardiology ; Chest ; Chest Pain - complications ; Chest Pain - psychology ; Child & adolescent psychiatry ; Children ; Children & youth ; Comparative studies ; Coronary artery disease ; Depression - epidemiology ; Depression - etiology ; Depression - psychology ; Extracurricular activities ; Families & family life ; Female ; Gender ; Health problems ; Heart diseases ; Hospitals ; Humans ; Incidence ; Male ; Mental depression ; Mental health ; Original Articles ; Pain ; Physicians ; Population studies ; Psychological stress ; Psychopathology ; Regression analysis ; Risk analysis ; Risk Assessment ; Risk Factors ; Sex crimes ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology ; Stress, Psychological - psychology ; Suicidal Ideation ; Suicides & suicide attempts ; Teenagers ; Turkey - epidemiology</subject><ispartof>Cardiology in the young, 2017-08, Vol.27 (6), p.1098-1103</ispartof><rights>Cambridge University Press 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-3e4cbef23efbc09b3726a98472e008110e2e615ee08ff7971db16cc1804d5fbb3</citedby><cites>FETCH-LOGICAL-c373t-3e4cbef23efbc09b3726a98472e008110e2e615ee08ff7971db16cc1804d5fbb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1047951116002109/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,72960</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27830640$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eliacik, Kayi</creatorcontrib><creatorcontrib>Kanik, Ali</creatorcontrib><creatorcontrib>Bolat, Nurullah</creatorcontrib><creatorcontrib>Mertek, Hilal</creatorcontrib><creatorcontrib>Guven, Baris</creatorcontrib><creatorcontrib>Karadas, Ulas</creatorcontrib><creatorcontrib>Dogrusoz, Buket</creatorcontrib><creatorcontrib>Bakiler, Ali Rahmi</creatorcontrib><title>Anxiety, depression, suicidal ideation, and stressful life events in non-cardiac adolescent chest pain: a comparative study about the hidden part of the iceberg</title><title>Cardiology in the young</title><addtitle>Cardiol Young</addtitle><description>Chest pain in adolescents is rarely associated with cardiac disease. Adolescents with medically unexplained chest pain usually have high levels of anxiety and depression. Psychological stress may trigger non-cardiac chest pain. This study evaluated risk factors that particularly characterise adolescence, such as major stressful events, in a clinical population. The present study was conducted on 100 adolescents with non-cardiac chest pain and 76 control subjects. Stressful life events were assessed by interviewing patients using a 36-item checklist, along with the Children’s Depression Inventory and Spielberger’s State-Trait Anxiety Inventory for children, in both groups. Certain stressful life events, suicidal thoughts, depression, and anxiety were more commonly observed in adolescents with non-cardiac chest pain compared with the control group. Moreover, binary logistic regression analysis showed that trouble with bullies, school-related problems, and depression may trigger non-cardiac chest pain in adolescents. Non-cardiac chest pain on the surface may point to the underlying psychosocial health problems such as depression, suicidal ideas, or important life events such as academic difficulties or trouble with bullies. The need for a psychosocial evaluation that includes assessment of negative life events and a better management have been discussed in light of the results.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Age</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - etiology</subject><subject>Anxiety - psychology</subject><subject>Bullying</subject><subject>Cardiology</subject><subject>Chest</subject><subject>Chest Pain - complications</subject><subject>Chest Pain - psychology</subject><subject>Child & adolescent psychiatry</subject><subject>Children</subject><subject>Children & youth</subject><subject>Comparative studies</subject><subject>Coronary artery disease</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Depression - psychology</subject><subject>Extracurricular activities</subject><subject>Families & family life</subject><subject>Female</subject><subject>Gender</subject><subject>Health problems</subject><subject>Heart diseases</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Original Articles</subject><subject>Pain</subject><subject>Physicians</subject><subject>Population studies</subject><subject>Psychological stress</subject><subject>Psychopathology</subject><subject>Regression analysis</subject><subject>Risk analysis</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Sex crimes</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - etiology</subject><subject>Stress, Psychological - psychology</subject><subject>Suicidal Ideation</subject><subject>Suicides & suicide attempts</subject><subject>Teenagers</subject><subject>Turkey - epidemiology</subject><issn>1047-9511</issn><issn>1467-1107</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1kc1u1TAQhS1ERUvhAdggS2xYNMUTJ3HCrqqgIFViAawj_4x7XSV2sJ2q9214VHzbW4RasbI155vj8RxC3gA7BQbiw3dgjRhaAOgYq4ENz8gRNJ2oAJh4Xu5Frnb6IXmZ0jVjwDmwF-SwFj1nXcOOyO8zf-swb0-owSViSi74E5pWp52RE3UGZb4rSW9oyjvCrhOdnEWKN-hzos5TH3ylZTROaipNmDDpIlG9wZTpIp3_SCXVYV5kLHY3WJxWs6VShTXTvEG6ccagL2jMNNi7ktOoMF69IgdWTglf789j8vPzpx_nX6rLbxdfz88uK80FzxXHRiu0NUerNBsUF3Unh74RNTLWl31gjR20iKy3VgwCjIJOa-hZY1qrFD8m7-99lxh-rWXucXblF9MkPYY1jdDzAUDUrSjou0fodVijL9ONMEBXds95Wyi4p3QMKUW04xLdLON2BDbu4hufxFd63u6dVzWj-dvxkFcB-N5Uzio6c4X_vP1f2z-IYqYP</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>Eliacik, Kayi</creator><creator>Kanik, Ali</creator><creator>Bolat, Nurullah</creator><creator>Mertek, Hilal</creator><creator>Guven, Baris</creator><creator>Karadas, Ulas</creator><creator>Dogrusoz, Buket</creator><creator>Bakiler, Ali Rahmi</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201708</creationdate><title>Anxiety, depression, suicidal ideation, and stressful life events in non-cardiac adolescent chest pain: a comparative study about the hidden part of the iceberg</title><author>Eliacik, Kayi ; Kanik, Ali ; Bolat, Nurullah ; Mertek, Hilal ; Guven, Baris ; Karadas, Ulas ; Dogrusoz, Buket ; Bakiler, Ali Rahmi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-3e4cbef23efbc09b3726a98472e008110e2e615ee08ff7971db16cc1804d5fbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Age</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - etiology</topic><topic>Anxiety - psychology</topic><topic>Bullying</topic><topic>Cardiology</topic><topic>Chest</topic><topic>Chest Pain - complications</topic><topic>Chest Pain - psychology</topic><topic>Child & adolescent psychiatry</topic><topic>Children</topic><topic>Children & youth</topic><topic>Comparative studies</topic><topic>Coronary artery disease</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>Depression - psychology</topic><topic>Extracurricular activities</topic><topic>Families & family life</topic><topic>Female</topic><topic>Gender</topic><topic>Health problems</topic><topic>Heart diseases</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Original Articles</topic><topic>Pain</topic><topic>Physicians</topic><topic>Population studies</topic><topic>Psychological stress</topic><topic>Psychopathology</topic><topic>Regression analysis</topic><topic>Risk analysis</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Sex crimes</topic><topic>Stress, Psychological - 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Academic</collection><jtitle>Cardiology in the young</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eliacik, Kayi</au><au>Kanik, Ali</au><au>Bolat, Nurullah</au><au>Mertek, Hilal</au><au>Guven, Baris</au><au>Karadas, Ulas</au><au>Dogrusoz, Buket</au><au>Bakiler, Ali Rahmi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anxiety, depression, suicidal ideation, and stressful life events in non-cardiac adolescent chest pain: a comparative study about the hidden part of the iceberg</atitle><jtitle>Cardiology in the young</jtitle><addtitle>Cardiol Young</addtitle><date>2017-08</date><risdate>2017</risdate><volume>27</volume><issue>6</issue><spage>1098</spage><epage>1103</epage><pages>1098-1103</pages><issn>1047-9511</issn><eissn>1467-1107</eissn><abstract>Chest pain in adolescents is rarely associated with cardiac disease. Adolescents with medically unexplained chest pain usually have high levels of anxiety and depression. Psychological stress may trigger non-cardiac chest pain. This study evaluated risk factors that particularly characterise adolescence, such as major stressful events, in a clinical population. The present study was conducted on 100 adolescents with non-cardiac chest pain and 76 control subjects. Stressful life events were assessed by interviewing patients using a 36-item checklist, along with the Children’s Depression Inventory and Spielberger’s State-Trait Anxiety Inventory for children, in both groups. Certain stressful life events, suicidal thoughts, depression, and anxiety were more commonly observed in adolescents with non-cardiac chest pain compared with the control group. Moreover, binary logistic regression analysis showed that trouble with bullies, school-related problems, and depression may trigger non-cardiac chest pain in adolescents. Non-cardiac chest pain on the surface may point to the underlying psychosocial health problems such as depression, suicidal ideas, or important life events such as academic difficulties or trouble with bullies. The need for a psychosocial evaluation that includes assessment of negative life events and a better management have been discussed in light of the results.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>27830640</pmid><doi>10.1017/S1047951116002109</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adolescents Age Anxiety Anxiety - epidemiology Anxiety - etiology Anxiety - psychology Bullying Cardiology Chest Chest Pain - complications Chest Pain - psychology Child & adolescent psychiatry Children Children & youth Comparative studies Coronary artery disease Depression - epidemiology Depression - etiology Depression - psychology Extracurricular activities Families & family life Female Gender Health problems Heart diseases Hospitals Humans Incidence Male Mental depression Mental health Original Articles Pain Physicians Population studies Psychological stress Psychopathology Regression analysis Risk analysis Risk Assessment Risk Factors Sex crimes Stress, Psychological - epidemiology Stress, Psychological - etiology Stress, Psychological - psychology Suicidal Ideation Suicides & suicide attempts Teenagers Turkey - epidemiology |
title | Anxiety, depression, suicidal ideation, and stressful life events in non-cardiac adolescent chest pain: a comparative study about the hidden part of the iceberg |
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