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Submitted: 20 Jun 2019
Accepted: 04 Dec 2019
ePublished: 13 Dec 2019
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J Prev Epidemiol. 2019;4(2): e22.
  Abstract View: 472
  PDF Download: 285

Original

Frequency of anxiety disorders in children and adolescents as non-cardiac chest pain

Mohammad Radvar 1 ORCID logo, Ali Zolfigol 1, Arezou Kiani ORCID logo, Ezatolah Abbasi 3 ORCID logo, Yalda Sadeghpour 4

1 Department of Pediatric Disease, School of Medicine, Shahid Motahari Hospital, Urmia University of Medical Sciences, Urmia, Iran
2 Department of Psychiatry, School of Medicine, Razi Hospital, Urmia University of Medical Sciences, Urmia, Iran
3 Department of Pediatric Neurology, Urmia University of Medical Sciences, Urmia, Iran
4 Urmia University of Medical Sciences, Urmia, Iran

Abstract

Introduction: Chest pain is a common complaint among children and adolescents, in such a way that 10% of students experience chest pain attacks and are the second leading cause of referral to pediatric cardiologists. Chest pain in children (unlike adults) is rarely a sign of heart disease.

Objectives: Due to the high prevalence of chest pain among children and adolescents, the rarity of heart disease and its association with psychological causes were investigated.

Patients and Methods: In this cross-sectional study, 41 patients (18 boys and 23 females) with a mean age of 11.51 (ranging from at least 8 years old and up to 17 years old) were recruited from referrals to cardiac clinic of Motahari hospital complaining of chest pain. We evaluated the diagnosis of non-cardiac chest pain using a “How do you feel about yourself” questionnaire that was interpreted based on the Screen for Child Anxiety Related Disorders (SCARED) criteria.

Results: According to our study, 22 subjects (53.7%) had anxiety disorders including 10 boys (55.5%) and 12 girls (52.17%). In the study of parents with anxiety disorders, it was found that parental of 14 subjects (34.1%) had under diploma education and 6 subjects (14.6%) had diploma, and 2 subjects (4.87%) had university education.

Conclusion: Non-cardiac chest pain is a relatively common manifestation of cardiovascular referrals with anxiety disorders, which was significantly correlated with parental education, but had no significant relationship with gender and age of the individual.

Keywords: Anxiety Disorders, Children, Non-cardiac chest pain
Citation: Radvar M, Zolfigol A, Kiani A, Abbasi E, Sadeghpour Y. Frequency of anxiety disorders in children and adolescents as noncardiac chest pain. J Prev Epidemiol. 2019;4(2):e22.
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