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Social problem solving and noncardiac chest pain.
Arthur M Nezu1, Christine Maguth Nezu, Diwakar Jain
1Department of Psychology, MS 515, Drexel University, 245 N. 15 Street, Philadelphia, PA 19102-1192, USA. amn23@drexel.edu
Psychosomatic Medicine
|November 10, 2007
Summary
Individuals with noncardiac chest pain (NCCP) exhibit poorer social problem-solving (SPS) skills compared to cardiac patients. This suggests SPS deficits may contribute to the development of NCCP.
Area of Science:
- Psychology
- Cardiology
- Health Psychology
Background:
- Noncardiac chest pain (NCCP) is a common presentation in emergency departments.
- Understanding the psychosocial factors associated with NCCP is crucial for effective management.
- Previous research has explored various psychological correlates of NCCP.
Purpose of the Study:
- To compare social problem-solving (SPS) abilities between patients with NCCP and those with cardiac-related chest pain.
- To identify if SPS deficits are uniquely associated with NCCP, independent of general distress.
Main Methods:
- A matched case-control study design was employed.
- Fifty-three patients with NCCP were compared to 53 patients with cardiac chest pain.
- Psychological distress, stress, pain, and multidimensional SPS were assessed.
Main Results:
- No significant differences in chest pain intensity or frequency were found between groups.
- Patients with NCCP reported higher levels of depression, anxiety, perceived stress, and anger.
- Individuals with NCCP demonstrated less effective SPS across three of five assessed dimensions, even after controlling for negative affectivity.
Conclusions:
- Findings support the role of psychosocial factors in NCCP.
- Social problem-solving (SPS) emerges as a potentially significant factor in the pathogenesis of NCCP.
- Targeting SPS deficits may offer a novel therapeutic avenue for NCCP.
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