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Internalizing Characteristics in Adolescents with Non-Cardiac Chest Pain: A Cross-Sectional Study from Turkey
Veli Yıldırım1, Fatih Battal2, Recep Dokuyucu3
1Department of Child Psychiatry, Special Clinic, Yenişehir 33110, Mersin, Turkey.
Adolescents with non-cardiac chest pain (NCCP) show higher anxiety and depression. Female gender and past psychosocial issues increase distress, highlighting the need for psychological screening in pediatric chest pain evaluations.
Area of Science:
- Pediatric Psychology
- Adolescent Health
- Cardiology
Background:
- Non-cardiac chest pain (NCCP) is a common presenting complaint in adolescents.
- Internalizing symptoms like anxiety and depression are frequently observed in this population.
- Understanding the interplay of sociodemographic factors and psychosocial history is crucial for effective management.
Purpose of the Study:
- To investigate internalizing symptoms (anxiety, depression) in adolescents with NCCP.
- To explore the influence of sociodemographic variables on psychological distress.
- To examine the impact of prior psychosocial experiences on psychological distress in adolescents with NCCP.
Main Methods:
- A cross-sectional study involving 128 adolescents (aged 10-18) presenting with NCCP.
- Utilized validated instruments: CDI, STAI-C, SCARED, BSI, SSAS-C.
- Collected data on sociodemographic variables and psychosocial symptom history.
Main Results:
- Adolescents with NCCP reported elevated anxiety and psychological distress compared to controls.
- Females exhibited higher levels of stress, anxiety, and overall psychological symptoms.
- Prior psychosocial symptoms correlated significantly with increased anxiety and global psychological distress.
Conclusions:
- Adolescents with NCCP frequently experience internalizing symptoms, notably anxiety and depression.
- Female gender and prior psychosocial stressors are associated with higher symptom burden.
- Integrating psychological screening into NCCP evaluations is vital for early identification and intervention.
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