Adölesanlarda Kronik Göğüs Ağrısı: Yalnızca Medikal Değil Sosyal Bir Problem

Year 2019, Volume: 11 Issue: 2, 183 - 189, 28.06.2019

Seyma Kayali , Oguz Tekin

https://doi.org/10.18521/ktd.430685

Abstract

Chronic Chest Pain in Adolescents: Is Not Only a Medical Condition, But Also a Social Problem

Abstract

Aim: Chest pain is a frequent cause of referral to
pediatric cardiology departments and leads to unnecessary testing although
cardiac etiology is very rare. Recent studies reported that  adolescents’ chest pain is  generally related with psychological disorder.
Adolescents prone to have psychological problems more than others. This
condition leads to have  different social
trends which also can be affected from recurrent complaints and ilnesses. The
aim of this study is to examine the relationship between chest pain and social
trends in adolescents.

Methods: A total of 101 adolescents -50 with chest
pain and 51 control- were enrolled in 
this study and ‘Social Trends Scale (STS)’ was applied to all
participants. Cigarette smoking, presence of 
family problem and monthly income were recorded. Social trends of participants
were evaluated in the subtitles of 
social adaptation, substance avoidance, violence avoidance, school
status, family status and ‘target and ideals’ by ‘STS’ which included 26
questions.

Results: Chest pain group  had lower scores in all subtitles compared
with controls. Violence avoidance and family status scores were significantly
lower in study group. The presence of chest pain with smoking leaded to social
impairment and chest pain with smoking 
decreased the substance avoidance behavior. Chest pain had negative
effect on school status with monthly income of the family.

Conclusion: Chest pain
effects  some social trends negatively
with some other factors. This social situation which we have observed during
the evaluation of adolescents with  chest
pain enlightens the importance of psychological evaluation and guidance
services.

Keywords

adolescents, chest pain, psychosocial, social trends

References

• 1. Hussain MZ, Ishrat S, Salehuddin M, Mahmood M, Islam MT. Chest pain in children: an update. Mymensingh Med J. 2011; 20:165-70.
• 2. Chun JH, Kim TH, Han MY, Kim NY, Yoon KL. Analysis of clinical characteristics and causes of chest pain in children and adolescents. Korean J Pediatr. 2015; 58:440-5.
• 3. Khairandish Z, Jamali L, Haghbin S.Role of anxiety and depression in adolescents with with chest pain referred to a cardiology clinic. Cardiol Young 2017; 27:125-130.
• 4. Eliacik K, Kanik A, Bolat N, Mertek H, Guven B, Karadas U et al. Anxiety, depression, suicidal ideation, and stressful life events in non-cardiac adolescent chest pain: A comparative study about the hidden part of the iceberg. Cardiol Young 2017;27: 1098-1103.
• 5. Lipsitz JD, Masia C, Apfel H, Marans Z, Gur M, Dent H, et al. Noncardiac chest pain and psychopathology in children and adolescents. J Psychosom Res. 2005; 59:185–8.
• 6. Lee JL, Gilleland J, Campbell RM, Simpson P, Johnson GL, Dooley KJ, et al. Health care utilization and psychosocial factors in pediatric noncardiac chest pain. Health Psychol. 2012; 37:817–25.
• 7. Van Roekel E, Ha T, Verhagen M, Kuntsche E, Scholte RH, Engels RC. Social stress in early adolescents' daily lives: Associations with affect and loneliness. J Adolesc. 2015 ;45:274-83.
• 8. Mc Donnel CJ, White KS, Grady RM. Noncardiac chest pain in children and adolescents: a biopsychosocial conceptualization. Child Psychiatry Hum Dev 2012; 43.1:1-26.
• 9. Nezu AM, Nezu CM, Jain D, Xanthopoulos MS, Cos TA, Friedman J, Lee M. Social problem solving and noncardiac chest pain. Psychosom Med. 2007;69:944-51.
• 10. Tekin O, Özkara A,Cebeci S, Işık B,Çatal F,Doğan DG,Bilici M,Kara S, "Social trends survey of students aged 11-20 ( A pilot study of 308 students). Yeni Tıp Dergisi 2007; 24: 198-204. 11. Gilleland J, Blount RL, Campbell RM, Johnson GL, Dooley KJ, Simpson PJ. Brief report: Psychosocial factors and pediatric noncardiac chest pain. Pediatr Psychol.2009; 34:1170-4.
• 12. J Wager, H Brehmer, G Hirschfeld, B Zernikow. Psychologic distress and stressful life events in pediatric complex regional pain syndrome. Pain Res Manag 2015; 20:189-194.