Screening for family functioning and mental health in adolescents with non-cardiac chest pain: A comparison study for a frequently encountered problem

Year 2021, Volume: 38 Issue: 3, 241 - 245, 01.05.2021

Emine Nursel Akmaz Hacer Örsdemir Hortu , Kayı Eliaçık , Yavuz Demirçelik Özlem Üzüm Muhammet Ali Kanık , Barış Güven Tülay Demircan , Cem Karadeniz , Ali Rahmi Bakiler , Mehmet Helvacı

Abstract

Chest pain is highly prevalent in adolescence, represents a considerable burden for health services, and rarely associated with cardiac disease. Since psychosocial factors are related to chest pain there is a need for exploring the accompanying family functioning and mental health problems in adolescents with non-cardiac chest pain. Here, we assessed these determinants in 68 adolescents with non-cardiac chest pain and 68 age and-sex matched control participants using the 4-item Patient Health Questionnaire-4 for a brief screening for anxiety and depression and the Family APGAR Scale to assess the perception of family functioning. Adolescents with non-cardiac chest pain reported more depression, anxiety, and experienced impaired family functioning (p=0.003, p<0.001, p<0.001). The results indicated that non-cardiac chest pain is a warning sign of an underlying mental health problem with accompanying family issues and it deserves further psychosocial investigation including anxiety, depression, and impaired satisfaction of the adolescents’ family’s responsiveness.

Keywords

adolescent, chest pain, depression, anxiety

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