Çarpıntı ve göğüs ağrısının 18-25 yaş arası bireylerde anksiyete ve depresyon belirti düzeyleri ile ilişkisi

maç: Bu çalışmanın amacı kardiyoloji polikliniğine çarpıntı veya göğüs ağrısı yakınmasıyla başvuran 18-25 yaş aralığındaki bireylerde kalp hastalığı varlığı ve yokluğuna göre anksiyete ve depresyon düzeylerini karşılaştırmaktır.Gereç ve Yöntem: Başkent Üniversitesi Adana Dr. Turgut Noyan Araştırma ve Uygulama Merkezi Kardiyoloji Polikliniğine başvuran 18-25 yaş aralığındaki bireyler değerlendirilmiştir. Ellidört erkek ve 60 kadın olmak üzere toplam 114 kişi çalışmaya alınmıştır. Hastaneye başvuranların yanında refakatçi olarak gelen 18-25 yaş aralığındaki sağlıklı 44 kişi kontrol grubunu oluşturmuştur.  Veri toplama aracı olarak Beck Depresyon Ölçeği (BDÖ) ve Beck Anksiyete Ölçeği (BAÖ) kullanılmıştır. Bulgular: Vaka grubunda 77 kişide herhangi bir kalp hastalığı saptanmamıştır. Otuz yedi kişiye bir kalp hastalığı tanısı konmuştur. Gruplar BDÖ ve BAÖ puanları açısından karşılaştırılmıştır. Göğüs ağrısı veya çarpıntı yakınması ile başvuran kalp hastalığı olan ve kalp hastalığı olmayan gruplardaki BDÖ ve BAÖ puanları yakınması olmayan kontrol grubuna göre anlamlı derecede daha yüksek saptanmıştır. Sonuç: Kardiyoloji polikliniğine göğüs ağrısı veya çarpıntı yakınmasıyla başvuran 18-25 yaş aralığındaki bireylerde kalp hastalığı varlığından bağımsız olarak depresyon ve anksiyete düzeyi puanları kontrol grubundan anlamlı olarak yüksek bulunmuştur. 

Relationship between palpitation and chest pain and anxiety and depression symptom levels in individuals aged 18-25 years

Purpose: The aim of this study is to compare the levels of anxiety and depression according to the presence and absence of heart disease in individuals aged 18-25 years who apply to the Cardiology Outpatient Clinic for palpitations or chest pain.Materials and Methods: Persons who 18-25 years old applied to Başkent University Adana Dr. Turgut Noyan Research and Application Center Cardiology Department for palpitaion or chest pain were taken into the study. A total of 114 people, including 55 males and 60 females, were included in the study. Fourty-four people those in the same ages who came as a companion were taken to the control group. Participants were asked to fill in the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) by themselves. Results: In the case group, 77 patients did not have any heart disease. Thirty-seven people were diagnosed with a heart disease. The BAI and BDI scores of the groups were compared. The BDI and BAI scores of the groups who presented with chest pain and palpitation were significantly higher than the control group. Conclusion: The anxiety and depression symptom levels of the patients who were diagnosed and not diagnosed with cardiac disease in 18-25 year olds who applied to the cardiology policlinic were more than the control group.

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  • 1. Arnett JJ. Emerging adulthood: A theory of development from the late teens throughthe twenties. Am Psychol. 2000;55:469-80.
  • 2. Cano MA, Castro Y, de Dios MA, Schwartz SJ, Lorenzo-Blanco EI, Roncancio AM et al. Associations of ethnic discrimination with symptoms of anxiety and depression among Hispanic emerging adults: a moderated mediation model. Anxiety Stress Coping. 2016;29:699-707.
  • 3. Costello EJ, Copeland W, Angold A. Trends in psychopathology across the adolescent years: What changes when children become adolescents, and when adolescents become adults? J Child Psychol Psychiatry. 2011;52:1015-25.
  • 4. Kim-Cohen J, Caspi A, Moffitt TE, Harrington H, Milne BJ, Poulton R. Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry. 2003:60:709-17.
  • 5. Greenberg PE, Sisitsky T, Kessler RC. The economic burden of anxiety disorders in the 1990s. J Clin Psychiatry. 1999;60:427-35.
  • 6. Andlin-Sobocki P, Jonsson B, Wittchen HU. Cost of disorders of the brain in Europe. Eur J Neurol. 2005;12:1-27.
  • 7. Cohen P, Pine DS, Must A, Kasen S, Brook J. Prospective associations between somatic illness and mental illness from childhood to adulthood. Am J Epidemiol. 1998;147:323-9.
  • 8. Bass C, Wade C, Hand D, Jackson G. Patients with angina with normal and near normal coronary arteries: clinical and psychosocial state 12 months after angiography. Br Med J. 1983;287:1505-8.
  • 9. Mayou RA. Chest pain, palpitations and panic. J Psychosomatic Res. 1998;44:53-70.
  • 10. Barsky AJ, Delamater BA, Clancy SA, Antman EM, Ahern DK. Somatized psychiatric disorder presenting as palpitations. Arch Intern Med. 1996;156:1102.
  • 11. Ehlers A, Breuer P. Increased cardiac awareness in panic disorder. J Abnorm Psychol. 1992;101:371-82.
  • 12. Lipsitz JD, Masia-Warner C, Apfel H, Marans Z, Hellstern B, Forand N et al. Anxiety and depressive symptoms and anxiety sensitivity in youngsters with noncardiac chest pain and benign heart murmurs. J Pediatr Psychol. 2004;29:607-12.
  • 13. Katon WJ, Walker EA. Medically unexplained symptoms in primary care. J Clin Psychiatry. 1998;50:15-21.
  • 14. Hofstra MB, Van Der Ende J, Verhulst FC. Continuity and change of psychopathology from childhood into adulthood: a 14-year follow-up study. J Am Acad Child Adolesc Psychiatry. 2000;39:850-8.
  • 15. Waszczuk MA, Zavos HMS, Gregory AM, Eley TC. The stability and change of etiological influences on depression, anxiety symptoms and their cooccurrence across adolescence and young adulthood. Psychol Med. 2016;46:161-75.
  • 16. Eslick GD, Jones MP, Talley NJ. Non-cardiac chest pain: prevalence, risk factors, impact and consulting - a population-based study. Aliment Pharmacol. 2003;17:1115-24.
  • 17. Buntinx F, Knockaert D, Bruyninckx R. Chest pain in general practice or in the hospital emergency department: is it the same? Fam Pract. 2001;18:586.
  • 18. Essau CA, Lewinsohn PM, Lim JX, Ho MR, Rohde P. Incidence, recurrence and comorbidity of anxiety disorders in four major developmental stages. J Affect Disord. 2018;228:248-53.
  • 19. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71.
  • 20. Hisli N. Beck Depresyon Envanterinin geçerliği üzerine bir çalışma. Psikolojie Dergisi. 1988;6:118-22.
  • 21. Teğin B. Depresyonda bilişsel süreçler, beck modeline göre bir inceleme. Psikoloji Dergisi. 1987;6:116-21.
  • 22. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56:893-7.
  • 23. Ulusoy M, Şahin N, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother. 1998;12:28-35.
  • 24. Jonsbu E, Dammen T, Morken G, Lied A, Vik-Mo H, Martinsen EW. Cardiac and psychiatric diagnoses among patients referred for chest pain and palpitations. Scand Cardiovasc J. 2009;43:256-9.
  • 25. Barsky AJ, Cleary PD, Coeytaux RR, Ruskin JN. Psychiatric disorders in medical outpatients complaining of palpitations. J Gen Intern Med. 1994;9:306-13.
  • 26. Weber BE, Kapoor WN. Evaluation and outcomes of patients with palpitations. Am J Med. 1996;100:138- 48.
  • 27. Rohani A, Akbari V, Zarei F. Anxiety and depression symptoms in chest pain patients referred for the exercise stress test. Heart Views. 2011;12:161-4.
  • 28. Mayou RA, Bryant B, Forfar C, Clark D. Non-cardiac chest pain and palpitations in the cardiac clinic. Br Heart J. 1994;72:548-53.
  • 29. Channer KS, Papouchado M, James MA, Rees JR. Anxiety and depression in patients with chest pain referred for exercise testing. Lancet. 1985;2:820-3.
  • 30. Husser D, Bollmann A, Kühne C, Molling J, Klein HU. Evaluation of noncardiac chest pain: diagnostic approach, coping strategies and quality of life. Eur J Pain. 2006;10:51-5.
Cukurova Medical Journal-Cover
  • ISSN: 2602-3032
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1976
  • Yayıncı: Çukurova Üniversitesi Tıp Fakültesi