Adölesanlarda Kronik Göğüs Ağrısı: Yalnızca Medikal Değil Sosyal Bir Problem

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

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,

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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.

ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez