Şeyma KAYALI

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