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Journal of Pediatric Psychology 2004 29(8):607-612; doi:10.1093/jpepsy/jsh062
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Journal of Pediatric Psychology vol. 29 no. 8 © Society of Pediatric Psychology 2004; all rights reserved.

Anxiety and Depressive Symptoms and Anxiety Sensitivity in Youngsters With Noncardiac Chest Pain and Benign Heart Murmurs

Joshua D. Lipsitz, PhD1, Carrie Masia-Warner, PhD2, Howard Apfel, MD1, Zvi Marans, MD1, Beth Hellstern, BA1, Nicholas Forand, BA1, Yosef Levenbraun, BA1 and Abby J. Fyer, MD1

1 College of Physicians and Surgeons, Columbia University and 2 Child Study Center, New York University Medical Center

All correspondence should be sent to Joshua D. Lipsitz, Anxiety Clinic Unit #69, New York State Psychiatric Institute, 1051 Riverside Drive, New York, New York 10032. E-mail: lipsitz{at}pi.cpmc.columbia.edu.

Objective Chest pain in children and adolescents is rarely associated with cardiac disease. We sought to examine psychological symptoms in youngsters with medically unexplained chest pain. We hypothesized that children and adolescents with medically unexplained chest pain would have high rates of anxiety and depressive symptoms. Methods We assessed 65 youngsters with noncardiac chest pain (NCCP) and 45 comparison youngsters with benign heart murmurs using self-report measures of anxiety and depressive symptoms and anxiety sensitivity. Results Compared with the asymptomatic benign-murmur group, youngsters with NCCP had higher levels of some anxiety symptoms and anxiety sensitivity. Differences on depressive symptoms were not significant. Conclusions Though preliminary, results suggest that youngsters with chest pain may experience increased levels of some psychological symptoms. Future studies of noncardiac chest pain in youngsters should include larger samples and comprehensive diagnostic assessments as well as long-term follow-up evaluations.

Key words: chest pain; anxiety; depressive; murmurs; children.


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