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Journal of Pediatric Psychology Advance Access published online on March 25, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp020
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© The Author 2009 Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: Psychosocial Factors and Pediatric Noncardiac Chest Pain

Jordan Gilleland, MS1, Ronald L. Blount, PhD1, Robert M. Campbell, MD2,3, Gregory L. Johnson, MD2,3, Kenneth J. Dooley, MD2,3 and Patti Simpson, MSN2

1University of Georgia, 2Children's Healthcare of Atlanta Sibley Heart Center and 3Emory University School of Medicine

All correspondence concerning this article should be addressed to Jordan Gilleland, MS, Department of Psychology, Psychology Building, University of Georgia, Athens, GA 30602-3012, USA. E-mail: jordang{at}uga.edu


  Abstract

Objective To investigate the associations between children's perceived chest pain severity, somatization symptoms, depressive symptoms, anxiety sensitivity, and maternal somatization symptoms in children and adolescents with noncardiac chest pain (NCCP). Methods Measures of chest pain and psychosocial functioning were collected from 35 participants (M age = 12.5 years, 54% female) with NCCP and their parents during evaluation at cardiology clinics. Results Among children presenting for cardiac evaluations, wide variation in ranges of pain severity, episode frequency, and history were observed. Children's somatic symptoms and fear of physiological arousal predicted significant variance in children's chest pain severity. Additionally, children's depressive symptoms and maternal somatization were both significant predictors of children's somatic symptoms. Conclusions These results suggest NCCP may be part of a broader pattern of somatic responding and sensitivity to physiological arousal. This pattern is associated with both child and maternal functioning. Suggestions for future research are provided.

Key words: anxiety sensitivity; chest pain; child somatization; pediatric pain..

Received July 16, 2008; revision received February 23, 2009; accepted February 26, 2009


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