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Anxiety, depressive, and somatoform disorders in children and adolescents referred to paediatric cardiology with somatic symptoms

Published online by Cambridge University Press:  20 July 2022

Yusuf Yasin Gumus Open the ORCID record for Yusuf Yasin Gumus [Opens in a new window]  and
Ekrem Senturk
Yusuf Yasin Gumus*
Affiliation:
Department of Child Psychiatry, Ondokuz Mayis University, Faculty of Medicine, Samsun, Turkey
Ekrem Senturk
Affiliation:
Department of Child Psychiatry, Health Sciences University Derince Training and Research Hospital, Kocaeli, Turkey
*
Author for correspondence: Yusuf Yasin Gumus, Department of Child Psychiatry, Ondokuz Mayis University, Faculty of Medicine, Samsun, Turkey. Tel: +90 362 312 1919 - 3128; Fax: 0 362 457 60 41. E-mail: dryusufyasin@hotmail.com
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Abstract

Introduction:

Chest pain, palpitations, and syncope are among the most common referrals to paediatric cardiology. These symptoms generally have a non-cardiac aetiology in children and adolescents. The aim of this study was to investigate the rate of common psychiatric disorders in children and adolescents referred to the paediatric cardiology clinic with chest pain, palpitations, and syncope and the relationship between cardiological symptoms and psychiatric disorders.

Methods:

Children and adolescents aged 8–16 years who presented at the paediatric cardiology clinic with primary complaints of chest pain, palpitation, or syncope were included in the study. After a detailed cardiology examination, psychiatric disorders were assessed using the DSM IV-TR diagnostic criteria and a semi-structured interview scale (KSADS-PL). The Child Depression Inventory and Spielberger’s State-Trait Anxiety Inventory for Children were also applied to assess the severity of anxiety and depression.

Results:

The study participants comprised 73 (68.90%) girls and 33 (31.10%) boys with a mean age of 12.5 ± 2.4 years. Psychiatric disorders were determined in a total of 48 (45.3%) participants; 24 (38.7%) in the chest pain group, 12 (48.0%) in the palpitation group, and 12 (63.2%) in the syncope group. Cardiological disease was detected in 17% of the cases, and the total frequencies of psychiatric disorders (p = 0.045) were higher in patients with cardiological disease.

Conclusion:

It is clinically important to know that the frequency of psychiatric disorders is high in patients presenting at paediatric cardiology with chest pain, palpitations, and syncope. Physicians should be aware of patients’ psychiatric problems and take a biopsychosocial approach in the evaluation of somatic symptoms.

Keywords

Anxietydepressionsomatoform disorderschest painpalpitationssyncope
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 6 , June 2023 , pp. 946 - 951
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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