Consider Anxiety in Cases of Pediatric Chest Pain. (Two Small Studies)

By Finn, Robert | Clinical Psychiatry News, June 2002 | Go to article overview

Consider Anxiety in Cases of Pediatric Chest Pain. (Two Small Studies)


Finn, Robert, Clinical Psychiatry News


AUSTIN, TEX. -- Children who present with chest pain rarely have cardiac problems and are more likely to have a diagnosable anxiety disorder, Dr. Joshua D. Lipsitz reported at the annual conference of the Anxiety Disorders Association of America.

"If you have chest pain as an adult, there is a reasonable suspicion that there might be something wrong with your heart," said Dr. Lipsitz, a clinical psychologist at Columbia-Presbyterian Medical Center, New York. But a pediatric cardiologist of his acquaintance has found only one or two children with genuine heart problems among the hundreds he has evaluated for chest pain.

Somatizing--expressing emotional distress in somatic symptoms--is the most common presentation of psychopathology in children, said Dr. Lipsitz, who described two small studies he and his colleagues recently conducted.

The first, a pilot diagnostic study, involved interviews with 22 children, aged 7-18 years (mean 12.5 years, 55% female), who were seen in a pediatric cardiology clinic for chest pain. Each child and his or her parent was interviewed using the Anxiety Disorders Interview Schedule (ADIS). Panic disorder was the most common anxiety disorder in these children, found in 8 of the 22 (36%).

"Kids would call it chest pain, but when you ask them to describe it, it was an array of four or more symptoms that come on [in waves] and recurred enough times to meet the criteria for panic disorder," said Dr. Lipsitz.

Other common DSM-IV diagnoses in this group included generalized anxiety disorder in five children, social phobia in three children, specific phobia in three children, and obsessive-compulsive disorder in two children.

Overall, 12 of the children (55%) had a diagnosable anxiety disorder, and 7 (32%) had two or more anxiety disorders. Anxiety disorders were more prevalent in girls and in older children. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Consider Anxiety in Cases of Pediatric Chest Pain. (Two Small Studies)
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.