Department of Psychology, University of Georgia, Athens, GA 30602-3012, USA.
J Pediatr Psychol. 2009 Nov-Dec;34(10):1170-4. doi: 10.1093/jpepsy/jsp020. Epub 2009 Mar 25.
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).
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.
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.
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.
调查儿童感知胸痛严重程度、躯体化症状、抑郁症状、焦虑敏感性以及儿童和青少年非心源性胸痛（NCCP）中母亲躯体化症状之间的关联。
在心脏病学诊所评估期间，从 35 名 NCCP 患者（M 年龄=12.5 岁，54%为女性）及其父母那里收集了胸痛和心理社会功能的测量结果。
在接受心脏评估的儿童中，疼痛严重程度、发作频率和病史的范围差异很大。儿童的躯体症状和对生理唤醒的恐惧预测了儿童胸痛严重程度的显著差异。此外，儿童的抑郁症状和母亲的躯体化都是儿童躯体症状的显著预测因素。
这些结果表明，NCCP 可能是更广泛的躯体反应和对生理唤醒敏感性模式的一部分。这种模式与儿童和母亲的功能都有关。提供了对未来研究的建议。
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