Zincir Selma Bozkurt, Sunbul Murat, Sunbul Esra Aydin, Dalkilic Bahar, Cengiz Fatma, Kivrak Tarik, Durmus Erdal
Erenkoy Training and Research Hospital for Psychiatric and Neurological Disorders, Psychiatry Clinic, Istanbul, Turkey.
Department of Cardiology, Marmara University Faculty of Medicine, Fevzi Çakmak Mahallesi, Mimar Sinan Caddesi, No. 41, Üstkaynarca, Pendik, 34899 Istanbul, Turkey.
Biomed Res Int. 2014;2014:896183. doi: 10.1155/2014/896183. Epub 2014 May 25.
Noncardiac chest pain (NCCP) is seen more frequently in young population and in these patients loss of function is evolving in social and professional areas. The aim of the study is to evaluate the levels of anxiety and somatic perception in patients with chest pain presenting to cardiology clinic.
Fifty-one patients with noncardiac chest pain and 51 healthy controls were included in the study. All participants performed self-report based health anxiety inventory (HAI), somatosensory amplification scale (SAS), and Toronto alexithymia scale (TAS).
The patient group had significantly higher scores on the SAS, HAI-1, and HAI-T scales compared to controls (P < 0.001, P = 0.006, and P = 0.038, resp.). SAS, HAI-1, and HAI-T scores were significantly higher in female patients than male (P = 0.002, 0.036, and 0.039, resp.). There were significant differences in all TAS subscale scores between two groups. Patients, who had total TAS score more than 50, also presented higher levels of health anxiety (P = 0.045).
Anxiety, somatic symptoms, and the exaggerated sense of bodily sensations are common in patients with NCCP. These patients unnecessarily occupy the cardiology outpatient clinics. These negative results can be eliminated when consultation-liaison psychiatry evaluates these patients in collaboration with cardiology departments.
非心源性胸痛（NCCP）在年轻人群中更为常见，这些患者在社交和职业领域的功能正在逐渐丧失。本研究的目的是评估心内科门诊胸痛患者的焦虑水平和躯体感知情况。
本研究纳入了51例非心源性胸痛患者和51名健康对照者。所有参与者均进行了基于自我报告的健康焦虑量表（HAI）、体感放大量表（SAS）和多伦多述情障碍量表（TAS）测试。
与对照组相比，患者组在SAS、HAI-1和HAI-T量表上的得分显著更高（分别为P < 0.001、P = 0.006和P = 0.038）。女性患者的SAS、HAI-1和HAI-T得分显著高于男性（分别为P = 0.002、0.036和0.039）。两组之间所有TAS子量表得分均存在显著差异。TAS总分超过50分的患者，其健康焦虑水平也更高（P = 0.045）。
焦虑、躯体症状和对身体感觉的过度感知在NCCP患者中很常见。这些患者不必要地占用了心内科门诊。当会诊联络精神病学与心内科合作评估这些患者时，这些负面结果可以消除。
