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Gepubliceerd in: Child Psychiatry & Human Development 1/2012

01-02-2012 | Substantive/Theoretical Review

Noncardiac Chest Pain in Children and Adolescents: A Biopsychosocial Conceptualization

Auteurs: Cassandra J. McDonnell, Kamila S. White, R. Mark Grady

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2012

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Abstract

Pediatric NCCP may be characterized by recurrent pain accompanied by emotional distress and functional impairment. This paper reviews and critiques literature on pediatric noncardiac chest pain (NCCP) and introduces a theoretical conceptualization to guide future study of NCCP in children and adolescents. A developmentally informed biopsychosocial conceptualization of NCCP etiology is proposed based on a synthesis of empirical evidence and clinical observations of pediatric NCCP within the context of relevant findings from the broader pediatric pain and anxiety literature. Multiple factors from biological, psychological, social, familial, and developmental domains are potentially relevant to the etiology of this ailment. This article concludes with directions for future research and clinical implications.
Voetnoten
1
For a review of this debate, see Eslick [5].
 
2
Typical angina (e.g., cardiac-related chest pain) is characterized by chest discomfort that (1) worsens with increased myocardial oxygen consumption, (2) lasts approximately 15 min and (3) is relieved by rest or nitroglycerin [6].
 
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Metagegevens
Titel
Noncardiac Chest Pain in Children and Adolescents: A Biopsychosocial Conceptualization
Auteurs
Cassandra J. McDonnell
Kamila S. White
R. Mark Grady
Publicatiedatum
01-02-2012
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 1/2012
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-011-0240-7