Top

Gepubliceerd in:

01-12-2013 | Original Article

Panic Disorder in Children and Adolescents with Noncardiac Chest Pain

Auteurs: Michal Achiam-Montal, Lee Tibi, Joshua D. Lipsitz

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 6/2013

Abstract

Adults with panic disorder (PD) often present to medical settings with noncardiac chest pain (NCCP), but less is known about children and adolescents with this complaint. We sought to characterize PD in youth with NCCP and compare features with PD in youth in psychiatric outpatient settings. Using a semi-structured diagnostic interview we evaluated 132 youth (ages 8–17) with NCCP recruited from two medical settings. Twenty-seven (20.5 %) met full DSM-IV criteria for PD, eleven of which were children (<13 years). Most frequent panic symptoms were somatic complaints, although cognitive symptoms were also common. Only 14.8 % had clinically significant agoraphobia. Comorbid anxiety disorders and major depression were common. Overall, clinical features of PD among youth with NCCP are similar to PD in psychiatric settings. Interventions for PD may benefit youth who present initially with NCCP. Systematic psychiatric screening could increase detection of PD and improve care for this population.

vorige artikel An Investigation of Complex Attachment- and Trauma-Related Symptomatology Among Children in Foster and Kinship Care

volgende artikel Maternal Sensitivity and Internalizing Problems: Evidence from Two Longitudinal Studies in Early Childhood

Hershberg SG, Carlson GA, Cantwell DP, Strober M (1982) Anxiety and depressive disorders in psychiatrically disturbed children. J Clin Psychiatry 43:358–361PubMed

Nelles WB, Barlow DH (1988) Do children panic? Clin Psychol Rev 8:359–372CrossRef

Thyer BA, Parrish RT, Curtis GC, Nesse RM, Cameron OG (1985) Ages of onset of DSM-III anxiety disorders. Compr Psychiatry 26:113–122PubMedCrossRef

von Korff MR, Eaton WW, Keyl PM (1985) The epidemiology of panic attacks and panic disorder. Results of three community surveys. Am J Epidemiol 122:970–981

Essau CA, Conradt J, Petermann F (1999) Frequency of panic attacks and panic disorder in adolescents. Depress Anxiety 9:19–26PubMedCrossRef

Hayward C, Killen JD, Kraemer HC, Taylor C (2000) Predictors of panic attacks in adolescents. Am Acad Child Adolesc Psychiatry 39:207–214CrossRef

Hayward C, Killen JD, Kraemer HC, Blair-Greiner A, Strachowski D, Cunning D, Taylor CB (1997) Assessment and phenomenology of nonclinical panic attacks in adolescent girls. J Anxiety Disord 11:17–32PubMedCrossRef

Macaulay JL, Kleinknecht RA (1989) Panic and panic attacks in adolescents. J Anxiety Disord 3:221–241CrossRef

Merikangas KR, He JP, Burstein M, Swendsen J, Avenevoli S, Case B et al (2011) Service utilization for lifetime mental disorders in U.S. adolescents: results of the National Comorbidity Survey-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 50:32–45PubMedCrossRef

10.

Merikangas KR, He JP, Brody D, Fisher PW, Bourdon K, Koretz DS (2010) Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics 125:75–81PubMedCrossRef

11.

Alessi NE, Magen J (1988) Panic disorder in psychiatrically hospitalized children. Am J Psychiatry 145:1450–1452PubMed

12.

Ballenger JC, Carek DJ, Steele JJ, Cornish-McTighe D (1989) Three cases of panic disorder with agoraphobia in children. Am J Psychiatry 146:922–924PubMed

13.

Last CG, Strauss CC (1989) Panic disorder in children and adolescents. J Anxiety Disord 3:87–95CrossRef

14.

Kearney CA, Albano AM, Eisen AR, Allan WD, Barlow DH (1997) The phenomenology of panic disorder in youngsters: an empirical study of a clinical sample. J Anxiety Disord 11:49–62PubMedCrossRef

15.

Diler RS, Birmaher B, Brent DA, Axelson DA, Firinciogullari S, Chiapetta L et al (2004) Phenomenology of panic disorder in youth. Depress Anxiety 20:39–43PubMedCrossRef

16.

Biederman J, Faraone SV, Marrs A, Moore P, Garcia J, Ablon JS et al (1997) Panic disorder and agoraphobia in consecutively referred children and adolescents. J Am Acad Child Adolesc Psychiatry 36:214–223PubMedCrossRef

17.

Masi G, Favilla L, Mucci M, Millepiedi S (2000) Panic disorder in clinically referred children and adolescents. Child Psychiatry Hum Dev 31:139–151PubMedCrossRef

18.

Doerfler LA, Connor DF, Volungis AM, Toscano PF (2007) Panic disorder in clinically referred children and adolescents. Child Psychiatry Hum Dev 38:57–71PubMedCrossRef

19.

Fleet RP, Marchand A, Dupuis G, Kaczorowski J, Beitman BD (1998) Comparing emergency department and psychiatric setting patients with panic disorder. Psychosomatics 39:512–518PubMedCrossRef

20.

Oral E, Aydin N, Gulec M, Oral M (2012) Panic disorder and subthreshold panic in the light of comorbidity: a follow-up study. Compr Psychiatry 53:988–994

21.

Weissman MM, Klerman GL, Markowitz JS, Ouellette R (1989) Suicidal ideation and suicide attempts in panic disorder and attacks. N Engl J Med 321:1209–1214PubMedCrossRef

22.

Ramsawh HJ, Weisberg RB, Dyck I, Stout R, Keller MB (2011) Age of onset, clinical characteristics, and 15-year course of anxiety disorders in a prospective, longitudinal, observational study. J Affect Disord 132:260–264PubMedCrossRef

23.

Garland EJ, Smith DH (1990) Panic disorder on a child psychiatric consultation service. J Am Acad Child Adolesc Psychiatry 29:785–788PubMedCrossRef

24.

Moreau D, Weissman MM (1992) Panic disorder in children and adolescents: a review. Am J Psychiatry 149:1306–1314PubMed

25.

Ollendick TH (1995) Cognitive behavioral treatment of panic disorder with agoraphobia in adolescents: a multiple baseline design analysis. Behav Ther 26:517–531CrossRef

26.

Herskowitz J (1986) Neurologic presentations of panic disorder in childhood and adolescence. Dev Med Child Neurol 28:617–623PubMedCrossRef

27.

Van Winter JT, Stickler GB (1984) Panic attack syndrome. J Pediatr 105:661–665PubMedCrossRef

28.

Herman SP, Stickler GB, Lucas AR (1981) Hyperventilation syndrome in children and adolescents: long-term follow-up. Pediatrics 67:183–187PubMed

29.

Beitman BD, Mukerji V, Lamberti JW, Schmid L, DeRosear L, Kushner M et al (1989) Panic disorder in patients with chest pain and angiographically normal coronary arteries. Am J Cardiol 63:1399–1403PubMedCrossRef

30.

Katon WJ (1990) Chest pain, cardiac disease, and panic disorder. J Clin Psychiatry 51:27–30PubMed

31.

Fleet RP, Dupuis G, Marchand A, Burelle D, Arsenault A, Beitman BD (1996) Panic disorder in emergency department chest pain patients: prevalence, comorbidity, suicidal ideation, and physician recognition. Am J Med 101:371–380PubMedCrossRef

32.

Garber J, Walker LS, Zeman J (1991) Somatization symptoms in a community sample of children and adolescents: further validation of the Children’s Somatization Inventory. Psychol Assess 3:588–595CrossRef

33.

National Center for Health Statistics (1998) National Ambulatory Medical Care Survey

34.

Selbst SM, Ruddy RM, Clark BJ, Henretig FM, Santulli T Jr (1988) Pediatric chest pain: a prospective study. Pediatrics 82:319–323PubMed

35.

Brenner JI, Ringel RE, Berman MA (1984) Cardiologic perspectives of chest pain in childhood: a referral problem? To whom? Pediatr Clin North Am 31:1241–1258PubMed

36.

Drossner DM, Hirsh DA, Sturm JJ, Mahle WT, Goo DJ, Massey R et al (2011) Cardiac disease in pediatric patients presenting to a pediatric ED with chest pain. Am J Emerg Med 29:632–638PubMedCrossRef

37.

Friedman KG, Kane DA, Rathod RH, Renaud A, Farias M, Geggel R et al (2011) Management of pediatric chest pain using a standardized assessment and management plan. Pediatrics 128:239–245PubMedCrossRef

38.

Brown RT (1981) Costochondritis in adolescents. J Adolesc Health Care 1:198–201PubMedCrossRef

39.

Kocis KC (1999) Chest pain in pediatrics. Pediatr Clin North Am 46:189–203PubMedCrossRef

40.

Sharkey AM, Clark BJ (1991) Common complaints with cardiac implications in children. Pediatr Clin North Am 38:657–666PubMed

41.

Selbst SM, Ruddy R, Clark BJ (1990) Chest pain in children. Follow-up of patients previously reported. Clin Pediatr 29:374–377CrossRef

42.

Lipsitz JD, Gur M, Sonnet FM, Dayan PS, Miller SZ, Brown C et al (2010) Psychopathology and disability in children with unexplained chest pain presenting to the pediatric emergency department. Pediatr Emerg Care 26:830–836PubMedCrossRef

43.

Lipsitz JD, Masia C, Apfel H, Marans Z, Gur M, Dent H et al (2005) Noncardiac chest pain and psychopathology in children and adolescents. J Psychosom Res 59:185–188PubMedCrossRef

44.

Lipsitz JD, Hsu DT, Apfel HD, Marans ZS, Cooper RS, Albano AM et al (2012) Psychiatric disorders in youth with medically unexplained chest pain versus innocent heart murmur. J Pediatr 160:320–324PubMedCrossRef

45.

Silverman WK, Albano AM, Corporation P (1996) Anxiety disorders interview schedule for DSM-IV: child version. Oxford University Press, Oxford

46.

Silverman WK, Saavedra LM, Pina AA (2001) Test–retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. J Am Acad Child Adolesc Psychiatry 40:937–944PubMedCrossRef

47.

Wood JJ, Piacentini JC, Bergman RL, McCracken J, Barrios V (2002) Concurrent validity of the anxiety disorders section of the anxiety disorders interview schedule for DSM-IV: child and parent versions. J Clin Child Adolesc Psychol 31:335–342PubMed

48.

McDonnell CJ, White KS, Grady RM (2012) Noncardiac chest pain in children and adolescents: a biopsychosocial conceptualization. Child Psychiatry Hum Dev 43:1–26PubMedCrossRef

49.

Lipsitz JD, Gur M, Albano AM, Sherman B (2011) A psychological intervention for pediatric chest pain: development and open trial. J Dev Behav Pediatr 32:153–157PubMedCrossRef

50.

Szatmari P, Offord DR, Boyle MH (1989) Ontario Child Health Study: prevalence of attention deficit disorder with hyperactivity. J Child Psychol Psychiatry 30:219–223PubMedCrossRef

51.

McMILLER WP, Weisz JR (1996) Help-seeking preceding mental health clinic intake among African-American, Latino, and Caucasian youths. J Am Acad Child Adolesc Psychiatry 35:1086–1094PubMedCrossRef

52.

Barrera TL, Wilson KP, Norton PJ (2010) The experience of panic symptoms across racial groups in a student sample. J Anxiety Disord 24:873–878PubMedCrossRef

53.

Battaglia M, Bertella S, Politi E, Bernardeschi L (1995) Age at onset of panic disorder: influence of familial liability to the disease and of childhood separation anxiety disorder. Am J Psychiatry 152:1362–136454PubMed

54.

Masi G, Pari C, Millepiedi S (2006) Pharmacological treatment options for panic disorder in children and adolescents. Expert Opin Pharmacother 7:545–554PubMedCrossRef

55.

Berle D, Starcevic V, Milicevic D, Hannan A, Moses K (2010) Do symptom interpretations mediate the relationship between panic attack symptoms and agoraphobic avoidance? Behav Cogn Psychother 38:275–289PubMedCrossRef

56.

Pantell RH, Goodman BW Jr (1983) Adolescent chest pain: a prospective study. Pediatrics 71:881–887PubMed

57.

Reed V, Wittchen HU (1998) DSM-IV panic attacks and panic disorder in a community sample of adolescents and young adults: how specific are panic attacks? J Psychiatr Res 32:335–345PubMedCrossRef

58.

Kessler RC, Zhao S, Katz SJ, Kouzis AC, Frank RG, Edlund M et al (1999) Past-year use of outpatient services for psychiatric problems in the National Comorbidity Survey. Am J Psychiatry 156:115–123PubMed

59.

Pincus DB, May JE, Whitton SW, Mattis SG, Barlow DH (2010) Cognitive-behavioral treatment of panic disorder in adolescence. J Clin Child Adolesc Psychol 39:638–649PubMedCrossRef

60.

Lessard MJ, Marchand A, Pelland MÈ, Belleville G, Vadeboncoeur A, Chauny JM et al (2011) Comparing two brief psychological interventions to usual care in panic disorder patients presenting to the emergency department with chest pain. Behav Cogn Psychother 1:1–19

61.

Wang SJ, Juang KD, Fuh JL, Lu SR (2007) Psychiatric comorbidity and suicide risk in adolescents with chronic daily headache. Neurology 68:1468–1473PubMedCrossRef

62.

Barsky AJ, Cleary PD, Coeytaux RR, Ruskin JN (1994) Psychiatric disorders in medical outpatients complaining of palpitations. J Gen Intern Med 9:306–313PubMedCrossRef

63.

Ramsawh HJ, Chavira DA, Stein MB (2010) Burden of anxiety disorders in pediatric medical settings: prevalence, phenomenology, and a research agenda. Arch Pediatr Adolesc Med 164:965–972PubMedCrossRef

64.

Mayou RA, Bryant BM, Sanders D, Bass C, Klimes I, Forfar C (1997) A controlled trial of cognitive behavioural therapy for non-cardiac chest pain. Psychol Med 27:1021–1031PubMedCrossRef

65.

Puig-Antich J, Chambers W (1978) Schedule for affective disorders and schizophrenia for school-age children (KIDDIE-SADS). New York State Psychiatric Institute, New York

66.

Chambers WJ, Puig-Antich J, Hirsch M, Paez P, Ambrosini PJ, Tabrizi MA et al (1985) The assessment of affective disorders in children and adolescents by semistructured interview. Test–retest reliability of the schedule for affective disorders and schizophrenia for school-age children, present episode version. Arch Gen Psychiatry 42:696–702PubMedCrossRef

67.

Orvaschel H, Puig-Antich J (1987) Schedule for affective disorders and schizophrenia for school-age children: epidemiologic version: Kiddie SADSE-E (K-SADSE-E), 4th edn. Western Psychiatric Institute and Clinic, Pittsburgh, PA

68.

Reich W, Shayka JJ, Taibleson C (1991) Diagnostic interview for children and adolescents (DICA-R). Unpublished manuscript, Division of Child Psychiatry, Washington University, St. Louis

69.

Orvaschel H (1995) Schedule for affective disorders and schizophrenia for school-aged children. Epidiologic version—5. Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, FL

Titel: Panic Disorder in Children and Adolescents with Noncardiac Chest Pain
Auteurs: Michal Achiam-Montal
Lee Tibi
Joshua D. Lipsitz
Publicatiedatum: 01-12-2013
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 6/2013
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-013-0367-9

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2013

Parenting Stress and Externalizing Behavior Symptoms in Children: The Impact of Emotional Reactivity

Knowing Right from Wrong, but Just Not Always Feeling it: Relations Among Callous-Unemotional Traits, Psychopathological Symptoms, and Cognitive and Affective Morality Judgments in 8- to 12-Year-Old Boys

The Peer Aggressive and Reactive Behavior Questionnaire (Parb-Q): Measurement Invariance Across Italian and Brazilian Children, Gender and Age

Psychiatric Medication Refill Practices of Juvenile Detainees

An Investigation of Complex Attachment- and Trauma-Related Symptomatology Among Children in Foster and Kinship Care

Separation Anxiety Avoidance Inventory-Child and Parent Version: Psychometric Properties and Clinical Utility in a Clinical and School Sample