Patients with noncardiac chest pain and benign palpitations referred for cardiac outpatient investigation: a 6-month follow-up

General Hospital Psychiatry
Egil JonsbuEgil W Martinsen

Abstract

The aims were to (a) study the characteristics and outcome in patients with noncardiac chest pain or benign palpitations referred for cardiac evaluation, (b) compare psychological characteristics in the two groups, (c) identify predictors of outcome (d) and explore characteristics of patients who wanted psychological treatment. The patients (N=154) were first evaluated by a psychiatrist and than by a cardiologist at the initial attendance and by self report after 6 months. Thirty nine percent had at least one DSM-IV psychiatric disorder at attendance. At the 6-month follow-up, 43% still had clinically significant complaints and/or impaired function. Patients with palpitations were more likely to be female, younger and less likely to attribute cardiac symptoms to heart disease, but had otherwise similar psychological features to noncardiac chest pain patients. Depression score at attendance predicted significant complaints at follow-up. Interest in psychological treatment was associated with more fear of bodily sensations, more impaired function, and greater tendency to attribute symptoms to heart disease. Psychiatric disorders were common. The 6-month outcome was poor and was associated with the depression score at attendance. ...Continue Reading

Associated Clinical Trials

References

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Citations

Oct 11, 2013·BMC Health Services Research·Ghassan MouradTiny Jaarsma
Jun 2, 2016·Iranian Red Crescent Medical Journal·Fatemeh AlijanihaSima Sadrai
Oct 6, 2016·Journal of Clinical Nursing·Ingrid Ølfarnes RøyslandAlf Inge Larsen
Feb 11, 2015·Qualitative Health Research·Ingrid Ølfarnes Røysland, Febe Friberg
Jun 1, 2018·Journal of Occupational and Environmental Medicine·Alix Félin-GermainGuillaume Foldes-Busque
Jul 3, 2020·BioPsychoSocial Medicine·Joanne CastonguayGuillaume Foldes-Busque
Aug 16, 2017·Journal of Health Psychology·Guillaume Foldes-BusqueClermont E Dionne
Dec 10, 2016·British Journal of Nursing : BJN·Elizabeth Barley, Victoria Lawson

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