TY - JOUR
T1 - Panic disorder in children and adolescents with noncardiac chest pain.
AU - Achiam-Montal, Michal
AU - Tibi, Lee
AU - Lipsitz, Joshua D.
N1 - Funding Information:
Supported by National Institute of Mental Health (grants R01-MH067912 and K08-MH01575 to J.L). We would like to thank Ann Marie Albano, PhD for her assistance with training on the ADIS: C/P.
PY - 2013/1/1
Y1 - 2013/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85027932049&partnerID=8YFLogxK
U2 - 10.1007/s10578-013-0367-9
DO - 10.1007/s10578-013-0367-9
M3 - Article
C2 - 23378228
AN - SCOPUS:85027932049
SN - 0009-398X
VL - 44
SP - 742
EP - 750
JO - Child Psychiatry and Human Development
JF - Child Psychiatry and Human Development
IS - 6
ER -