title: Factors associated with healthcare utilization among children with noncardiac chest pain and innocent heart murmurs.
abstract: OBJECTIVE
  To examine differences in factors related to health care utilization (HCU) among children eventually diagnosed with noncardiac chest pain (NCCP) or an innocent heart murmur (IHM).
  
  
  METHODS
  67 pediatric patients with NCCP and 62 with IHM and their parent/guardian completed paper-and-pencil measures of psychological functioning and past HCU during an initial visit to the cardiologist's office.
  
  
  RESULTS
  Children with NCCP utilized significantly more health care services compared to their IHM counterparts in the year prior to their cardiology visit. Children in the NCCP group had higher internalizing and somatic symptoms, and their parents experienced more anxious symptoms, than those in the IHM group. For the NCCP group only, child and parent psychological symptoms and parent HCU were positively related to child HCU.
  
  
  CONCLUSIONS
  Results identify possible child and parent psychological factors that may be the focus of interventions to reduce high rates of HCU among children with NCCP.
authors.affiliation: Department of Psychology, University of Georgia, Athens, GA 30602, USA. loiselle@uga.edu
authors.forename: Kristin A
authors.initials: KA
authors.lastname: Loiselle
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Lee
authors.forename: Jordan
authors.initials: J
authors.lastname: Gilleland
authors.forename: Robert
authors.initials: R
authors.lastname: Campbell
authors.forename: Patti
authors.initials: P
authors.lastname: Simpson
authors.forename: Gregory
authors.initials: G
authors.lastname: Johnson
authors.forename: Kenneth
authors.initials: K
authors.lastname: Dooley
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Blount
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D016507:Cardiology Service, Hospital / Q000706:statistics & numerical data*; D002637:Chest Pain / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D003863:Depression / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006337:Heart Murmurs / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*; D011795:Surveys and Questionnaires