title: Internalizing symptoms and functional disability in children with noncardiac chest pain and innocent heart murmurs.
abstract: OBJECTIVE
  To examine the occurrence of internalizing symptoms and functional disability in children with noncardiac chest pain (NCCP) compared with children with innocent heart murmurs (IHMs).
  
  
  METHODS
  67 children with NCCP (M [SD] age = 12.61 [2.63]; 68.7% Caucasian) and 62 children with IHM (M [SD] age = 12.67 [2.62]; 50% Caucasian) were recruited from pediatric cardiology offices. Children and parents completed measures of psychological functioning and functional disability during a first visit to the cardiologist before diagnosis.
  
  
  RESULTS
  Children with NCCP reported greater levels of anxiety, depression, and anxiety sensitivity than children with IHM. Children with NCCP and their parents reported greater levels of functional disability and somatization than children with IHM and their parents.
  
  
  CONCLUSIONS
  Children with NCCP experience greater levels of psychosocial distress and impairment than similarly physically healthy children with IHM. Consideration of psychosocial influences on NCCP would likely be beneficial in aiding assessment and treatment.
authors.affiliation: Department of Psychology, University of Georgia, Athens, GA 30602-3013, USA. jenlee09@gmail.com
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Lee
authors.forename: Jordan
authors.initials: J
authors.lastname: Gilleland
authors.forename: Robert M
authors.initials: RM
authors.lastname: Campbell
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Johnson
authors.forename: Patricia
authors.initials: P
authors.lastname: Simpson
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Dooley
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Blount
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D002637:Chest Pain / Q000150:complications / Q000523:psychology*; D002648:Child; D003863:Depression / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D004185:Disability Evaluation; D019988:Children with Disabilities / Q000523:psychology*; D005260:Female; D006337:Heart Murmurs / Q000150:complications / Q000523:psychology*; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology; D013315:Stress, Psychological / Q000523:psychology