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Prevalence of Psychiatric Disorders in Patients With Chest Pain Complaints Referred to the Heart Emergency Department of Taleghani Hospital in Tehran, Iran Publisher



Amiri P1 ; Ganji S2 ; Goli F3, 4 ; Afsharzanjani H5 ; Ghaffarijolfayi A2 ; Sayarifard A6 ; Khalifehsoltani FA7 ; Vejdani M8 ; Mohseny M9, 10
Authors
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Authors Affiliations
  1. 1. Community Medicine Specialist, Shahid Beheshti University of Medical Sciences, Tehran Iran AND Psychosomatic Researcher of Psychosomatic Research Center of Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Student of Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Faculty Instructor, Energy Medicine University, CA, United States
  4. 4. Denesh-e Tandorosti Institute, Isfahan, Iran
  5. 5. Department of Psychiatry, School of Medicine AND Psychosomatic Research Center, Khorshid Hospital Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Student of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  7. 7. Community Medicine Specialist, Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Student of Health Psychology, Behavioral Sciences Research Center AND Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  9. 9. Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
  10. 10. Community Medicine Specialist, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: International Journal of Body, Mind and Culture Published:2020


Abstract

Background: Chest pain is one of the most common reasons for people to go to cardiac emergency clinics. This study was conducted with the aim to evaluate the prevalence of psychiatric disorders in patients with chest pain referred to the heart emergency clinic of Taleghani Hospital, Tehran, Iran. Methods: This descriptive-analytic study was performed on 103 patients with chest pain who were referred to the emergency department. Furthermore, a follow-up was carried out. Data were collected using a demographic information form and mental health survey (28-item General Health Questionnaire; Goldberg & Hillier, 1979) in the two groups of cardiac and non-cardiac chest pain. Results: Among all the referred patients, 74 patients (71.8%) did not have a definitive diagnosis of cardiovascular disorders (CVDs). The results revealed that among the patients with non-cardiac chest pain, 56 (75.7%), 55 (74.3%), 54 (73%), and 22 (29.7%) individuals had phyisical disorder, anxiety, social dysfunction, and depressive disorder. Among the patients, who were definitively diagnosed with CVDs, 14 (48.3%), 10 (34.5%), 7 (24.1%), and 6 (20.7%) individuals had anxiety, physical disoreder, social dysfunction, and depressive disorder. Among all patients, physical disorder had a significant relationship with gender (P = 0.047), and physical and anxiety disorders had a significant relationship‎ with history of recurrent chest pain in the last 6 months (P < 0.05). Conclusion: Due to the high number of non-cardiac patients who refer to the emergency department with chest pain complaints, it is recommended that all patients with chest pain complaints be screened for psychiatric diseases. © 2020 saeid alami.
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