Understanding Pediatric Chest Pain and Other Symptoms

NCT00166231 | Completed

• 1 other identifier: IRB00021881
• Study Type: observational
• Target: 156
• Locations: 1 country
• Sites: 2

Brief Summary

The causes of pediatric pain are often not the same for every child. Most children who visit a cardiology specialist with complaints of chest or other somatic pain have no known medical diagnosis to explain their symptoms. These children and their families often leave with no explanation for the child's distress. This early study will ask parents and children specific questions related to the stress in their lives, their emotional well-being and the children's physical functioning. The investigators want children who experience chest and other somatic pain, and those who do not, to be in their study so that they can look at both groups. The investigators hope to use these answers to better inform cardiologists who often work with children with non-cardiac pain and, in turn, help them to better serve their patients. Ultimately, the investigators hope that the answers they get will provide answers to these families. They also hope to use the results of this study to put together a short screener for the cardiologist to give to pediatric patients with complaints of chest or other somatic pain to help the cardiologists better understand their patients' symptoms.

Conditions

Chest Pain

Keywords

Innocent heart murmurs; Chest pain; pediatric Cardiology; Somatization; life stress

Outcome Measures

Primary Outcomes (1)

• Change in Children Depression Inventory

  Children Depression Inventory (CDI) is a 27-item self-report scale of depressive symptoms suitable for use by youth ranging from 7 to 17 years. The 27 items on the assessment are grouped into five major factor areas. The item score are rated 0-2 with a total scores summed and converted to T scores. The total T score ranges from 33 to 100 with high scores indicating higher levels of depressive symptoms.

  Baseline, 4 weeks

Study Arms (2)

Chest pain patients

Murmur group

Eligibility Criteria

• Age: 8 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

enrolling pediatric patients with either chest pain or innocent heart murmur referrals

You may qualify if:

• years of age
• Pediatric patients with referrals for innocent heart murmurs
• Pediatric patients experiencing chest pain
• English speaking

You may not qualify if:

• Non English speaking patients

Sponsors & Collaborators

• Emory University: lead
• University of Georgia: collaborator
• Children's Healthcare of Atlanta: collaborator

Study Sites (2)

Childrens Healthcare of Atlanta at Egleston

Atlanta, Georgia, 30322, United States

Location

Sibley Heart Center Cardiology

Atlanta, Georgia, 30341, United States

Location

Related Publications (5)

• Blount RL, Morris JA, Cheng PS, Campbell RM, Brown RT. Parent and child psychological factors in pediatric syncope and other somatic symptoms. J Consult Clin Psychol. 2004 Aug;72(4):597-604. doi: 10.1037/0022-006X.72.4.597.

  PMID: 15301644 BACKGROUND

• Claar RL, Walker LS, Smith CA. Functional disability in adolescents and young adults with symptoms of irritable bowel syndrome: the role of academic, social, and athletic competence. J Pediatr Psychol. 1999 Jun;24(3):271-80. doi: 10.1093/jpepsy/24.3.271.

  PMID: 10379142 BACKGROUND

• Cohen LL, Blount RL, Cohen RJ, Schaen ER, Zaff JF. Comparative study of distraction versus topical anesthesia for pediatric pain management during immunizations. Health Psychol. 1999 Nov;18(6):591-8. doi: 10.1037//0278-6133.18.6.591.

  PMID: 10619532 BACKGROUND

• Massin MM, Bourguignont A, Coremans C, Comte L, Lepage P, Gerard P. Chest pain in pediatric patients presenting to an emergency department or to a cardiac clinic. Clin Pediatr (Phila). 2004 Apr;43(3):231-8. doi: 10.1177/000992280404300304.

  PMID: 15094947 BACKGROUND

• Lam JC, Tobias JD. Follow-up survey of children and adolescents with chest pain. South Med J. 2001 Sep;94(9):921-4.

  PMID: 11592755 BACKGROUND

MeSH Terms

Conditions

Chest Pain; Stress, Psychological

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavioral Symptoms; Behavior

Study Officials

• Robert M Campbell, MD

  Emory University

  PRINCIPAL INVESTIGATOR

• Ronald L. Blount, PhD

  University of Georgia

  PRINCIPAL INVESTIGATOR

• Greg Johnson, MD

  Emory University

  PRINCIPAL INVESTIGATOR

• Rose Cummings, DO

  Emory University

  PRINCIPAL INVESTIGATOR

• Patty Simpson, MSN

  Emory University

  PRINCIPAL INVESTIGATOR

• Kenneth Dooley, MD

  Emory University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: September 13, 2005
• First Posted: September 14, 2005
• Study Start: March 1, 2004
• Primary Completion: December 1, 2009
• Study Completion: December 1, 2009
• Last Updated: February 25, 2015

Record last verified: 2015-02

Locations

US (2)