Exploring The Intersection: Depression Social Functioning and Unexplained Chest Pain in Adolescence
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background: Adolescence represents a critical developmental stage marked by complex physical, emotional, and social changes. Among the several health concerns encountered during this period, unexplained chest pain (UCP) remains a significant issue, often leading to anxiety for both adolescents and their families. While cardiac causes dominate the differential in adults, adolescent chest pain frequently involves psychosomatic, functional, and psychological factors, including depression and social dysfunction. Aim and Objective: The present study aimed to examine the association between unexplained chest pain, depression, and social functioning in adolescents, and to identify contributing somatic and psychosocial factors that may affect their overall well-being. Materials and Methods: This cross-sectional observational study was conducted over six months in the Department of Paediatrics, VMKVMCH, Salem. A total of 200 adolescents aged 10–12 years presenting to the pediatric OPD with unexplained chest pain were enrolled after obtaining informed consent and ethical clearance. After ruling out organic causes through history, clinical examination, ECG, chest X-ray, and relevant investigations, participants underwent HEADSSS assessment followed by Paediatric Quality of Life Inventory (PedsQL) scoring. Adolescents with poor quality of life scores were further assessed by a clinical psychologist for depression and anxiety. Data were analyzed using SPSS version 29.0. Results: Among the 200 adolescents, a considerable proportion demonstrated significant depression and impaired social functioning associated with unexplained chest pain. Additional somatic complaints such as sleep disturbances, headaches, and stress factors were also commonly identified. Social domains including academic performance, peer relationships, and family functioning were notably affected. Conclusion: Unexplained chest pain in adolescents is frequently associated with depression and impaired social functioning, significantly impacting their psychological well-being. Comprehensive psychosocial assessments like HEADSSS and structured evaluations such as PedsQL are essential for early identification and holistic management. Addressing both physical and emotional dimensions is critical in improving outcomes and resilience among adolescents experiencing UCP.
DOI: 10.14419/2we1f991
Authors: Dr. Yedida Sravya, Dr. K. Dinesh, Dr. K. Rangasamy
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4415554690
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