ArticlePsychology & health2014
Illness representations, psychological distress and non-cardiac chest pain in patients attending an emergency department.
Article in Psychology & health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04811521 (Patient-centered Treatment of Anxiety After Low-Risk Chest Pain in the Emergency Room), which is not on this map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Patient-centered Treatment of Anxiety After Low-Risk Chest Pain in the Emergency Room
Who cites it
18 citing papers in PubMed, 47 citations in OpenAlex.
- Psychological Comorbidity in Patients Presenting to the Emergency Department With Low-Risk Chest Pain and Anxiety.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Review article: Somatization Disorders in emergency department: A critical overview of current challenges and future directions.Emergency medicine Australasia : EMA · 2025Review
- Non-cardiac Chest Pain in Japan: Prevalence, Impact, and Consultation Behavior - A Population-based Study.Journal of neurogastroenterology and motility · 2023Article
- Article
- Depression and anxiety mediate the relationship between illness representations and perceived distress in patients with chronic pain.Scientific reports · 2023Article
- Non-Cardiac Chest Pain as a Persistent Physical Symptom: Psychological Distress and Workability.International journal of environmental research and public health · 2023Article
- The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling.Frontiers in psychiatry · 2023Article
- The associations between psychological distress and health-related quality of life in patients with non-cardiac chest pain.Health and quality of life outcomes · 2020Article
- Psychological and psychopathological sequelae in cardiovascular acute disease.Mental illness · 2018Article
- Anxiety about anxiety: a survey of emergency department provider beliefs and practices regarding anxiety-associated low risk chest pain.BMC emergency medicine · 2018Article
- The effectiveness of emergency nurse practitioner service in the management of patients presenting to rural hospitals with chest pain: a multisite prospective longitudinal nested cohort study.BMC health services research · 2017Article
- Emergency Department Cardiopulmonary Evaluation of Low-Risk Chest Pain Patients with Self-Reported Stress and Anxiety.The Journal of emergency medicine · 2017Article
- The acceptability and feasibility of an anxiety reduction intervention for emergency department patients with non-cardiac chest pain.Psychology, health & medicine · 2017Article
- Depression masquerading as chest pain in a patient with Wolff Parkinson White syndrome.The Korean journal of pain · 2016Article
- Article
- Chest pain syndromes are associated with high rates of recidivism and costs in young United States Veterans.BMC family practice · 2015Article
- 'Everything's fine, so why does it happen?' A qualitative investigation of patients' perceptions of noncardiac chest pain.Journal of clinical nursing · 2015Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveMany patients who attend an emergency department (ED) with chest pain receive a diagnosis of non-cardiac chest pain (NCCP), and often suffer poor psychological outcomes and continued pain. This study assessed the role of illness representations in explaining psychological distress and continued chest pain in patients attending an ED.
methodsED NCCP patients (N = 138) completed measures assessing illness representations, anxiety, depression and quality of life (QoL) at baseline, and chest pain at one month.
resultsIllness representations explained significant amounts of the variance in anxiety (Adj. R² = .38), depression (Adj. R² = .18) and mental QoL (Adj. R² = .36). A belief in psychological causes had the strongest associations with outcomes. At one month, 28.7% of participants reported experiencing frequent pain, 13.2% infrequent pain and 58.1% no pain. Anxiety, depression and poor QoL, but not illness representations, were associated with continued chest pain.
conclusionsThe findings suggest that (i) continued chest pain is related to psychological distress and poor QoL, (ii) interventions should be aimed at reducing psychological distress and improving QoL and (iii) given the associations between perceived psychological causes and psychological distress/QoL, NCCP patients in the ED might benefit from psychological therapies to manage their chest pain.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.