ArticleThe patient2016
Depressive Symptoms, Cardiac Anxiety, and Fear of Body Sensations in Patients with Non-Cardiac Chest Pain, and Their Relation to Healthcare-Seeking Behavior: A Cross-Sectional Study.
Article in The patient, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 40 citations in OpenAlex.
- Therapeutic alliance in guided internet-delivered cognitive behavioural therapy: a thematic analysis of patients with non-cardiac chest pain.BMC psychology · 2026Trial
- Long-term effects and predictors of change of internet-delivered cognitive behavioural therapy on cardiac anxiety in patients with non-cardiac chest pain: a randomized controlled trial.BMC psychiatry · 2024Trial
- The Effect of Internet-Delivered Cognitive Behavioral Therapy Versus Psychoeducation Only on Psychological Distress in Patients With Noncardiac Chest Pain: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Effectiveness of Internet-Based Cognitive Behavioral Therapy With Telephone Support for Noncardiac Chest Pain: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Trial
- Double Trouble: Clinical and Psychological Characteristics in SCAD With and Without Fibromuscular Dysplasia.JACC. Advances · 2026Article
- Before the diagnosis: quality of life in patients presenting with chest pain undergoing Bruce protocol stress testing.BMC cardiovascular disorders · 2025Article
- Sedentary Behavior and Cardiac Events and Mortality After Hospitalization for Acute Coronary Syndrome Symptoms: A Prospective Study.Circulation. Cardiovascular quality and outcomes · 2025Article
- Determinants of severity of pain in non-cardiac chest pain patients: A cross sectional study.ARYA atherosclerosis · 2025Article
- Wearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation.Journal of the American Heart Association · 2024Article
- Non-cardiac Chest Pain in Japan: Prevalence, Impact, and Consultation Behavior - A Population-based Study.Journal of neurogastroenterology and motility · 2023Article
- What Predict Self-rated Health: A Cross-sectional Study Among Men and Women with Non-cardiac Chest Pain.Journal of clinical psychology in medical settings · 2023Article
- Non-Cardiac Chest Pain as a Persistent Physical Symptom: Psychological Distress and Workability.International journal of environmental research and public health · 2023Article
- Quality of life and mental health of women who had cardiac disease in pregnancy and postpartum.BMC pregnancy and childbirth · 2022Article
- Emergency Departments as Care Providers for Patients with Cardiac Ambulatory Care Sensitive and Mental Health Conditions: Qualitative Interview and Focus Group Study with Patients and Physicians.International journal of environmental research and public health · 2022Article
- Exploring the Mediating Role of Situation Awareness and Crisis Emotions Between Social Media Use and COVID-19 Protective Behaviors: Cross-Sectional Study.Frontiers in public health · 2022Article
- Determinants of depression in non-cardiac chest pain patients: a cross sectional study.The Korean journal of pain · 2021Article
- The Relationship between Cognitive and Emotional Factors and Healthcare and Medication Use in People Experiencing Pain: A Systematic Review.Journal of clinical medicine · 2020Review
- 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
- The associations between psychological distress and healthcare use in patients with non-cardiac chest pain: does a history of cardiac disease matter?BMC psychiatry · 2018Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with non-cardiac chest pain (NCCP) suffer from recurrent chest pain and make substantial use of healthcare resources.
objectiveTo explore the prevalence of depressive symptoms, cardiac anxiety, and fear of body sensations in patients discharged with a NCCP diagnosis; and to describe how depressive symptoms, cardiac anxiety, and fear of body sensations are related to each other and to healthcare-seeking behavior.
methodsCross-sectional design. Data were collected between late October 2013 and early January 2014 in 552 patients with NCCP from four hospitals in southeast Sweden, using the Patient Health Questionnaire-9, Cardiac Anxiety Questionnaire, and Body Sensations Questionnaire.
resultsAbout 26 % (n = 141) of the study participants reported at least moderate depressive symptoms, 42 % (n = 229) reported at least moderate cardiac anxiety, and 62 % (n = 337) reported some degree of fear of body sensations. We found strong positive relationships between depressive symptoms and cardiac anxiety (r s = 0.49; P < 0.01), depressive symptoms and fear of body sensations (r s = 0.50; P < 0.01), and cardiac anxiety and fear of body sensations (r s = 0.56; P < 0.01). About 60 % of the participants sought care because of chest pain once, 26 % two or three times, and the rest more than three times. In a multivariable regression analysis, and after adjustment for multimorbidity, cardiac anxiety was the only variable independently associated with healthcare-seeking behavior.
conclusionPatients with NCCP and many healthcare consultations had high levels of depressive symptoms and cardiac anxiety, and moderate levels of fear of body sensations. Cardiac anxiety had the strongest relationship with healthcare-seeking behavior and may therefore be an important target for intervention to alleviate suffering and to reduce healthcare use and costs.
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