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J R Soc Med. 1993 September; 86(9): 516–518.
PMCID: PMC1294097

Psychological aspects of recurrent chest pain.


Of 113 consecutive patients admitted recurrently with chest pain 28% exhibited psychiatric morbidity using the GHQ-28 (General Health Questionnaire). Eighty patients had ischaemic heart disease, 17 had non-specific pain and 13 were excluded because of other organic causes for their pain. Of the non-specific group, seven had been admitted previously with chest pain. In common with previous studies of first admissions with non-specific chest pain, recurrent admissions were younger and predominantly male. They also had a history of greater alcohol and cigarette use than patients with ischaemic heart disease. Greater psychiatric morbidity was not demonstrated in this small group of patients. In spite of the absence of an organic aetiology, patients with non-specific pain showed similar rates of re-admission to those with ischaemic heart disease before and after the study. Further research is indicated to identify aetiological and maintaining factors for continued non-specific pain.

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Selected References

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  • Philip AE, Cay EL. Psychiatric symptoms and personality traits in patients suffering from gastro-intestinal illness. J Psychosom Res. 1972 Feb;16(1):47–51. [PubMed]
  • Stern MJ, Pascale L, McLoone JB. Psychosocial adaptation following an acute myocardial infarction. J Chronic Dis. 1976 Aug;29(8):513–526. [PubMed]
  • Lloyd GG, Cawley RH. Psychiatric morbidity in men one week after first acute myocardial infarction. Br Med J. 1978 Nov 25;2(6150):1453–1454. [PMC free article] [PubMed]
  • Lloyd GG, Cawley RH. Distress or illness? A study of psychological symptoms after myocardial infarction. Br J Psychiatry. 1983 Feb;142:120–125. [PubMed]
  • Lloyd GG, Cawley RH. Psychiatric morbidity after myocardial infarction. Q J Med. 1982;51(201):33–42. [PubMed]
  • Kisely SR, Creed FH, Cotter L. The course of psychiatric disorder associated with non-specific chest pain. J Psychosom Res. 1992 May;36(4):329–335. [PubMed]
  • Wilcox RG, Roland JM, Hampton JR. Prognosis of patients with "chest pain ?cause". Br Med J (Clin Res Ed) 1981 Feb 7;282(6262):431–433. [PMC free article] [PubMed]
  • Vázquez-Barquero JL, Padierna Acero JA, Peña Martín C, Ochoteco A. The psychiatric correlates of coronary pathology: validity of the GHQ-60 as a screening instrument. Psychol Med. 1985 Aug;15(3):589–596. [PubMed]
  • Bridges KW, Goldberg DP. Psychiatric illness in inpatients with neurological disorders: patients' views on discussion of emotional problems with neurologists. Br Med J (Clin Res Ed) 1984 Sep 15;289(6446):656–658. [PMC free article] [PubMed]
  • Mayou R. Invited review: atypical chest pain. J Psychosom Res. 1989;33(4):393–406. [PubMed]
  • Matsuguchi T, Araki H, Anan T, Hayata N, Nakagaki O, Takeshita A, Nakamura M. Provocation of variant angina by alcohol ingestion. Eur Heart J. 1984 Nov;5(11):906–912. [PubMed]
  • Kahrilas PJ, Gupta RR. Mechanisms of acid reflux associated with cigarette smoking. Gut. 1990 Jan;31(1):4–10. [PMC free article] [PubMed]

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