fa بررسی اختلالات اضطرابی و افسردگی و درمان آن در کودکان مبتلا به درد قفسه سینه قلب کودکان Pediatric Cardiology پژوهشي Research <p><strong><span style="font-family:b mitra;"><span style="font-size:10.0pt;">زمینه و هدف</span></span></strong><span style="font-family:b mitra;"><span style="font-size:10.0pt;">: یکی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">علل</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شایع</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مراجعه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کودکان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کلینیک‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قلب</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">عروق،</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قفسه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سینه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">است. درد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بسیاری ازکودکان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">منشأ</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">غیرقلبی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دارد.</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اختلالات</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اضطرابی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افسردگی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">جمله</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اختلالات</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شایع</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کودکان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">هستند</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">می‌توانند</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">زمینه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ساز</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بسیاری</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اختلالات</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دیگر</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">باشند. این</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">هدف</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بررسی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اختلالات</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اضطرابی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افسردگی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کودکان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مبتلا</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قفسه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سینه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">طراحی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">گردید.</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;"></span></span></span><br> <strong><span style="font-family:b mitra;"><span style="font-size:10.0pt;">روش کار</span></span></strong><span style="font-family:b mitra;"><span style="font-size:10.0pt;">: این مطالعه از نوع نیمه تجربی (</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">Puasi experimental</span></span></span><span style="font-family:b mitra;"><span style="font-size:10.0pt;">) بود. کودکانی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">طی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سال‌</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">های<span style="color:black;"> 94-1393</span></span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شکایت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قفسه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سینه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مرکز آموزشی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درمانی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">طالقانی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شهر</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">گرگان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مراجعه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کردند</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">پس</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">رد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">علل</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قلبی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">غیرقلبی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شایع</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">پزشک</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">همکار</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">فوق تخصص</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">روانپزشکی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کودکان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ارجاع</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">داده</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شدند و کودکان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مبتلا</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بیماری</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افسردگی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">واضطراب</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">تحت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دارویی با</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">فلوکستین</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قرار</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">گرفتند.</span></span><br> <strong><span style="font-family:b mitra;"><span style="font-size:10.0pt;">یافته‌ها</span></span></strong><span style="font-family:b mitra;"><span style="font-size:10.0pt;">:</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">طی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بررسی‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">انجام</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شده،</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">18% از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کل</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افراد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دچار</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اختلال</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اضطرابی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">1%</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افراد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مورد مطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دچار</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افسردگی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بوده‌اند</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">نهایت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در 92% از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افراد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مورد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مطالعه،</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">علائم</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قفسه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سینه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">علایم</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بیماری روانی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">زمینه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ای</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کلی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بهبود</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">یافت.</span></span><br> <strong><span style="font-family:b mitra;"><span style="font-size:10.0pt;">نتیجه‌گیری</span></span></strong><span style="font-family:b mitra;"><span style="font-size:10.0pt;">:</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اساس</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">یافته‌های</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مطالعه،</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درصد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قابل</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">توجهی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کودکان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قفسه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سینه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">غیرسوماتیک</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مبتلا</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اقسامی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اختلالات</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اضطرابی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افسردگی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">می‌باشند. نتایج</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">حاصله</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">موید</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">تاثیر</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بسیار</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مناسب</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دارویی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مهار</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اختلالات</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اضطرابی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افسردگی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">متعاقب</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">آن</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بهبود</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ناخوشی های</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">وابسته</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">همچون</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قفسه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سینه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اطفال</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">باشد</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">.</span></span></span><br> &nbsp;</p> <strong>Background</strong>: Chest pain is one of the most common causes of children visit in the cardiology clinic. In a significant number of pediatric patients the cause is non cardiac origin. Anxiety and depressive disorders in children are common and can be the cause of many other disorders. This study was designed to evaluate anxiety and depressive disorders in children with chest pain.<br> <strong>Methods</strong>: In this study, children with complaint of chest pain during 2014-15, referring to Gorgan city Taleghani Hospital, after ruling out the cardiac and common non cardiac causes, were referred to a children psychiatric physician. Children with depression and anxiety were treated with fluoxetine.<br> <strong>Results</strong>: During the survey, 18% of all patients had anxiety disorder and 1% of study subjects had depression. In 92% of patients, the chest pain and symptoms of underlying mental illness improved.<br> <strong>Conclusion</strong>: Based on our findings, a significant percentage of children with non-somatic chest pain had different types of anxiety disorder and depression. The results of this study can be a very good fact to show the influence of treatment on the inhibition of anxiety disorders and depression-related illnesses such as chest pain and other underlying symptoms.<br> &nbsp; درد قفسه سینه , اختلال اضطرابی, افسردگی Chest pain, Anxiety disorder, Depression 32 39 http://rjms.iums.ac.ir/browse.php?a_code=A-10-3221-1&slc_lang=fa&sid=1 Mohammad Radgoudarzi محمد رادگودرزی dr.radgudarzi@yahoo.com 3900319475328460037851 3900319475328460037851 Yes Iran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی ایران، تهران، ایران Mitra Joudi میترا جودی dr.judi@goums.ac.ir 3900319475328460037852 3900319475328460037852 No Gorgan University of Medical Sciences, Gorgan, Iran دانشگاه علوم پزشکی گرگان، گرگان، ایران Shima Salehi شیما صالحی shimasalehi32@gmail.com 3900319475328460037855 3900319475328460037855 No Iran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی ایران، تهران، ایران. Hasan Esmaeili حسن اسمعیلی he_md1972@yahoo.com 3900319475328460037853 3900319475328460037853 No Gorgan University of Medical Sciences, Gorgan, Iran دانشگاه علوم پزشکی گرگان، گرگان، ایران Zahra Taghipour زهرا تقی پور dr.ztaghipour63@gmail.com 3900319475328460037854 3900319475328460037854 No University of Medical Sciences, Gorgan, Iran دانشگاه علوم پزشکی گرگان، گرگان، ایران