The Psychopathology, Depression, and Anxiety Levels of Children and Adolescents With Vasovagal Syncope

• DOI: 10.1097/nmd.0000000000001334
• Publication Date: 2021-04-12T03:00:43Z
• Authors: Aziz Kara; Melih Timuçin Doğan
• Keywords: Male; Depressive Disorder, Major; Adolescent; Comorbidity; Anxiety Disorders; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Conversion Disorder; Case-Control Studies; Syncope, Vasovagal; Humans; Female; Prospective Studies; Child

Abstract Vasovagal syncope constitutes 61% to 80% of syncope cases in the pediatric age group. Syncope is frequently associated with psychopathologies such as depressive disorders, anxiety disorders, somatization disorders, etc. Our study aims to evaluate vasovagal syncope cases in terms of additional psychopathologies, depression, and anxiety levels with a control group. A total of 97 people were included in the study (47 cases and 50 controls). After conducting a cardiological examination, the participants were evaluated for psychopathologies using Kiddie-Sads-Present and Lifetime Version, Child Depression Inventory, and Screen for Child Anxiety Related Emotional Disorders. The case group had a higher rate of psychopathology compared with the control group. Depression, social anxiety disorder, generalized anxiety disorder, separation anxiety, and conversion disorder were significantly higher in the case group than in the control group. Syncope in children can be an underlying psychopathology or the clinical manifestation of a psychosomatic condition. Psychological assessment, which could offer beneficial contributions to the diagnosis and treatment of syncope, was considered necessary for a holistic evaluation of patients.