Psychological Disturbances in Preadolescents and Adolescents with mitral Valve Prolapse
|Full paper||Not Available|
This study was carried out on 100 patients from preadolescents and adolescents diagnosed as idiopathic MVP. All patients and control group were studied by history, clinical examination, plain X-ray chest echocardiography examination and psychological assessment. MVP was found to be more common in females than in males and the prevalence of both anxiety and depression was higher in females than in males. Palpitation and dyspnea were the most significant presenting symptoms of anxiety in patients group as compared to control group. Palpitation, fear, numbness and dizziness were significantly prevalent in older age group while nightmare and urinary symptoms were more prevalent in younger age group. As regard depression symptoms, agitation, sleep disturbance and decline of school performance were significantly prevalent in patients group as compared to control group. Suicidal ideation was prevalent in older age group. Anxiety was the most prevalent psychological disturbance in patients with MVP and combined anxiety and depression was significantly higher in older age group. A highly significant correlation was found between the presence of anxiety and the presence of depression. Presence of cardiac symptoms in the form of palpitation, dyspnea and dizziness were significantly related to the presence of anxiety, while palpitation and dizziness were significantly related to the presence of depression in the patients with MVP.