A controlled trial of cognitive behavioural therapy for non-cardiac chest pain
Abstract
BACKGROUND: The majority of patients presenting to cardiac clinics with chest pain who are reassured they do not have heart disease or other serious physical disorder continue to experience symptoms, worry about heart disease and restrict their activities. This randomized trial investigated the effectiveness of psychological treatment within routine cardiac care. METHODS: Consecutive patients presenting with chest pain and reassured by a cardiologist they do not have heart disease were reassessed 6 weeks later. Those with persistent limiting symptoms were offered the opportunity to participate in a trial of cognitive behavioural therapy. RESULTS: Thirty-seven subjects agreed to take part. A number of subjects were unenthusiastic about psychological intervention or, following explanation of the study, regarded further treatment as not being necessary. At 3 months there were significant differences between the treatment group and the control group on key outcome measures of symptoms, mood and activity. At 6 months there were fewer differences but significant advantages of treatment in terms of limitation of activities and worry about physical symptoms. CONCLUSION: We conclude that there is a need for 'stepped' further care following reassurance in the cardiac clinic and that cognitive behavioural treatment is effective with those with persistent disabling symptoms.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Patients with excessive health anxiety attend emergency departments frequently, but very few have any significant medical pathology.
“patients with excessive health anxiety set a very low bar for such a call and also attend emergency departments frequently, but very few have any significant medical pathology.20,21”
From Why health anxiety needs to be recognised in hospital practice (2020) · cites this paper as [21]
Cites
The brief symptom inventory: an introductory report.
Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650 · see citing works
Pilowsky, I. (1967) · British Journal of Psychiatry · doi:10.1192/bjp.113.494.89 · Cited by 865 · see citing works
Chest pain with normal coronary arteries: a comparative study of psychiatric and social morbidity
Bass, C., & Wade, C. (1984) · Psychological Medicine · doi:10.1017/s003329170000307x · Cited by 206 · see citing works
Self-citationNon-cardiac chest pain and benign palpitations in the cardiac clinic.
Mayou, R., Bryant, B., Forfar, C., & Clark, D. M. (1994) · Heart · doi:10.1136/hrt.72.6.548 · Cited by 119 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2007) · Circulation · doi:10.1161/circulationaha.107.181940 · Cited by 1,962 · see citing works
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2007) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2007.02.013 · Cited by 1,498 · see citing works
Psychological factors in chronic pain: Evolution and revolution.
Turk, D. C., & Okifuji, A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.3.678 · Cited by 1,017 · see citing works
BARSKY, A. J., & Borus, J. F. (1999) · Annals of Internal Medicine · doi:10.7326/0003-4819-130-11-199906010-00016 · Cited by 964 · see citing works
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2013) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.01.014 · Cited by 960 · see citing works
Psychological factors in chronic pain: Evolution and revolution
Turk, D. C., & Okifuji, A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.3.678 · Cited by 1,017 · see citing works
Wright, R. S., Anderson, J. L., Adams, C. D., Bridges, C. R., Casey, D. E., Ettinger, S. M., Fesmire, F. M., Ganiats, T. G., Jneid, H. M., Lincoff, A. M., et al. (2011) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2011.02.011 · Cited by 513 · see citing works
Depression and Anxiety As Predictors of Outcome After Myocardial Infarction
Mayou, R., Gill, D., Thompson, D. R., Day, A., Hicks, N., Volmink, J., & Neil, A. (2000) · Psychosomatic Medicine · doi:10.1097/00006842-200003000-00011 · Cited by 485 · see citing works
Self-citationKroenke, K., & Swindle, R. (2000) · Psychotherapy and Psychosomatics · doi:10.1159/000012395 · Cited by 478 · see citing works
The Cardiac Anxiety Questionnaire: development and preliminary validity
Eifert, G. H., Thompson, R. N., Zvolensky, M. J., Edwards, K., Frazer, N. L., Haddad, J. W., & Davig, J. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00132-1 · Cited by 349 · see citing works
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2011) · Circulation · doi:10.1161/cir.0b013e318212bb8b · Cited by 346 · see citing works
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2007) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2007.02.028 · Cited by 280 · see citing works
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2013) · Circulation · doi:10.1161/cir.0b013e31828478ac · Cited by 273 · see citing works
Behavioral medicine approaches to somatoform disorders.
Looper, K. J., & Kirmayer, L. J. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.3.810 · Cited by 204 · see citing works
Kaski, J. C. (2004) · Circulation · doi:10.1161/01.cir.0000116601.58103.62 · Cited by 196 · see citing works
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2007) · Circulation · doi:10.1161/circulationaha.107.185752 · Cited by 184 · see citing works
Kisely, S. R., Campbell, L. A., Yelland, M. J., & Paydar, A. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004101.pub5 · Cited by 160 · see citing works
Hiller, W., Fichter, M. M., & Rief, W. (2003) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00397-5 · Cited by 159 · see citing works
Treatment of non-cardiac chest pain: a controlled trial of hypnotherapy
Jones, H., Cooper, P., Miller, V., Brooks, N. H., & Whorwell, P. J. (2006) · Gut · doi:10.1136/gut.2005.086694 · Cited by 150 · see citing works
Sumathipala, A. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31815b5cf6 · Cited by 151 · see citing works
Cognitive-Behavioral Approach to the Treatment of Chronic Pain Patients
Turk, D. (2003) · Regional Anesthesia & Pain Medicine · doi:10.1016/s1098-7339(03)00392-4 · Cited by 146 · see citing works
Palsson, O. S., & Whitehead, W. E. (2012) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2012.10.031 · Cited by 141 · see citing works
Microvascular Angina and the Continuing Dilemma of Chest Pain With Normal Coronary Angiograms
Cannon, R. O. (2009) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2009.03.080 · Cited by 137 · see citing works
SUMATHIPALA, A., HEWEGE, S., HANWELLA, R., & MANN, A. H. (2000) · Psychological Medicine · doi:10.1017/s0033291799002160 · Cited by 129 · see citing works
Microvascular Coronary Dysfunction in Women—Pathophysiology, Diagnosis, and Management
Kothawade, K., & Merz, C. N. B. (2011) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2011.05.002 · Cited by 125 · see citing works
Sex differences in non-obstructive coronary artery disease
Waheed, N., Elias‐Smale, S. E., Malas, W., Maas, A. H. E. M., Sedlak, T., Tremmel, J. A., & Mehta, P. K. (2020) · Cardiovascular Research · doi:10.1093/cvr/cvaa001 · Cited by 122 · see citing works
Yardley, L., & Kirby, S. E. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000232269.17906.92 · Cited by 112 · see citing works
Cognitive-behavioral therapy for noncardiac chest pain: a randomized trial
Peski-Oosterbaan, A. S. V., Spinhoven, P., van Rood, Y. R., van der Does, W. A. J., Bruschke, A. V. G., & Rooijmans, H. G. M. (1999) · The American Journal of Medicine · doi:10.1016/s0002-9343(99)00049-2 · Cited by 101 · see citing works
Kaski, J. C., Aldama‐López, G., & Cosı́n-Sales, J. (2004) · American Journal of Cardiovascular Drugs · doi:10.2165/00129784-200404030-00005 · Cited by 90 · see citing works
Keefe, F. J., Shelby, R. A., Somers, T. J., Varia, I., Blazing, M. A., Waters, S. J., McKee, D. C., Silva, S. G., She, L., Blumenthal, J. A., et al. (2011) · Pain · doi:10.1016/j.pain.2010.08.040 · Cited by 89 · see citing works
A Critical Approach To Noncardiac Chest Pain: Pathophysiology, Diagnosis, and Treatment
Fang, J. C., & Bjorkman, D. J. (2001) · The American Journal of Gastroenterology · doi:10.1016/s0002-9270(01)02241-9 · Cited by 89 · see citing works
Psychological treatments for noncardiac chest pain
Esler, J. L., & Bock, B. C. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00515-4 · Cited by 79 · see citing works
Chest pain, palpitations and panic
Mayou, R. (1998) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(97)00209-2 · Cited by 78 · see citing works
Self-citationDumville, J. C., MacPherson, H., Griffith, K., Miles, J. N. V., & Lewin, R. (2007) · Family Practice · doi:10.1093/fampra/cmm002 · Cited by 75 · see citing works
Therapeutic options for the management ofpatients with cardiac syndrome X
Kaski, J. (2001) · European Heart Journal · doi:10.1053/euhj.2000.2152 · Cited by 72 · see citing works
Management of non-cardiac chest pain: from research to clinical practice
Mayou, R., Bass, C., & Bryant, B. (1999) · Heart · doi:10.1136/hrt.81.4.387 · Cited by 71 · see citing works
Self-citationDistinct psychosocial differences between women with coronary heart disease and cardiac syndrome X
Asbury, E., Creed, F. H., & Collins, P. D. (2004) · European Heart Journal · doi:10.1016/j.ehj.2004.07.035 · Cited by 70 · see citing works
Noncardiac chest pain and psychopathology in children and adolescents
Lipsitz, J. D., Masia, C. L., Apfel, H. D., Marans, Z., Gur, M., Dent, H. C., & Fyer, A. J. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2005.05.004 · Cited by 63 · see citing works
Non-cardiac Chest Pain: A Review for the Consultation-Liaison Psychiatrist
Campbell, K. A., Madva, E. N., Villegas, A. C., Beale, E. E., Beach, S. R., Wasfy, J. H., Albanese, A. M., & Huffman, J. C. (2016) · Psychosomatics · doi:10.1016/j.psym.2016.12.003 · Cited by 61 · see citing works
Review article: the current treatment of non‐cardiac chest pain
George, N. S., Abdallah, J., Maradey–Romero, C., Gerson, L. B., & Fass, R. (2015) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.13458 · Cited by 59 · see citing works
Non-cardiac chest pain: why was a brief intervention apparently ineffective?
SANDERS, D., Bass, C., Mayou, R., GOODWIN, S., Bryant, B., & Tyndel, S. (1997) · Psychological Medicine · doi:10.1017/s0033291797005266 · Cited by 58 · see citing works
Self-citationDifferential Fear of Cardiopulmonary Sensations in Emergency Room Noncardiac Chest Pain Patients
Aikens, J., Zvolensky, M. J., & Eifert, G. (2001) · Journal of behavioral medicine · doi:10.1023/a:1010710614626 · Cited by 57 · see citing works
Cardiac anxiety in people with and without coronary atherosclerosis
Marker, C. D., Carmin, C. N., & Ownby, R. L. (2007) · Depression and Anxiety · doi:10.1002/da.20348 · Cited by 53 · see citing works
Cardiac syndrome X: Current concepts
Singh, M., Singh, S., Arora, R. R., & Khosla, S. (2010) · International Journal of Cardiology · doi:10.1016/j.ijcard.2009.11.021 · Cited by 52 · see citing works
Illness perceptions predict reassurance following a negative exercise stress testing result
Donkin, L., Ellis, C. J., Powell, R., Broadbent, E., Gamble, G. D., & Petrie, K. J. (2006) · Psychology and Health · doi:10.1080/14768320500329292 · Cited by 50 · see citing works
Musey, P. I., Bellolio, F., Upadhye, S., Chang, A. M., Diercks, D. B., Gottlieb, M. A., Hess, E. P., Kontos, M. C., Mumma, B. E., Probst, M. A., et al. (2021) · Academic Emergency Medicine · doi:10.1111/acem.14296 · Cited by 49 · see citing works
Trafton, J. A., Sorrell, J. T., Holodniy, M., Pierson, H., Link, P., Combs, A., & Israelski, D. (2012) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-011-9254-y · Cited by 49 · see citing works
Hypnosis and Cognitive Behavioral Therapies for the Management of Gastrointestinal Disorders
Palsson, O. S., & Ballou, S. (2020) · Current Gastroenterology Reports · doi:10.1007/s11894-020-00769-z · Cited by 49 · see citing works
Cognitive Change following Cognitive Behavioural Therapy for Non-Cardiac Chest Pain
Peski-Oosterbaan, A. S. V., Spinhoven, P., van der Does, W. A. J., Bruschke, A. V. G., & Rooijmans, H. G. M. (1999) · Psychotherapy and Psychosomatics · doi:10.1159/000012335 · Cited by 49 · see citing works
Guideline-based early rehabilitation after myocardial infarction
Mayou, R., Thompson, D. R., Clements, A., Davies, C. H., Goodwin, S. J., Normington, K., Hicks, N., & Price, J. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00300-2 · Cited by 49 · see citing works
Self-citationPositionspapier zur Bedeutung von psychosozialen Faktoren in der Kardiologie
Ladwig, K., Lederbogen, F., Völler, H., Albus, C., Herrmann‐Lingen, C., Jordan, J., Köllner, V., Jünger, J., Lange, H., & Fritzsche, K. (2008) · Der Kardiologe · doi:10.1007/s12181-008-0102-0 · Cited by 47 · see citing works
Lahmann, C., Loew, T. H., Tritt, K., & Nickel, M. (2008) · Psychosomatics · doi:10.1176/appi.psy.49.5.378 · Cited by 47 · see citing works
Mourad, G., Strömberg, A., Jonsbu, E., Gustafsson, M., Johansson, P., & Jaarsma, T. (2016) · Trials · doi:10.1186/s13063-016-1491-1 · Cited by 45 · see citing works
A multidisciplinary, biopsychosocial treatment for non-cardiac chest pain
Chambers, J. B., Marks, E. M., Russell, V., & Hunter, M. S. (2014) · International Journal of Clinical Practice · doi:10.1111/ijcp.12533 · Cited by 44 · see citing works
Extraesophageal and atypical manifestations of GERD
WONG, W., & Fass, R. (2004) · Journal of Gastroenterology and Hepatology · doi:10.1111/j.1440-1746.2004.03589.x · Cited by 44 · see citing works
A brief cognitive-behavioral intervention for patients with noncardiac chest pain
Esler, J. L., Barlow, D. H., Woolard, R. H., Nicholson, R. A., Nash, J. M., & Erogul, M. (2003) · Behavior Therapy · doi:10.1016/s0005-7894(03)80009-6 · Cited by 43 · see citing works
Clinical trial: the effect of Johrei on symptoms of patients with functional chest pain
Gąsiorowska, A., Navarro-Rodríguez, T., Dickman, R. M., Wendel, C. S., Moty, B., Powers, J., Willis, M. R., Koenig, K., Ibuki, Y., THAI, H., et al. (2008) · Alimentary Pharmacology & Therapeutics · doi:10.1111/j.1365-2036.2008.03859.x · Cited by 43 · see citing works
Current concepts on the functional somatic syndromes and temporomandibular disorders.
Fantoni, F., Salvetti, G., Manfredini, D., & Bosco, M. (2007) · PubMed · Cited by 41 · see citing works
Beek, M. H. C. T. V., Voshaar, R. C. O., Beek, A. M., van Zijderveld, G. A., Visser, S., Speckens, A. E. M., Batelaan, N. M., & van Balkom, A. J. L. M. (2013) · Depression and Anxiety · doi:10.1002/da.22106 · Cited by 41 · see citing works
The Pathophysiology and Clinical Course of the Normal Coronary Angina Syndrome (Cardiac Syndrome X)
Melikian, N., Bruyne, B. D., Fearon, W. F., & MacCarthy, P. A. (2007) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2007.01.003 · Cited by 41 · see citing works
Payne, H., & Stott, D. (2010) · Counselling and Psychotherapy Research · doi:10.1080/14733140903551645 · Cited by 40 · see citing works
Panic Disorder in Children and Adolescents with Noncardiac Chest Pain
Achiam–Montal, M., Tibi, L., & Lipsitz, J. D. (2013) · Child Psychiatry & Human Development · doi:10.1007/s10578-013-0367-9 · Cited by 37 · see citing works
Consultation-Liaison Psychiatrists’ Management of Somatoform Disorders
Smith, G. C., Clarke, D. M., Handrinos, D., Dunsis, A., & McKenzie, D. P. (2000) · Psychosomatics · doi:10.1176/appi.psy.41.6.481 · Cited by 37 · see citing works
Treatment Efficacy for Non-Cardiovascular Chest Pain: A Systematic Review and Meta-Analysis
Burgstaller, J. M., Jenni, B. F., Steurer, J., Held, U., & Wertli, M. M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0104722 · Cited by 36 · see citing works
The head says yes but the heart says no: what is non-cardiac chest pain and how is it managed
Chambers, J. B., Marks, E. M., & Hunter, M. S. (2015) · Heart · doi:10.1136/heartjnl-2014-306277 · Cited by 35 · see citing works
Payne, H. (2009) · Body, Movement and Dance in Psychotherapy · doi:10.1080/17432970902918008 · Cited by 35 · see citing works
Asbury, E., & Collins, P. D. (2005) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2005.00593.x · Cited by 35 · see citing works
Botoman, V. A. (2002) · Journal of Clinical Gastroenterology · doi:10.1097/00004836-200201000-00004 · Cited by 35 · see citing works
Kisely, S. R., Campbell, L. A., & Skerritt, P. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004101.pub2 · Cited by 35 · see citing works
Shelby, R. A., Somers, T. J., Keefe, F. J., Silva, S. G., McKee, D. C., She, L., Waters, S. J., Varia, I., Riordan, Y. B., Knowles, V., et al. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181b49584 · Cited by 34 · see citing works
Mental symptoms in patients with cardiac symptoms and normal coronary arteries
Christoph, M., Christoph, A., Dannemann, S., Poitz, D. M., Pfluecke, C., Strasser, R. H., Wunderlich, C., Köllner, V., & Ibrahim, K. S. (2014) · Open Heart · doi:10.1136/openhrt-2014-000093 · Cited by 34 · see citing works
Recent developments in chest pain of undetermined origin
Achem, S. R., & de Vault, K. (2000) · Current Gastroenterology Reports · doi:10.1007/s11894-000-0062-4 · Cited by 34 · see citing works
Treatment of Esophageal (Noncardiac) Chest Pain: An Expert Review
Coss‐Adame, E., Erdoğan, A., & Rao, S. S. C. (2013) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2013.08.036 · Cited by 32 · see citing works
Positionspapier zur Bedeutung psychosozialer Faktoren in der Kardiologie
Ladwig, K., Lederbogen, F., Albus, C., Angermann, C., Borggrefe, M., Fischer, D., Fritzsche, K., Haass, M., Jordan, J., Jünger, J., et al. (2013) · Der Kardiologe · doi:10.1007/s12181-012-0478-8 · Cited by 31 · see citing works
Lessard, M.-J., Marchand, A., Pelland, M., Belleville, G., Vadeboncoeur, A., Chauny, J., Poitras, J., Dupuis, G., Fleet, R., Foldes-Busque, G., et al. (2011) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465811000506 · Cited by 32 · see citing works
Kisely, S. R., Campbell, L. A., Skerritt, P., & Yelland, M. J. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004101.pub3 · Cited by 31 · see citing works
Non-cardiac chest pain: assessment and management
Chambers, J. B., Bass, C., & Mayou, R. (1999) · Heart · doi:10.1136/hrt.82.6.656 · Cited by 29 · see citing works
Self-citationTreatment of Functional Chest Pain with Antidepressants: A Meta-Analysis
Wu, P. S.-X. (2012) · Pain Physician · doi:10.36076/ppj.2012/15/e131 · Cited by 28 · see citing works
Functional chest pain responds to biofeedback treatment but functional heartburn does not
Shapiro, M. J., Shanani, R., Taback, H., Abramowich, D., Scapa, E., & Broide, E. (2012) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0b013e3283525a0c · Cited by 25 · see citing works
Noncardiac Chest Pain–Treatment Approaches
Achem, S. R. (2008) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2008.09.013 · Cited by 25 · see citing works
Protocollaire behandeling van patiënten met onverklaarde lichamelijke klachten:
Speckens, A. E. M., Spinhoven, P., & van Rood, Y. R. (2004) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-313-7117-4_7 · Cited by 25 · see citing works
Cardiac Syndrome X: An Overview
Kaski, J. C., & Russo, G. (2000) · Hospital Practice · doi:10.3810/hp.2000.02.183 · Cited by 24 · see citing works
Kisely, S. R., Campbell, L. A., Yelland, M. J., & Paydar, A. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004101.pub4 · Cited by 24 · see citing works
Psychosocial Factors Associated with Noncardiac Chest Pain and Cardiac Syndrome X
Asbury, E., & Collins, P. D. (2005) · Herz · doi:10.1007/s00059-005-2649-x · Cited by 23 · see citing works
Non-cardiac chest pain: a 2018 update
Durazzo, M., Gargiulo, G., & Pellicano, R. (2018) · Minerva Cardioangiologica · doi:10.23736/s0026-4725.18.04681-9 · Cited by 22 · see citing works
Consultation–liaison service in the general hospital
Ehlert, U., Wagner, D., & Lupke, U. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00038-0 · Cited by 21 · see citing works
Assessment and Treatment of Psychological Causes of Chest Pain
White, K. S. (2010) · Medical Clinics of North America · doi:10.1016/j.mcna.2010.01.005 · Cited by 20 · see citing works
How, J., Volz, G., Doe, S. J., Heycock, C., Hamilton, J. D., & Kelly, C. A. (2005) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2005.07.002 · Cited by 20 · see citing works
The Pain System in Oesophageal Disorders: Mechanisms, Clinical Characteristics, and Treatment
Lottrup, C., Olesen, S. S., & Drewes, A. M. (2011) · Gastroenterology Research and Practice · doi:10.1155/2011/910420 · Cited by 19 · see citing works
Marchand, A., Belleville, G., Fleet, R., Dupuis, G., Bacon, S., Poitras, J., Chauny, J., Vadeboncoeur, A., & Lavoie, K. (2012) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2012.06.011 · Cited by 21 · see citing works
Non-cardiac chest pain: time to extend the rapid access chest pain clinic?
Chambers, J. B., Marks, E. M., Knisley, L., & Hunter, M. S. (2012) · International Journal of Clinical Practice · doi:10.1111/ijcp.12030 · Cited by 19 · see citing works
Behavioral Strategies for Irritable Bowel Syndrome
Jagielski, C. H., & Riehl, M. E. (2021) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2021.03.006 · Cited by 18 · see citing works
Self-Management Interventions for Women With Cardiac Pain: A Systematic Review and Meta-analysis
Parry, M. J. E., Bjørnnes, A. K., Victor, J. C., Ayala, A. P., Lenton, E., Clarke, H. A., Harvey, P., Lalloo, C., McFetridge-Durdle, J., McGillion, M. H., et al. (2017) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2017.12.011 · Cited by 18 · see citing works
Rabey, M. I. (2007) · Manual Therapy · doi:10.1016/j.math.2006.12.007 · Cited by 18 · see citing works
Peski-Oosterbaan, A. S. V., Spinhoven, P., van der Does, W. A. J., & Bruschke, A. V. G. (1998) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(97)00306-1 · Cited by 17 · see citing works
Chest pain in the absence of coronary artery disease: a biopsychosocial perspective
Thurston, R. C., Keefe, F. J., Bradley, L. A., Krishnan, R. K. R., & Caldwell, D. S. (2001) · Pain · doi:10.1016/s0304-3959(01)00327-x · Cited by 17 · see citing works
The illness attitude scales in chest pain patients
Dammen, T., Friis, S., & Ekeberg, Ø. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(98)00127-5 · Cited by 17 · see citing works
Dickman, R. M., & Fass, R. (2006) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2005.12.026 · Cited by 16 · see citing works
Psychological approaches in pain management: what works?
Turk, D. C., & Okifuji, A. (1998) · Current Opinion in Anaesthesiology · doi:10.1097/00001503-199810000-00017 · Cited by 16 · see citing works
Nonfearful Panic Disorder in Chest Pain Patients
Bringager, C. B., Dammen, T., & Friis, S. (2004) · Psychosomatics · doi:10.1176/appi.psy.45.1.69 · Cited by 16 · see citing works
- Authors
- MAYOU, R. A., BRYANT, B. M., SANDERS, D., BASS, C., KLIMES, I., & FORFAR, C.
- Affiliations
- Warneford Hospital (GB)
- John Radcliffe Hospital (GB)
- ORCID
- SANDERS, D.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 1997-09
- Volume
- 27
- Issue
- 5
- Pages
- 1021-1031
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2065507730
- Cited by
- 179
- References
- 4
- Citations by year
- 2025: 1 · 2024: 2 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 3 · 2013: 14 · 2012: 10
- FWCI
- 8.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy, non-cardiac chest pain, psychological intervention, activity limitation, mood, stepped care
- MeSH terms
- Adult, Analysis of Variance, Attitude to Health, Chest Pain, Cross-Sectional Studies, Female, Follow-Up Studies, Heart Diseases, Humans, Male, Middle Aged, Severity of Illness Index, Somatoform Disorders, Stress, Psychological, Cognitive Behavioral Therapy, Chi-Square Distribution, Treatment Outcome, Cost of Illness
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
