D. Psychogenic Disturbances. Stress precipitates chest pain in both boys and girls at equal rates; often anxiety and stress are not easily apparent. Not all such children present with hyperventilation or an anxious appearance. However, if child has had a recent major stressful event (eg, separation from friends, divorce in family, or school failure) that correlates temporally with the onset of chest pain, it is reasonable to conclude that symptoms are related to the underlying stress.
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