Change over time in posttraumatic stress caused by myocardial infarction and predicting variables

Journal of Psychosomatic Research
Roman HariRoland von Känel

Abstract

The traumatic experience of a heart attack may evolve into symptoms of posttraumatic stress disorder, which can be diagnosed at the earliest 1 month after myocardial infarction (MI). While several predictors of posttraumatic stress in the first year after MI have been described, we particularly sought to identify longer-term predictors and predictors of change in posttraumatic stress over time. We studied 274 post-MI patients with complete data (mean 61+/-10 years, 84% men). After a median of 60 days (range 30-365) following the index MI (study entry), they were asked to rate MI-related posttraumatic stress as well as psychological distress perceived during MI. After a median of 32 months (range 19-45) later, all patients were asked to rate posttraumatic stress again (follow-up). Female gender (P=.038) as well as greater helplessness (P<.001) and pain (P=.049) during MI predicted greater posttraumatic stress at study entry. Greater posttraumatic stress at follow-up was predicted by greater posttraumatic stress at study entry (P<.001), shorter duration of follow-up (P=.046), and greater pain during MI (P=.030). The decrease in posttraumatic stress over time (P<.001) was greater in patients with greater posttraumatic stress at st...Continue Reading

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Citations

Jan 1, 2011·European Journal of Psychotraumatology·Cristina Castilla, Carmelo Vázquez
Jun 5, 2012·Journal of Psychosomatic Research·Franziska EinsleVolker Köllner
Feb 13, 2013·The British Journal of Clinical Psychology·Victoria Marke, Paul Bennett
Jan 5, 2011·Journal of Affective Disorders·Roland von KänelKarl-Heinz Ladwig
Jan 1, 2011·International Journal of Psychiatry in Medicine·Man Cheung ChungHannah Rudd
Apr 29, 2020·Journal of the American Heart Association·Selena R PasadynEugene H Blackstone
Oct 3, 2020·Journal of Traumatic Stress·Murielle Jacquet-SmailovicMarie-Jo Brennstuhl
Feb 14, 2021·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Roland von KänelMary Princip
Feb 15, 2021·General Hospital Psychiatry·Samuel CyrJudith Brouillette

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