Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome: The MI-SPRINT Randomized Controlled Trial

Psychotherapy and Psychosomatics
Roland von KänelUlrich Schnyder

Abstract

Acute coronary syndrome (ACS)-induced posttraumatic stress disorder (PTSD) and clinically significant PTSD symptoms (PTSS) are found in 4 and 12% of patients, respectively. We hypothesized that trauma-focused counseling prevents the incidence of ACS-induced PTSS. Within 48 h of hospital admission, 190 patients with high distress during ACS were randomized to a single-session intervention of either trauma-focused counseling or an active control intervention targeting the general role of stress in patients with heart disease. Blind interviewer-rated PTSS (primary outcome) and additional health outcomes were assessed at 3 months of follow-up. Trial results about prevalence were compared with data from previous studies on the natural incidence of ACS-induced PTSS/PTSD. Intention-to-treat analyses revealed no difference in interviewer-rated PTSS between trauma-focused counseling (mean, 11.33; 95% Cl, 9.23-13.43) and stress counseling (9.88; 7.36-12.40; p = 0.40), depressive symptoms (6.01, 4.98-7.03, vs. 4.71, 3.65-5.77; p = 0.08), global psychological distress (5.15, 4.07-6.23, vs. 3.80, 2.60-5.00; p = 0.11), and the risk for cardiovascular-related hospitalization/all-cause mortality (OR, 0.67; 95% CI, 0.37-1.23). Self-rated PTSS i...Continue Reading

Citations

Aug 14, 2019·The Korean Journal of Thoracic and Cardiovascular Surgery·Chul KimSoon Kim
Jul 18, 2019·Annals of Rehabilitation Medicine·Chul KimSoon Kim
Oct 3, 2020·Journal of Traumatic Stress·Murielle Jacquet-SmailovicMarie-Jo Brennstuhl
May 12, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Christian AlbusChristoph Herrmann-Lingen
Feb 14, 2021·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Roland von KänelMary Princip
Apr 16, 2021·Clinical Psychology Review·Jonathan I BissonNeil P Roberts
Jun 9, 2018·General Hospital Psychiatry·Hannes BielasRoland von Känel

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