Persistence of posttraumatic stress symptoms 12 and 36 months after acute coronary syndrome

Psychosomatic Medicine
Anna WikmanAndrew Steptoe

Abstract

To assess the prevalence and predictors of posttraumatic stress symptoms in patients at 12 and 36 months post hospital admission for an acute coronary syndrome (ACS). There is increasing recognition that posttraumatic stress may develop in the aftermath of an acute cardiac event. However, there has been little research on the longer-term prevalence of posttraumatic stress disorder (PTSD). Posttraumatic stress symptoms were assessed at 12 months in 213 patients with ACS and in 179 patients at 36 months. Predictor variables included clinical, demographic, and emotional factors measured during hospital admission. At 12 months post ACS, 26 (12.2%) patients qualified for a diagnosis of PTSD; 23 (12.8%) patients were identified with PTSD at 36 months. Posttraumatic symptoms at 12 months were associated with younger age, ethnic minority status, social deprivation, cardiac symptom recurrence, history of depression, depressed mood during admission, hostility, and Type D personality. In multiple regression, depressed mood during admission and recurrent cardiac symptoms were independent predictors of posttraumatic symptoms (R(2) = 0.507, p < .001). At 36 months, posttraumatic stress symptoms were independently predicted by posttraumatic s...Continue Reading

References

Feb 1, 1992·The British Journal of Clinical Psychology·S JosephW Yule
Jan 1, 1995·Journal of Traumatic Stress·R C van Driel, W Op den Velde
Jan 1, 1997·Annual Review of Public Health·N KriegerN E Moss
Feb 16, 1999·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·J Denollet
Jul 8, 1999·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·M A DewB P Griffith
Oct 26, 1999·The British Journal of Psychiatry : the Journal of Mental Science·S A FreedmanA Shalev
Dec 11, 1999·The British Journal of Clinical Psychology·P Bennett, S Brooke
Nov 9, 2000·Journal of Consulting and Clinical Psychology·C R BrewinJ D Valentine
Sep 18, 2001·Heart·H SongY Nakashima
Nov 28, 2001·Heart & Lung : the Journal of Critical Care·P BennettR Owen
Jul 4, 2002·Clinical Psychology Review·Maria KangasRichard A Bryant
Jul 11, 2002·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Wybrand Op Den VeldeMarijtje A J Van Duijn
Jul 16, 2002·Journal of Epidemiology and Community Health·J WardleF Johnson
Jan 11, 2003·American Journal of Epidemiology·V LorantM Ansseau
May 6, 2003·Clinical Psychology Review·Josephine E Tedstone, Nicholas Tarrier
Aug 29, 2003·Lancet·James A BlumenthalUNKNOWN NORG Investigators
Oct 7, 2003·Heart & Lung : the Journal of Critical Care·Susanne Schmidt PedersenMogens Lytken Larsen
Oct 14, 2003·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Susanne S Pedersen, Johan Denollet
Dec 9, 2003·The Journal of Clinical Psychiatry·Karni GinzburgAvi Bleich
Mar 10, 2004·The British Journal of Clinical Psychology·Samantha M O'ReillyRonan E O'Carroll
Jun 10, 2004·JAMA : the Journal of the American Medical Association·Kim A EagleUNKNOWN GRACE Investigators
Jul 30, 2004·Scandinavian Journal of Psychology·Susanne Schmidt PedersenMogens Lytken Larsen
Oct 28, 2004·Journal of Psychosomatic Research·Susanne S Pedersen, Johan Denollet
Mar 12, 2005·Annual Review of Public Health·Susan A Everson-Rose, Tené T Lewis
Aug 3, 2005·Depression and Anxiety·Jitender SareenGordon J G Asmundson
Nov 29, 2005·The American Journal of Cardiology·Daisy L WhiteheadAndrew Steptoe
Jan 21, 2006·Journal of General Internal Medicine·Brett D ThombsRoy C Ziegelstein
Apr 1, 2006·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Marie-Louise Gander, Roland von Känel
May 25, 2006·Journal of Affective Disorders·Karni Ginzburg

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Citations

Jul 12, 2011·Journal of Behavioral Medicine·Anna WikmanAndrew Steptoe
Jul 14, 2010·Journal of Psychosomatic Research·Roman HariRoland von Känel
Feb 13, 2013·The British Journal of Clinical Psychology·Victoria Marke, Paul Bennett
Sep 3, 2011·Journal of Pain & Palliative Care Pharmacotherapy·Kevin D Jordan, Akiko Okifuji
Aug 13, 2013·The American Journal of Medicine·Tali Bayer-TopilskyMaurice Enriquez-Sarano
Jan 1, 2009·International Journal of Psychiatry in Medicine·Chiara C AbbasRoland von Känel
Jul 30, 2016·Journal of Clinical Psychology in Medical Settings·Chelsea P RennaGary Scheiner
Aug 28, 2016·Current Cardiology Reports·Matthew M Burg, Robert Soufer
May 26, 2017·British Journal of Health Psychology·Christopher J MerrittJane M Hutton
Feb 13, 2020·Frontiers in Psychology·Adam HeenanHeather Tulloch
Dec 15, 2018·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Emma ThomasAdrienne O'Neil

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