Change over time in posttraumatic stress caused by myocardial infarction and predicting variables
Abstract Objective 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, w...
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| Veröffentlicht in: | Journal of psychosomatic research 2010-08, Vol.69 (2), p.143-150 |
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| creator | Hari, Roman Begré, Stefan Schmid, Jean-Paul Saner, Hugo Gander, Marie-Louise von Känel, Roland |
| description | Abstract Objective 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. Methods 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). Results Female gender ( P =.038) as well as greater helplessness ( P |
| doi_str_mv | 10.1016/j.jpsychores.2010.04.011 |
| format | Article |
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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. Methods 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). Results 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 study entry ( P <.001) and in those with less pain during MI ( P =.032). Conclusions Demographic characteristics and perceived distress during MI were predictors of shorter-term posttraumatic stress. Although posttraumatic stress decreased over time and strongest in patients showing the greatest levels initially, greater short-term posttraumatic stress predicted maintenance of posttraumatic stress. Intense pain during MI adversely impacted both longer-term posttraumatic stress and its recovery.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2010.04.011</identifier><identifier>PMID: 20624512</identifier><identifier>CODEN: JPCRAT</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adaptation, Psychological ; Adult and adolescent clinical studies ; Aged ; Anxiety disorders. Neuroses ; Attitude to Death ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular disease ; Coronary heart disease ; Female ; Follow-Up Studies ; Heart ; Helplessness ; Helplessness, Learned ; Humans ; Male ; Medical sciences ; Middle Aged ; Models, Psychological ; Myocardial infarction ; Myocardial Infarction - psychology ; Myocarditis. Cardiomyopathies ; Pain ; Pain - psychology ; Post-traumatic stress disorder ; Posttraumatic stress disorder ; Psychiatry ; Psychological distress ; Psychological stress ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Sex Factors ; Short term ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - psychology ; Surveys and Questionnaires</subject><ispartof>Journal of psychosomatic research, 2010-08, Vol.69 (2), p.143-150</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c522t-b7f0e75961bab40c511db2c7a58cae018d8a44ae76a7cc54bdd7b389d4a3b83b3</citedby><cites>FETCH-LOGICAL-c522t-b7f0e75961bab40c511db2c7a58cae018d8a44ae76a7cc54bdd7b389d4a3b83b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2010.04.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,31000,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23061010$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20624512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hari, Roman</creatorcontrib><creatorcontrib>Begré, Stefan</creatorcontrib><creatorcontrib>Schmid, Jean-Paul</creatorcontrib><creatorcontrib>Saner, Hugo</creatorcontrib><creatorcontrib>Gander, Marie-Louise</creatorcontrib><creatorcontrib>von Känel, Roland</creatorcontrib><title>Change over time in posttraumatic stress caused by myocardial infarction and predicting variables</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>Abstract Objective 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. Methods 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). Results 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 study entry ( P <.001) and in those with less pain during MI ( P =.032). Conclusions Demographic characteristics and perceived distress during MI were predictors of shorter-term posttraumatic stress. Although posttraumatic stress decreased over time and strongest in patients showing the greatest levels initially, greater short-term posttraumatic stress predicted maintenance of posttraumatic stress. Intense pain during MI adversely impacted both longer-term posttraumatic stress and its recovery.</description><subject>Adaptation, Psychological</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Anxiety disorders. Neuroses</subject><subject>Attitude to Death</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Coronary heart disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Helplessness</subject><subject>Helplessness, Learned</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Models, Psychological</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - psychology</subject><subject>Myocarditis. Cardiomyopathies</subject><subject>Pain</subject><subject>Pain - psychology</subject><subject>Post-traumatic stress disorder</subject><subject>Posttraumatic stress disorder</subject><subject>Psychiatry</subject><subject>Psychological distress</subject><subject>Psychological stress</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Short term</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Surveys and Questionnaires</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkk2LFDEQhhtR3HH1L0gu4mnGykd3py-CDn7Bggf1HCpJ9W7a_hiT7oH595tmRhe86ClUeKre4n2rKBiHHQdevel23SGd3N0UKe0E5G9QO-D8UbHhum62XFbwuNgACLGVTdNcFc9S6gCgakT5tLgSUAlVcrEpcH-H4y2x6UiRzWEgFkZ2mNI8R1wGnINjac4qiTlcEnlmT2w4TQ6jD9hnuMXo5jCNDEfPDpF8yOV4y44YA9qe0vPiSYt9oheX97r48fHD9_3n7c3XT1_27262rhRi3tq6BarLpuIWrQJXcu6tcDWW2iEB116jUkh1hbVzpbLe11bqxiuUVksrr4vX57mHOP1aKM1mCMlR3-NI05JMXSquuBbwb1LKRmuQK6nPpItTSpFac4hhwHgyHMyahOnMQxJmTcKAMjmJ3PryIrLYgfyfxt_WZ-DVBcDksG8jji6kB05ClRXWHd6fOcrmHQNFk1yg0WWnI7nZ-Cn8zzZv_xri-jCGrPuTTpS6aYljDsdwk4QB8229nPVweL4ZAVrJe9IqwvA</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Hari, Roman</creator><creator>Begré, Stefan</creator><creator>Schmid, Jean-Paul</creator><creator>Saner, Hugo</creator><creator>Gander, Marie-Louise</creator><creator>von Känel, Roland</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QJ</scope></search><sort><creationdate>20100801</creationdate><title>Change over time in posttraumatic stress caused by myocardial infarction and predicting variables</title><author>Hari, Roman ; Begré, Stefan ; Schmid, Jean-Paul ; Saner, Hugo ; Gander, Marie-Louise ; von Känel, Roland</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c522t-b7f0e75961bab40c511db2c7a58cae018d8a44ae76a7cc54bdd7b389d4a3b83b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adaptation, Psychological</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Anxiety disorders. Neuroses</topic><topic>Attitude to Death</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Coronary heart disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Helplessness</topic><topic>Helplessness, Learned</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Models, Psychological</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - psychology</topic><topic>Myocarditis. Cardiomyopathies</topic><topic>Pain</topic><topic>Pain - psychology</topic><topic>Post-traumatic stress disorder</topic><topic>Posttraumatic stress disorder</topic><topic>Psychiatry</topic><topic>Psychological distress</topic><topic>Psychological stress</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Short term</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hari, Roman</creatorcontrib><creatorcontrib>Begré, Stefan</creatorcontrib><creatorcontrib>Schmid, Jean-Paul</creatorcontrib><creatorcontrib>Saner, Hugo</creatorcontrib><creatorcontrib>Gander, Marie-Louise</creatorcontrib><creatorcontrib>von Känel, Roland</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hari, Roman</au><au>Begré, Stefan</au><au>Schmid, Jean-Paul</au><au>Saner, Hugo</au><au>Gander, Marie-Louise</au><au>von Känel, Roland</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Change over time in posttraumatic stress caused by myocardial infarction and predicting variables</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>69</volume><issue>2</issue><spage>143</spage><epage>150</epage><pages>143-150</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><coden>JPCRAT</coden><abstract>Abstract Objective 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. Methods 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). Results 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 study entry ( P <.001) and in those with less pain during MI ( P =.032). Conclusions Demographic characteristics and perceived distress during MI were predictors of shorter-term posttraumatic stress. Although posttraumatic stress decreased over time and strongest in patients showing the greatest levels initially, greater short-term posttraumatic stress predicted maintenance of posttraumatic stress. Intense pain during MI adversely impacted both longer-term posttraumatic stress and its recovery.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20624512</pmid><doi>10.1016/j.jpsychores.2010.04.011</doi><tpages>8</tpages></addata></record> |
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| subjects | Adaptation, Psychological Adult and adolescent clinical studies Aged Anxiety disorders. Neuroses Attitude to Death Biological and medical sciences Cardiology. Vascular system Cardiovascular disease Coronary heart disease Female Follow-Up Studies Heart Helplessness Helplessness, Learned Humans Male Medical sciences Middle Aged Models, Psychological Myocardial infarction Myocardial Infarction - psychology Myocarditis. Cardiomyopathies Pain Pain - psychology Post-traumatic stress disorder Posttraumatic stress disorder Psychiatry Psychological distress Psychological stress Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Factors Sex Factors Short term Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - psychology Surveys and Questionnaires |
| title | Change over time in posttraumatic stress caused by myocardial infarction and predicting variables |
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