von Känel, Roland; Meister-Langraf, Rebecca E; Barth, Jürgen; Znoj, Hansjörg; Schmid, Jean-Paul; Schnyder, Ulrich; Princip, Mary (2022). Early Trauma-Focused Counseling for the Prevention of Acute Coronary Syndrome-Induced Posttraumatic Stress: Social and Health Care Resources Matter. Journal of clinical medicine, 11(7) MDPI 10.3390/jcm11071993
|
Text
jcm-11-01993.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (280kB) | Preview |
BACKGROUND
A one-size-fits-all approach might explain why early psychological interventions are largely ineffective in preventing the development of posttraumatic stress disorder (PTSD) symptoms triggered by acute medical events. We examined the hypothesis that social and health care resources are moderators of an intervention effect.
METHODS
Within 48 h of hospital admission, 129 patients (mean age 58 years, 83% men) with acute coronary syndrome (ACS) self-rated their social support and were randomized to one single session of trauma-focused counseling (TFC) or stress-focused counseling (SFC) (active control intervention). Clinician-rated PTSD symptoms, use of cardiac rehabilitation (CR) and use of psychotherapy were assessed at 3 and 12 months. Random mixed regression multivariable models were used to analyze associations with PTSD symptoms over time.
RESULTS
TFC did not prevent ACS-induced PTSD symptom onset better than SFC; yet, there were significant and independent interactions between "intervention" (TFC or SFC) and social support (p = 0.013) and between "intervention" and duration of CR in weeks (p = 0.034). Patients with greater social support or longer participation in CR had fewer PTSD symptoms in the TFC group compared with the SFC group. The number of psychotherapy sessions did not moderate the intervention effect.
CONCLUSIONS
Early psychological intervention after ACS with a trauma-focused approach to prevent the development of PTSD symptoms may be beneficial for patients who perceive high social support or participate in CR for several weeks.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
07 Faculty of Human Sciences > Institute of Psychology > Psychological and Behavioral Health |
UniBE Contributor: |
Znoj, Hans Jörg |
Subjects: |
100 Philosophy > 150 Psychology |
ISSN: |
2077-0383 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
13 Apr 2022 13:52 |
Last Modified: |
05 Dec 2022 16:18 |
Publisher DOI: |
10.3390/jcm11071993 |
PubMed ID: |
35407601 |
Uncontrolled Keywords: |
cardiovascular disease counseling longitudinal study posttraumatic stress disorder psychological stress social support trial |
BORIS DOI: |
10.48350/169282 |
URI: |
https://boris.unibe.ch/id/eprint/169282 |
Actions (login required)
 |
Edit item |