Princip, Mary; Pazhenkottil, Aju P; Barth, Jürgen; Schnyder, Ulrich; Znoj, Hansjörg; Schmid, Jean-Paul; Langraf-Meister, Rebecca E; von Känel, Roland; Ledermann, Katharina (2022). Effect of Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome at Long-Term Follow-Up. Frontiers in psychiatry, 13, p. 846397. Frontiers 10.3389/fpsyt.2022.846397
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Objective
Psychological consequences of myocardial infarction (MI) are substantial, as 4% of all MI patients develop posttraumatic stress disorder (PTSD) and 12% clinically relevant posttraumatic stress symptoms (PTSS). The study investigated the course and development within 12 months of MI-induced PTSS to gain novel insights in potentially delayed response to early trauma-focused counseling aimed at preventing the incidence of MI-induced PTSS.
Methods
In the MI-SPRINT two-group randomized controlled trial, 190 MI-patients were randomly allocated to receive 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 12-month follow-up.
Results
12-month follow-up of outcomes were available for 106 (55.8%) of 190 participants: In the entire sample, one patient (0·5%, 1/190) who received trauma-focused counseling developed full PTSD. There was no significant difference between trauma-focused counseling and stress counseling regarding total score of interviewer-rated PTSS (p > 0.05). The only group difference emerged in terms of more severe hyperarousal symptoms in the trauma-focused counseling group in the ITT analysis, but not in the completer analysis.
Conclusions
No benefits were found for trauma-focused counseling after 12 months when compared with an active control intervention. PTSD prevalence in the present study was low highlighting a potential beneficial effect of both interventions. Further studies are needed to determine the most accurate approach of counseling.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy |
UniBE Contributor: |
Znoj, Hans Jörg |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1664-0640 |
Publisher: |
Frontiers |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
22 Jun 2022 15:18 |
Last Modified: |
05 Dec 2022 16:21 |
Publisher DOI: |
10.3389/fpsyt.2022.846397 |
PubMed ID: |
35711604 |
Uncontrolled Keywords: |
acute coronary care acute trauma stress behavioral cardiology counseling early prevention myocardial infarction posttraumatic stress symptoms |
BORIS DOI: |
10.48350/170771 |
URI: |
https://boris.unibe.ch/id/eprint/170771 |
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