Prevalence and predictors of posttraumatic stress disorder in patients with acute myocardial infarction

Wiedemar, Lina; Schmid, Jean-Paul; Müller, Julia; Wittmann, Lutz; Schnyder, Ulrich; Saner, Hugo; von Känel, Roland (2008). Prevalence and predictors of posttraumatic stress disorder in patients with acute myocardial infarction. Heart & lung, 37(2), pp. 113-21. New York, N.Y.: Elsevier 10.1016/j.hrtlng.2007.03.005

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OBJECTIVE: We estimated the prevalence of posttraumatic stress disorder (PTSD) and identified predictors of self-rated PTSD symptoms in patients post-myocardial infarction (MI). METHODS: We recruited 400 patients (mean age 60 +/- 12 years, 79% were men) with a previous acute index MI who were referred to a tertiary cardiology clinic. PTSD was assessed by the Clinician-administered PTSD Scale, and self-rated severity of PTSD symptom levels were assessed by the Posttraumatic Diagnostic Scale. RESULTS: Of the 190 patients who completed the Posttraumatic Diagnostic Scale, 34 met the cutoff for clinically significant PTSD symptomatology and 32 agreed to be interviewed. Among these patients, the Clinician-administered PTSD Scale interview yielded a prevalence of full and subsyndromal PTSD of 9.5% (95% confidence interval 7.4-11.6). Retrospectively rated feelings of helplessness (beta = .47, P < .001) and pain intensity during MI (beta = .15, P = .019) independently predicted PTSD symptom level. CONCLUSIONS: Approximately 10% of patients post-MI had full or subsyndromal PTSD. Subjective perception of MI predicted self-rated PTSD symptom level.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine

UniBE Contributor:

Schmid, Jean-Paul; Saner, Hugo and von Känel, Roland

ISSN:

0147-9563

ISBN:

18371504

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:02

Last Modified:

04 May 2014 23:19

Publisher DOI:

10.1016/j.hrtlng.2007.03.005

PubMed ID:

18371504

Web of Science ID:

000254637400004

URI:

https://boris.unibe.ch/id/eprint/26997 (FactScience: 99405)

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