Perception of a hectic hospital environment at admission relates to acute stress disorder symptoms in myocardial infarction patients.

Meister, Rebecca Elisabeth; Weber, Tania; Princip, Mary; Schnyder, Ulrich; Barth, Jürgen; Znoj, Hans Jörg; Schmid, Jean-Paul; von Känel, Roland (2016). Perception of a hectic hospital environment at admission relates to acute stress disorder symptoms in myocardial infarction patients. General hospital psychiatry, 39, pp. 8-14. Elsevier 10.1016/j.genhosppsych.2015.11.004

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OBJECTIVE Hospital crowding is a public health problem that may impact on the quality of medical treatment and increase the risk of developing traumatic stress, e.g., after myocardial infarction (MI). This study examines whether subjective appraisal of crowding at hospital admission due to MI is associated with acute stress disorder (ASD) symptoms. METHOD We investigated 102 consecutive patients with acute MI within 48h after having reached stable circulatory conditions. The appraisal of crowding was measured by the retrospective assessment of the perception of a hectic hospital environment at admission. Furthermore, patients completed the Acute Stress Disorder Scale to rate the psychological stress reaction. RESULTS The perception of a hectic hospital environment was associated with the development of ASD symptoms (r=0.254, P=.013) independently of demographic, peritraumatic and medical factors. Post hoc analysis revealed associations with dissociative (r=0.211, P=.041), reexperiencing (r=0.184, P=.074) and arousal (r=0.179, P=.083) symptoms. CONCLUSION The findings suggest that, besides objective circumstances, the way hospital admission due to MI is perceived by the patient may influence the development of MI-triggered ASD symptoms. The psychological and physiological long-term outcomes of the perception of a hectic hospital environment and the role of preventive interventions need further examination.

Item Type:

Journal Article (Original Article)

Division/Institute:

07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Anatomy
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DCR Unit Sahli Building > Forschungsgruppe Neurologie

UniBE Contributor:

Meister, Rebecca Elisabeth; Weber, Tania; Princip, Mary; Znoj, Hans Jörg; Schmid, Jean-Paul and von Känel, Roland

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0163-8343

Publisher:

Elsevier

Language:

English

Submitter:

Romina Theiler

Date Deposited:

22 Mar 2016 16:33

Last Modified:

16 Aug 2016 14:08

Publisher DOI:

10.1016/j.genhosppsych.2015.11.004

PubMed ID:

26725540

Uncontrolled Keywords:

Acute myocardial infarction; Acute stress disorder; Cardiology; Crowding; Hectic hospital environment

BORIS DOI:

10.7892/boris.77027

URI:

https://boris.unibe.ch/id/eprint/77027

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