Patterns of peritraumatic threat perceptions in patients evaluated for suspected acute coronary syndrome according to prior and current posttraumatic stress symptoms.
Objective Prior posttraumatic stress disorder (PTSD) and elevated threat perceptions predict posttraumatic psychopathology after evaluation for acute coronary syndrome (ACS), but most research has measured threat retrospectively. We investigated how threat perceptions during ACS evaluation in the em...
| Publicado en: | General Hospital Psychiatry Vol. 53; pp. 119 - 125 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Jul2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131112859&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 131112859 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01638343 JFH jtl: General Hospital Psychiatry issn: 01638343 maglogo: N pubinfo: dt: Jul2018 vid: 53 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 131112859 131112859 131112859 10.1016/j.genhosppsych.2018.03.003 131112859 ppf: 119 ppct: 6 formats: tig: atl: Patterns of peritraumatic threat perceptions in patients evaluated for suspected acute coronary syndrome according to prior and current posttraumatic stress symptoms. aug: au: Zhu, Deanna R. Julian, Jacob Lee, Sung J.A. Thanataveerat, Anusorn Sumner, Jennifer A. affil: Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, United States sug: subj: Stress Disorders, Post-Traumatic Symptoms Fear Evaluation Acute Coronary Syndrome Complications Human Male Female Middle Age Aged One-Way Analysis of Variance Emergency Service Psychopathology Stress, Psychological Trauma Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective Prior posttraumatic stress disorder (PTSD) and elevated threat perceptions predict posttraumatic psychopathology after evaluation for acute coronary syndrome (ACS), but most research has measured threat retrospectively. We investigated how threat perceptions during ACS evaluation in the emergency department (ED) and upon recall were associated with posttraumatic psychopathology burden due to prior trauma and the suspected ACS. Methods Perceived threat was assessed in the ED, and ED threat recall was assessed upon inpatient transfer/discharge, along with acute stress disorder (ASD) symptoms due to suspected ACS and PTSD symptoms due to prior trauma. The sample comprised 894 participants (mean age = 60.7 ± 13.1 years; 46.8% female; 56.3% Hispanic; 20.5% Black). One-way ANOVAs examined how those with consistent posttraumatic psychopathology (prior PTSD/ASD; 14.8%), prior posttraumatic psychopathology (prior PTSD/no ASD; 6.8%), new-onset posttraumatic psychopathology (no PTSD/ASD; 15.7%), or no posttraumatic psychopathology (no PTSD/no ASD; 62.8%) differed in threat perception, threat recall, and their discrepancy. Results Threat perception scores ranged from 6 to 24. Participants with consistent posttraumatic psychopathology had higher threat perceptions ( M = 14.01) than those with prior posttraumatic psychopathology ( M = 12.02) and new-onset posttraumatic psychopathology ( M = 12.21) ( ps ≤ 0.001); the latter two did not differ significantly but had higher threat perceptions than those with no posttraumatic psychopathology ( M = 9.84) ( p < .001). Similar results were observed for threat recall ( p < .001). The new-onset posttraumatic psychopathology group also had a greater increase in perceived threat versus the no posttraumatic psychopathology group ( p = .06). Results were similar adjusting for potential confounders. Conclusions Assessing threat perceptions during ACS evaluation and hospitalization may help identify those at risk for emotional difficulties post-ACS. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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