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急性冠状动脉综合征后对死亡的恐惧及创伤后应激症状的发生:一项前瞻性观察研究。

The fear of dying and occurrence of posttraumatic stress symptoms after an acute coronary syndrome: A prospective observational study.

作者信息

Malinauskaite Ieva, Slapikas Rimvydas, Courvoisier Delphine, Mach François, Gencer Baris

机构信息

1 Geneva University Hospital, Switzerland.

2 Lithuanian University of Health Sciences Hospital, Lithuania.

出版信息

J Health Psychol. 2017 Feb;22(2):208-217. doi: 10.1177/1359105315600233. Epub 2016 Jul 10.

DOI:10.1177/1359105315600233
PMID:26311815
Abstract

The purpose of the study was to investigate whether experiencing fear of dying after acute coronary syndrome predicts later posttraumatic stress symptoms. We enrolled 90 patients hospitalized with main diagnosis of acute coronary syndrome and assessed baseline characteristics. One month after discharge, we collected the Posttraumatic Stress Scale. A total of 24 patients (26.7%) developed posttraumatic stress symptoms 1 month after the acute coronary syndrome event. Patients with posttraumatic stress symptoms reported significantly greater fear of dying, helplessness, avoidance-focused coping, and severe anxiety. In our prospective study, fear of dying was associated with occurrence of posttraumatic stress symptoms in patients hospitalized with acute coronary syndrome.

摘要

该研究的目的是调查急性冠状动脉综合征后经历濒死恐惧是否能预测后期的创伤后应激症状。我们招募了90名主要诊断为急性冠状动脉综合征的住院患者,并评估了基线特征。出院后1个月,我们收集了创伤后应激量表。共有24名患者(26.7%)在急性冠状动脉综合征事件发生1个月后出现了创伤后应激症状。有创伤后应激症状的患者报告称,他们对死亡的恐惧、无助感、以回避为重点的应对方式和严重焦虑情绪明显更强烈。在我们的前瞻性研究中,濒死恐惧与急性冠状动脉综合征住院患者创伤后应激症状的发生有关。

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