Meli Laura, Alcántara Carmela, Sumner Jennifer A, Swan Brendan, Chang Bernard P, Edmondson Donald
Center for Behavioral Cardiovascular Health, Columbia University Medical Center, USA.
Columbia University School of Social Work, USA.
J Health Psychol. 2019 Nov;24(13):1817-1827. doi: 10.1177/1359105317705982. Epub 2017 Apr 27.
Post-traumatic stress disorder due to acute cardiovascular events may be uniquely defined by enduring perceptions of somatic threat. We tested whether post-traumatic stress disorder at 1 month post-acute coronary syndrome indeed required both high peritraumatic threat during the acute coronary syndrome and ongoing cardiac threat perceptions. We assessed peritraumatic threat during emergency department enrollment of 284 patients with a provisional acute coronary syndrome diagnosis and cardiac threat perceptions and post-traumatic stress disorder symptoms 1 month post-discharge. In a multiple regression model with adjustment for important covariates, emergency department threat perceptions were associated with higher 1 month post-traumatic stress disorder symptoms only among those with high levels of ongoing cardiac threat.
急性心血管事件所致创伤后应激障碍可能由对躯体威胁的持久认知独特地定义。我们测试了急性冠状动脉综合征后1个月时的创伤后应激障碍是否确实既需要急性冠状动脉综合征期间的高创伤周围威胁，又需要持续的心脏威胁认知。我们评估了284例初步诊断为急性冠状动脉综合征患者在急诊科就诊时的创伤周围威胁、心脏威胁认知以及出院后1个月的创伤后应激障碍症状。在一个对重要协变量进行调整的多元回归模型中，仅在那些存在高水平持续心脏威胁的患者中，急诊科的威胁认知与1个月时更高的创伤后应激障碍症状相关。
