Departamento de Personalidad, Evaluación y Tratamiento, Facultad de Psicología y Logopedia, Universidad de Málaga, Servicio de salud mental, Hospital Universitario Parc Taulí de Sabadell, Sabadell, Spain.
Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología y Logopedia, Universidad de Málaga, Instituto de Investigaciones Biomédicas de Málaga (IBIMA), Málaga, Spain.
Psychol Health. 2020 Dec;35(12):1497-1515. doi: 10.1080/08870446.2020.1761974. Epub 2020 May 14.
The identification of psychological markers of the posttraumatic stress reaction after a cardiac event is relevant in the management of cardiovascular risk factors. The aim of the study to test the contribution of experiential avoidance, anxiety sensitivity, and depressive symptoms to acute coronary syndrome posttraumatic stress symptoms and perceived health (both measured 6 months later), and to determine whether the associations between experiential avoidance, anxiety sensitivity, and depressive symptoms with perceived health were mediated by the posttraumatic stress symptoms. 180 patients with acute coronary syndrome completed a survey over a 6-month period. Anxiety sensitivity and depressive symptoms but not experiential avoidance contributed significantly to posttraumatic stress symptoms. Depressive symptoms and posttraumatic symptoms but neither anxiety sensitivity nor experiential avoidance had a significant association on perceived health. Acute coronary syndrome posttraumatic symptoms significantly mediated the association of depressive symptoms with perceived health. That is, increased depressive symptoms was significantly associated with higher levels of posttraumatic symptoms, which in turn predicted lower levels of perceived health. Understanding the psychological factors that are associated with post-acute coronary syndrome posttraumatic stress symptoms may help to identify patients at risk in order to refer them to the appropriate psychological care service.
在心血管危险因素管理中，识别心脏事件后创伤后应激反应的心理标志物具有重要意义。本研究旨在检验经验回避、焦虑敏感性和抑郁症状对急性冠状动脉综合征创伤后应激症状和感知健康（均在 6 个月后测量）的贡献，并确定经验回避、焦虑敏感性和抑郁症状与感知健康之间的关联是否通过创伤后应激症状来介导。180 名急性冠状动脉综合征患者在 6 个月的时间内完成了一项调查。焦虑敏感性和抑郁症状而非经验回避对创伤后应激症状有显著贡献。抑郁症状和创伤后症状与感知健康相关，但焦虑敏感性和经验回避均无显著关联。急性冠状动脉综合征创伤后症状显著中介了抑郁症状与感知健康之间的关系。也就是说，抑郁症状的增加与创伤后症状水平的升高显著相关，而创伤后症状水平的升高又预示着感知健康水平的降低。了解与急性冠状动脉综合征后创伤后应激症状相关的心理因素可能有助于识别有风险的患者，以便将他们转介到适当的心理保健服务机构。
