Effect of cohabiting partners on the development of posttraumatic stress symptoms after emergency department visits for stroke and transient ischemic attack.
Effect of cohabiting partners on the development of posttraumatic stress symptoms after emergency department visits for stroke and transient ischemic attack.
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DOI：
10.1016/j.socscimed.2021.114088
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Edmondson D
中科院分区：
文献类型：
--
作者：
Cornelius T;Birk JL;Derby L;Ellis J;Edmondson D
伴侣对于经历有压力的健康事件的患者可能是有益的，例如中风/短暂性脑缺血发作。然而，在这种情况下，伴侣可能会加剧早期的痛苦。本研究测试了有同居伴侣是否改变了患者早期的威胁感觉(例如，感到脆弱、无助)与较长期的创伤后应激症状(PTSS)之间的联系。参与者(N=328)来自2016-2019年在一家城市学术医院对中风/短暂性脑缺血发作进行评估的患者的观察性队列研究。参与者在事件后3天和1个月自我报告卒中/短暂性脑缺血发作继发的急诊科(ED)威胁知觉和PTSS。同居伴侣状态改变了勃起功能障碍威胁与早期PTSS的关联。有同居伴侣的患者表现出ED威胁与早期PTSS之间的正相关，B=0.12，P=.001；而没有同居伴侣的患者则没有，B=0.04，P=0.067。同居伴侣仅对最初报告的低水平ED威胁的患者具有保护性，因为报告低水平ED威胁的同居伴侣的患者的早期PTS也较低，B=−0.15，p=.016；在高水平的ED威胁时，同居伴侣不具有保护性，B=−0.02，95%CI[−0.14，0.09]，p=.68。勃起功能障碍威胁在1个月时与PTSS相关，B=0.42，p<；.001，但同居伴侣状态不会改变这种关联。仅在有同居伴侣的患者中，ED威胁知觉与早期PTSS呈正相关。对于最初没有将中风/短暂性脑缺血发作视为威胁的患者，同居伴侣可能有助于患者保持心理平静。
Partners can be beneficial for patients experiencing stressful health events such as a stroke/TIA. During such events, however, partners may exacerbate early distress. The present study tested whether having a cohabiting partner modified the association between patients’ early perceptions of threat (e.g., feeling vulnerable, helpless) and longer-term posttraumatic stress symptoms (PTSS). Participants (N = 328) were drawn from an observational cohort study of patients evaluated for stroke/TIA at an urban academic hospital between 2016–2019. Participants self-reported emergency department (ED) threat perceptions and PTSS secondary to the stroke/transient ischemic attack at three days and one-month post-event. Cohabiting partner status modified the association of ED threat with early PTSS. Patients with a cohabiting partner exhibited a positive association between ED threat and early PTSS, B = 0.12, p < .001; those without a cohabiting partner did not, B = 0.04, p = .067. A cohabiting partner was protective only for patients who initially reported low levels of ED threat, as patients with a cohabiting partner who reported low levels of ED threat also had lower early PTSS, B = −0.15, p = .016; at high levels of ED threat, a cohabiting partner was not protective, B = −0.02, 95% CI [−0.14, 0.09], p = .68. ED threat was associated with PTSS at one month, B = 0.42, p < .001, but cohabiting partner status did not modify the association. ED threat perceptions were positively associated with early PTSS only for patients with a cohabitating partner. For patients who do not initially experience a stroke/TIA event as threatening, cohabiting partners may help patients maintain psychological equanimity.
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影响因子：
3.7
作者：
Edmondson D;Richardson S;Falzon L;Davidson KW;Mills MA;Neria Y
通讯作者：
Neria Y
DOI：
10.1146/annurev-clinpsy-032816-045111
发表时间：
2017-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 13
影响因子：
--
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
3.6
作者：
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通讯作者：
Partridge, Ann H.
影响因子：
5.9
作者：
Braithwaite, Scott;Holt-Lunstad, Julianne
通讯作者：
Holt-Lunstad, Julianne