Posttraumatic stress syndromes and health-related quality of life following myocardial infarction: 8-year follow-up
Posttraumatic stress syndromes and health-related quality of life following myocardial infarction: 8-year follow-up
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DOI：
10.1016/j.genhosppsych.2011.08.015
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发表时间：
2011-11-01
影响因子：
7
通讯作者：
Ein-Dor, Tsachi
中科院分区：
文献类型：
--
作者：
Ginzburg, Karni;Ein-Dor, Tsachi
目的：本研究探讨心肌梗死（MI）后急性应激障碍（ASD）在预测随后的创伤后应激障碍（PTSD）和MI后8年生活质量受损方面的意义。（时间I; n=173），MI后随访7个月（时间2; n=116）和8年（时间3; n=90）。在时间1评估ASD，在时间2和时间3评估PTSD。在时间3评估健康相关的生活质量。结果：无条件潜在类别增长模型揭示了两个不同的亚群：恢复/有弹性组（94%）从时间1的ASD的12.4%下降到时间3的PTSD的6.1%。慢性组的创伤后应激综合征发生率（6%）在时间I和时间3分别为85.3%和75.7%。两组在心肌梗死前生活事件、住院时间、发生前壁心肌梗死的可能性和感知的死亡威胁方面存在差异。结论：虽然大多数ASD患者表现出恢复的趋势，但MI后即刻的ASD仍然是长期适应困难的标志。(C)2011 Elsevier Inc. All rights reserved.
Objectives: This study examines the implications of acute stress disorder (ASD), following myocardial infraction (MI), in predicting subsequent posttraumatic stress disorder (PTSD) and impaired quality of life (QoL) 8 years post-MI.Methods: MI patients, who were assessed within a week of the MI (Time I; n=173), were followed up 7 months (Time 2; n=116) and 8 years (Time 3; n=90) post-MI. ASD was assessed at Time 1 and PTSD at Time 2 and Time 3. Health-related QoL was assessed at Time 3.Results: Unconditional latent class growth models revealed two distinct subpopulations: the recovered/resilient group (94%) demonstrated a decrease from 12.4% of ASD at Time 1 to 6.1% of PTSD at Time 3. Rates of posttraumatic stress syndromes in the chronic group (6%) were 85.3% at Time I and 75.7% at Time 3. The two groups differed in pre-MI life events, length of hospitalization, likelihood to have anterior MI, and perceived threat of death. The chronic group reported lower levels of QoL at Time 3.Conclusion: Although most ASD patients demonstrate a trend of recovery, ASD in the immediate aftermath of MI remains a marker of long term adjustment difficulties. (C) 2011 Elsevier Inc. All rights reserved.