Relationship of quality of life and perceived control with posttraumatic stress disorder symptoms 3 to 6 months after myocardial infarction.
Relationship of quality of life and perceived control with posttraumatic stress disorder symptoms 3 to 6 months after myocardial infarction.
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DOI：
10.1097/00008483-200505000-00008
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发表时间：
2005-05-01
期刊：
影响因子：
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通讯作者：
Piniarski, Lori
中科院分区：
文献类型：
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作者：
Doerfler, Leonard A;Paraskos, John A;Piniarski, Lori
目得：本研究旨在探讨心理因素是否与心肌梗死后3 ~ 6个月的创伤后应激障碍（PTSD）症状有关。一个结构化的采访是用来获得有关PTSD症状，生活质量，和感知控制，危险和可预测性的评级，以及有关的信息，在住院期间发生的压力事件，信息。PTSD评分升高与生活质量较差相关（r = -0.32至-0.79）。较低的控制感与较高的PTSD症状评分相关（r = -0.30至-0.52）。最后，PTSD评分与患者再次入院的次数显著相关（r = 0.35-0.57）。结论：大约8%的患者在MI后3至6个月经历了PTSD。PTSD症状水平的增加与生活质量的下降有关。在心肌梗死和多次住院期间缺乏控制可能与PTSD症状的严重程度有关。
PURPOSE: This study examined whether psychological variables were associated with posttraumatic stress disorder (PTSD) symptoms 3 to 6 months after myocardial infarction.METHODS: The sample included 52 patients with myocardial infarction. A structured interview was used to obtain information about PTSD symptoms, quality of life, and ratings of perceived control, danger, and predictability, as well as information about stressful events that occurred during hospitalization.RESULTS: Four patients (7.7%) met criteria for the diagnosis of PTSD. Elevated PTSD scores were associated with poorer quality of life (r = -0.32 to -0.79). Lower perceived control was associated with higher PTSD symptom scores (r = -0.30 to -0.52). Finally, PTSD scores were significantly correlated with the number of times patients were readmitted to the hospital (r = 0.35-0.57).CONCLUSIONS: Approximately 8% of patients experienced PTSD 3 to 6 months following MI. Increasing levels of PTSD symptoms were correlated with poorer quality of life. Perceived lack of control during the MI and multiple hospitalizations may be related to the severity of PTSD symptoms.