Comorbidity and personality traits in patients with different levels of posttraumatic stress disorder following myocardial infarction
Comorbidity and personality traits in patients with different levels of posttraumatic stress disorder following myocardial infarction
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DOI：
10.1016/j.psychres.2007.02.008
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发表时间：
2007-08-30
影响因子：
11.3
通讯作者：
Rudd, Hannah
中科院分区：
文献类型：
--
作者：
Chung, Man Cheung;Berger, Zoee;Rudd, Hannah
需要更多的研究来进一步了解心肌梗死（MI）后的创伤后应激反应和合并症，并帮助我们更清楚地识别出一个人更容易发展为MI后创伤后应激障碍（PTSD）的人格特质。本研究的目的是：1）调查心肌梗死后不同程度创伤后应激障碍（即MI后PTSD）患者的共病情况; 2）调查不同程度MI后PTSD患者的人格特质差异程度。本研究招募了来自两个全科诊所的120名MI患者。他们被要求完成创伤后应激诊断量表（PDS），一般健康问卷-28（GHQ-28）和NEO五因素量表（NEO-FFI）。根据PDS量表评分将患者分为非PTSD组、部分PTSD组和完全PTSD组。为了比较的目的，还招募了116名普通公众。他们被要求完成GHQ-28。结果显示，完全PTSD患者的躯体问题、焦虑、社会功能障碍和抑郁症状显著高于其他两组患者和对照组。当年龄、搭桥手术、心肌梗塞和血管成形术前的心理健康问题得到控制时，完全创伤后应激障碍患者报告的四个GHQ子量表的症状严重程度也高于其他两个患者组。完全PTSD患者比非PTSD和部分PTSD患者更神经质。完全PTSD患者比非PTSD患者更不容易相处。回归分析表明，人格没有调节PTSD和合并症之间的关系。总而言之，MI后，那些完全PTSD的人比那些没有完全发展PTSD的人更倾向于报告严重的合并症。前者也可以通过其特定的人格特征与后者区分开来。(c)2007爱思唯尔爱尔兰有限公司保留所有权利。
More research is needed to further our understanding of posttraurnatic stress responses and comorbidity following myocardial infarction (MI), and to help us identify more clearly the personality traits which indicate that a person is more prone to developing post-MI posttraumatic stress disorder (PTSD). This study aimed to 1) investigate the comorbidity of patients who suffered from different levels of posttraumatic stress disorder following myocardial infarction (i.e. post-MI PTSD), and 2) investigate to what extent patients with different levels of post-MI PTSD differed in their personality traits. One hundred and twenty MI patients from two general practices were recruited for the study. They were asked to complete the Posttraumatic Stress Diagnostic Scale (PDS), the General Health Questionnaire-28 (GHQ-28) and the NEO-Five Factor Inventory (NEO-FFI). They were divided into a no-PTSD group, a partial-PTSD group and a full-PTSD group, according to the scores of the PDS. One hundred and sixteen members of the general public were also recruited for comparison purposes. They were asked to complete the GHQ-28. The results showed that patients with full-PTSD reported significantly more somatic problems, anxiety, social dysfunction and depression than the other two patient groups and the control group. When age, bypass surgery, mental health problems before MI and angioplasty were controlled for, patients with full-PTSD also reported greater symptom severity of the four GHQ subscales than the other two patient groups. Patients with full-PTSD were significantly more neurotic than those with no-PTSD and partial-PTSD. Patients with full-PTSD were less agreeable than patients with no-PTSD. Regression analyses showed that personality did not moderate the relationship between PTSD and comorbidity. To conclude, following MI, those with full-PTSD tend to report more severe comorbidity than those who have not developed PTSD fully. The former can also be distinguished from the latter by virtue of their specific personality traits. (c) 2007 Elsevier Ireland Ltd. All rights reserved.