A preliminary study of negative appraisals and dysfunctional coping associated with post-traumatic stress disorder symptoms following myocardial infarction
A preliminary study of negative appraisals and dysfunctional coping associated with post-traumatic stress disorder symptoms following myocardial infarction
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DOI：
10.1348/135910708x349343
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发表时间：
2009-09-01
影响因子：
7.9
通讯作者：
Dunmore, Emma
中科院分区：
文献类型：
--
作者：
Ayers, Susan;Copland, Claire;Dunmore, Emma
目标.研究心肌梗死（MI）后创伤后应激障碍（PTSD）症状与MI的主观经历、对后果的负面感知、对症状的负面评价以及使用功能失调性应对策略之间的关系，如Ehlers和Clark（2000）PTSD模型所述。对过去12周内经历过MI的人进行的横断面问卷研究（N = 74;回复率51%）。方法。参与者完成了评估PTSD症状、MI的主观体验、后果感知、症状评估和功能失调应对策略的问卷。在参与者中，16%符合DSM-IV的PTSD标准，另有18%报告中度至重度PTSD症状。有PTSD症状的人也有更多的躯体症状，焦虑，抑郁和社会功能障碍。PTSD症状与MI的严重程度和危险性、心理问题史、既往创伤、对症状的负面评价、严重后果和功能失调的应对策略相关。将这些变量与MI和既往史变量（第1步）以及评估和应对变量（第2步）进行回归分析。这表明在控制了MI和既往史变量后，感知后果和功能失调应对与PTSD症状密切相关。这项初步研究的结果表明，后果的感知和功能失调的应对可能是重要的创伤后应激障碍症状后MI。
Objectives. To investigate associations between post-traumatic stress disorder (PTSD) symptoms following myocardial infarction (MI) and subjective experience of MI, negative perception of consequences, negative appraisals of symptoms, and use of dysfunctional coping strategies, as described by Ehlers and Clark's (2000) model of PTSD.Design. Cross-sectional questionnaire study of people who experienced a MI within the previous 12 weeks (N = 74; 51% response rate).Methods. Participants completed questionnaires assessing PTSD symptoms, subjective experience of MI, perception of consequences, appraisal of symptoms, and dysfunctional coping strategies.Results. Of the participants, 16% met DSM-IV criteria for PTSD and a further 18% reported moderate to severe PTSD symptoms. People with PTSD symptoms also had more somatic symptoms, anxiety, depression, and social dysfunction. PTSD symptoms were associated with perceived severity and danger of MI, a history of psychological problems, previous trauma, negative appraisal of symptoms, perceived severe consequences, and dysfunctional coping strategies. These variables were entered into a regression with MI and past history variables on Step 1, and appraisal and coping variables on Step 2. This showed that perceived consequences and dysfunctional coping were strongly associated with PTSD symptoms after controlling for MI and past history variables.Conclusion. The results of this preliminary study suggest perception of consequences and dysfunctional coping may be important in PTSD symptoms following MI.