Patterns of peritraumatic threat perceptions in patients evaluated for suspected acute coronary syndrome according to prior and current posttraumatic stress symptoms.
Patterns of peritraumatic threat perceptions in patients evaluated for suspected acute coronary syndrome according to prior and current posttraumatic stress symptoms.
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DOI：
10.1016/j.genhosppsych.2018.03.003
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发表时间：
2018-07
影响因子：
7
通讯作者：
Sumner JA
中科院分区：
文献类型：
--
作者：
Zhu DR;Julian J;Lee SJA;Thanataveerat A;Sumner JA
先前的创伤后应激障碍（PTSD）和升高的威胁感知可预测急性冠脉综合征（ACS）评估后的创伤后精神病理学，但大多数研究都是回顾性测量威胁。我们调查了在急诊科（艾德）进行ACS评估期间和回忆时的威胁感知如何与先前创伤和疑似ACS引起的创伤后精神病理学负担相关。在艾德中评估感知威胁，并在住院患者转移/出院时评估艾德威胁回忆，沿着由于疑似ACS引起的急性应激障碍（ASD）症状和由于既往创伤引起的PTSD症状。样本包括894名参与者（平均年龄=60.7±13.1岁; 46.8%为女性; 56.3%为西班牙裔; 20.5%为黑人）。单因素方差分析研究了那些一致的创伤后精神病理学（既往PTSD/ASD;14.8%），既往创伤后精神病理学（既往PTSD/无ASD;6.8%），新发创伤后精神病理学（无PTSD/ASD;15.7%）或无创伤后精神病理学（无PTSD/无ASD;62.8%）在威胁感知，威胁回忆及其差异方面的差异。威胁感知评分范围为6至24。具有一致创伤后精神病理学的参与者的威胁感知（M=14.01）高于先前创伤后精神病理学（M=12.02）和新发创伤后精神病理学（M=12.21）（ps≤.001）;后两者没有显著差异，但比没有创伤后精神病理学的参与者（M=9.84）具有更高的威胁感知（p<.001）。在威胁回忆中也观察到类似的结果（p<.001）。与无创伤后精神病理学组相比，新发创伤后精神病理学组的感知威胁增加幅度更大（p= 0.06）。调整潜在混杂因素后，结果相似。在ACS评估和住院期间评估威胁感知可能有助于识别ACS后情绪困难的风险。
Prior posttraumatic stress disorder (PTSD) and elevated threat perceptions predict posttraumatic psychopathology after evaluation for acute coronary syndrome (ACS), but most research has measured threat retrospectively. We investigated how threat perceptions during ACS evaluation in the emergency department (ED) and upon recall were associated with posttraumatic psychopathology burden due to prior trauma and the suspected ACS. Perceived threat was assessed in the ED, and ED threat recall was assessed upon inpatient transfer/discharge, along with acute stress disorder (ASD) symptoms due to suspected ACS and PTSD symptoms due to prior trauma. The sample comprised 894 participants (mean age=60.7±13.1 years; 46.8% female; 56.3% Hispanic; 20.5% Black). One-way ANOVAs examined how those with consistent posttraumatic psychopathology (prior PTSD/ASD;14.8%), prior posttraumatic psychopathology (prior PTSD/no ASD;6.8%), new-onset posttraumatic psychopathology (no PTSD/ASD;15.7%), or no posttraumatic psychopathology (no PTSD/no ASD;62.8%) differed in threat perception, threat recall, and their discrepancy. Threat perception scores ranged from 6 to 24. Participants with consistent posttraumatic psychopathology had higher threat perceptions (M=14.01) than those with prior posttraumatic psychopathology (M=12.02) and new-onset posttraumatic psychopathology (M=12.21) (ps≤.001); the latter two did not differ significantly but had higher threat perceptions than those with no posttraumatic psychopathology (M=9.84) (p<.001). Similar results were observed for threat recall (p<.001). The new-onset posttraumatic psychopathology group also had a greater increase in perceived threat versus the no posttraumatic psychopathology group (p=.06). Results were similar adjusting for potential confounders. Assessing threat perceptions during ACS evaluation and hospitalization may help identify those at risk for emotional difficulties post-ACS.
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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
影响因子：
7
作者：
Ginzburg, Karni;Ein-Dor, Tsachi
通讯作者：
Ein-Dor, Tsachi
DOI：
10.1097/00005373-200108000-00010
发表时间：
2001-08-01
影响因子：
--
作者：
Holbrook, TL;Hoyt, DB;Sieber, WJ
通讯作者：
Sieber, WJ
影响因子：
7.3
作者：
Chung, Man Cheung;Berger, Zoee;Rudd, Hannah
通讯作者：
Rudd, Hannah
影响因子：
7.9
作者：
Ayers, Susan;Copland, Claire;Dunmore, Emma
通讯作者：
Dunmore, Emma