Posttraumatic Stress Disorder following Myocardial Infarction: Personality, Coping, and Trauma Exposure Characteristics

Chung, Man Cheung; Dennis, Ian; Berger, Zoë; Jones, Rupert; Rudd, Hannah

doi:10.2190/pm.42.4.e

Cited by 20 publications

(16 citation statements)

References 88 publications

(102 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In spite of prior literature suggesting that problem focused coping is more effective than emotion focused coping in terms of reducing negative emotional reactions to stressful events (Elwood et al, 2009;North et al, 2001;Zeidner, 2005), firefighters experiencing impairment after 84 months were more likely RELATIONSHIP BETWEEN PTSD AND COPING AMONG FIREFIGHTERS to use both problem and emotion focused coping strategies more frequently than nondisordered participants. These findings are consistent with some research suggesting that emotion focused coping is associated with poorer mental health outcomes following a stressful event (Chung, Dennis, Berger, Jones, & Rudd, 2011;Scrignaro, Barni, & Magrin, 2011) We expected that more use of problem focused coping will be evident at 84 months than at 42 months, regardless of the chronicity of disorder, based on White (1974), who described patterns of coping commonly seen in patients with severe injuries. White stated that, while emotion focused coping strategies are employed initially to control the emotions, this tends to transform to problem-focused coping with time, as an individual comes to terms with their trauma.…”

Section: Relationship Between Ptsd and Coping Among Firefighterssupporting

confidence: 87%

An Investigation Into the Relationship Between Long-term Posttraumatic Stress Disorder Symptoms and Coping in Australian Volunteer Firefighters

Doley

Bell²,

Watt³

2016

J Nerv Ment Dis

View full text Add to dashboard Cite

This study examined the relationship between coping style and long-term posttraumatic stress symptoms in an Australian sample of volunteer firefighters 84 months following a bushfire disaster. A total of 277 firefighters completed 4 questionnaires to assess patterns of psychiatric morbidity. A 2-way repeated-measures analysis of variance was conducted to investigate the effect of time and disorder on coping. Firefighters evidencing distress were more likely to use both problem- and emotion-focused methods of coping. Based on previous research, it was hypothesized that problem-focused coping strategies would be used after 84 months. The use of both problem- and emotion-focused coping may be due to the length of time following this disaster or unique characteristics of firefighters. These data suggest that present coping theories are not sufficient to account for the onset and pattern of psychiatric morbidity within a firefighter sample. The authors declare no conflicts of interest including financial, consultant, institutional, and other relationships that might lead to bias.

show abstract

Section: Relationship Between Ptsd and Coping Among Firefighterssupporting

confidence: 87%

An Investigation Into the Relationship Between Long-term Posttraumatic Stress Disorder Symptoms and Coping in Australian Volunteer Firefighters

Doley

Bell²,

Watt³

2016

J Nerv Ment Dis

View full text Add to dashboard Cite

show abstract

“…Similarly, myocardial infarction literature has shown that passive and avoidant coping have been associated with PTSD following myocardial infarction [3]. Other psychological determinants of PTSD identified in the literature are a history of psychiatric morbidity any time before the SAH [6], fear of recurrence following SAH, and a negative outlook on life [4].…”

Section: Discussionmentioning

confidence: 99%

“…Although the term is traditionally associated with traumas such as natural disasters and military combat, it is recognized that the experience of medical illness, such as myocardial infarction (MI) [3] and SAH [4,5,6], can also be sufficiently traumatic as to elicit a PTSD reaction. …”

Section: Introductionmentioning

confidence: 99%

Post-Traumatic Stress Disorder in Patients 3 Years after Aneurysmal Subarachnoid Haemorrhage

et al. 2013

View full text Add to dashboard Cite

Background: Subarachnoid haemorrhage (SAH) from a ruptured intracranial aneurysm accounts for approximately 5% of all strokes. Post-traumatic stress disorder (PTSD) is common in the early phase after recovery from aneurysmal SAH. The aim of our study was to examine the prevalence of PTSD 3 years after SAH, its predictors, and relationship with health-related quality of life (HRQoL) in patients living independently in the community. Methods: From a prospectively collected cohort of 143 patients with aneurysmal SAH who visited our outpatient clinic 3 months after SAH, 94 patients (65.7%) completed a mailed questionnaire 3 years after SAH. We assessed PTSD with the Impact of Event Scale and HRQoL with the Stroke-Specific Quality of Life Scale (SS-QoL). The χ² and t tests were used to investigate if patients who returned the questionnaires were different from those who did not reply. Non-parametric tests (χ² and Mann-Whitney tests) were used to test for differences between patients with and without PTSD. Relative risks and 95% confidence intervals were calculated. Results: No relevant differences in demographic (age, sex, education) or SAH characteristics (clinical condition on admission, complication, location of aneurysm, Glasgow Outcome Scale score at 3 months) were seen between participants and drop-outs. In 24 patients (26%), Impact of Event Scale scores indicated PTSD. Passive coping style (relative risk, 5.7; 95% confidence interval, 2.1-15.3), but none of the demographic or SAH-related factors, predicted PTSD. The mean SS-QoL total score was 4.2 (SD 1.1), indicative of a relatively satisfactory HRQoL. PTSD was associated with lower HRQoL (p < 0.001), a mean SS-QoL score of 4.4 (SD 1.0) without PTSD, and a mean SS-QoL score of 3.5 (SD 1.1) with PTSD. Conclusions: Even 3 years after SAH, 1 out of 4 patients had PTSD, which was associated with reduced HRQoL. Passive coping style was the most important predictor. There is a need to organize SAH care with more attention to and treatment of PTSD. Strategies shown to reduce PTSD in other conditions should be tested for effectiveness in SAH patients.

show abstract

“…Neurotic traits tended to magnify the impact of MI. [24] Threat to life, feeling intense fear/helplessness, co-existing severe depression, and history of referral to psychotherapist/psychiatrist have been shown to predict more intense symptoms of PMI-PTSD. Several risk factors have been described for the development of PMI-PTSD.…”

Section: Etiology Of Postmyocardial Infarction-posttraumatic Stress Dmentioning

confidence: 99%

“…[1821252627] The reason younger people tend to have more PMI-PTSD is that MI is less expected in these younger individuals and so they are less prepared for it. [2428] As African Americans tend to have MI at a younger age, they tend to have higher PMI-PTSD. [14] In addition, it has been shown that the female gender is not only associated with development of PMI–PTSD, but also is associated with persistence over time.…”

Section: Etiology Of Postmyocardial Infarction-posttraumatic Stress Dmentioning

confidence: 99%

Posttraumatic stress disorder after myocardial infarction and coronary artery bypass grafting

Singh

Agrawal

Gargya

et al. 2017

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

Post traumatic stress disorder is a psychiatric disease that is usually precipitated by life threatening stressors. Myocardial infarction, especially in the young can count as one such event. The development of post traumatic stress after a coronary event not only adversely effects psychiatric health, but leads to increased cardiovascular morbidity and mortality. There is increasing evidence that like major depression, post traumatic stress disorder is also a strong coronary risk factor. Early diagnosis and treatment of this disease in patients with acute manifestations of coronary artery disease can improve patient outcomes.

show abstract

Posttraumatic Stress Disorder following Myocardial Infarction: Personality, Coping, and Trauma Exposure Characteristics

Abstract: Patients developed PTSD and general psychological distress following MI. Neurotic and antagonistic personality traits combined with patients' subjective experiences of MI and usage of problem-focused coping influenced the severity of outcomes.

Cited by 20 publications

References 88 publications

An Investigation Into the Relationship Between Long-term Posttraumatic Stress Disorder Symptoms and Coping in Australian Volunteer Firefighters

An Investigation Into the Relationship Between Long-term Posttraumatic Stress Disorder Symptoms and Coping in Australian Volunteer Firefighters

Post-Traumatic Stress Disorder in Patients 3 Years after Aneurysmal Subarachnoid Haemorrhage

Posttraumatic stress disorder after myocardial infarction and coronary artery bypass grafting

Contact Info

Product

Resources

About