Predicting post-traumatic stress and health anxiety following a venous thrombotic embolism

Bennett, Paul; Patterson, Kelli N.; Noble, Simon

doi:10.1177/1359105314540965

Cited by 41 publications

(52 citation statements)

References 21 publications

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“…This study examined the experience of people in the months immediately following a VTE, and the impact it had on them and their life. Its findings support those of earlier studies in less representative samples (Bennett et al ., ; Noble et al ., ), which found high levels of trauma, health anxiety, and PTSD symptoms within this patient population. Key themes identified suggested the experience of VTE, its treatment, and uncertain future each contributed to a life‐changing experience, risk for high levels of distress, and the paradoxical experience of post‐traumatic growth and more positive life benefits.…”

Section: Discussionmentioning

confidence: 98%

“…Lack of information from health care professionals also reinforced uncertainties further and led to the increased use of primary health care resources, often as a means of both information provision and reassurance. These features of post‐VTE anxiety may contribute to the high levels of psychological distress reported here and in early studies (Bennett et al ., ;).…”

Section: Discussionmentioning

confidence: 99%

“…However, this finding was not unique and has also been reported by Bennett et al . (), albeit in a more biased sample of people accessing a VTE Internet support website (Thrombosis UK).…”

Section: Discussionmentioning

confidence: 99%

“…Despite this, those studies that have been conducted have focussed largely on health‐related quality of life (e.g., Kahn et al ., ; Van Es et al ., ; Ziegler, Schillinger, Maca, & Minar, ) or understandings of the disorder and symptom control (Moore, Norman, Harris, & Makris, ). Few studies have explored the nature, causes, and associated coping strategies of any emotional difficulties individuals may experience, and these have been in unrepresentative samples of individuals who experienced a VTE between 2 and 7 years previously (Bennett, Patterson, & Noble, ; Noble, Lewis, Whithers, Lewis, & Bennett, ).…”

Section: Introductionmentioning

confidence: 99%

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“Post‐thrombotic panic syndrome”: A thematic analysis of the experience of venous thromboembolism

Hunter

Lewis

Noble

et al. 2016

British J Health Psychol

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116

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The data demonstrate the psychosocial impact of VTE as life-changing, encompassing a dynamic duality of trauma and growth. The findings highlight a potential role for health care professionals in identifying and supporting individuals at risk of post-traumatic stress, and targeted interventions to enhance psychological well-being and recovery and reduce distress. Statement of contribution What is already known on this subject? Venous thromboembolism (VTE) is often characterized by sudden onset and may carry a significant threat to life, particularly in the form of pulmonary embolism. Early studies suggest that health-related quality of life is negatively affected by VTE and there is likely to be a high prevalence of trauma. What does this study add? This study explores for the first time the experience of, and reactions to, VTE in the 6 months following its occurrence. It explores the role that psychological well-being can play in recovery after VTE. This study highlights that improvements are needed to support VTE patients to cope with the emotional impact of VTE. A dual process of trauma and post-traumatic growth after VTE is reported for the first time.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

“…However, this finding was not unique and has also been reported by Bennett et al . (), albeit in a more biased sample of people accessing a VTE Internet support website (Thrombosis UK).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

“Post‐thrombotic panic syndrome”: A thematic analysis of the experience of venous thromboembolism

Hunter

Lewis

Noble

et al. 2016

British J Health Psychol

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116

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“…3 This relatively low frequency of CTEPH may be the reason for the limited number of studies focusing on HRQoL and the psychological well-being of patients with PE. [4][5][6][7][8][9] It has been suggested that CTEPH itself is the extreme manifestation of a much more common phenomenon of permanent changes in pulmonary haemodynamics, cardiac function and pulmonary gas exchange after acute PE, which is associated with dyspnoea and decreased exercise capacity. Additionally, several studies have shown that up to 50% of the patients with a history of PE report persistent dyspnoea a long time after PE.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life after pulmonary embolism: a cross-sectional study

et al. 2016

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ObjectivesThe psychological effects of acute pulmonary embolism (PE) have scarcely been studied. The aims of this study were to evaluate health-related quality of life (HRQoL) in patients with a history of PE compared with that of the general population and buddy controls, and to explore factors that may predict impaired HRQoL.DesignCross-sectional.SettingHaematology and thrombosis unit in Fredrikstad, Norway.Participants213 consecutive patients treated for PE were identified from hospital registries. Eligible patients were scheduled for a single study visit, including a functional capacity test (6 min walking test). HRQoL was assessed using the EuroQol 5D dimensions 3-level (EQ-5D-3L) questionnaire, of which the results were compared with Danish population norms and age-matched and sex-matched buddy controls. The buddy controls were recruited by asking every patient to hand over the EQ-5D questionnaire to 2 age-matched and sex-matched friends or relatives. Multivariable regression analyses were used to examine possible determinants of reduced HRQoL.ResultsMean age was 61 years (SD 15), 117 (55%) were males, and median time since diagnosis was 3.8 years (range 0.3–9.5). Mean EuroQol visual analogue scale (EQ VAS) was 67 in PE as compared with 81 in the general population (p<0.005) and corresponding EQ-5D index values were 0.80 and 0.86 (p<0.005). Patients reported more problems in all 5 EQ-5D compared with both the buddy controls and the general population, p<0.05. Shorter 6 min walking distance (β=0.09, p<0.005) and patient-reported dyspnoea (β=11.27, p<0.005) were independent predictors of lower EQ VAS scores.ConclusionsOur findings show that patients with a history of PE have impaired HRQoL when compared with the general population and buddy controls. Reduced functional capacity and persistent dyspnoea were the main predictors of this impairment.

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Patient Experience of Living With Cancer‐Associated Thrombosis in Canada (PELICANADA)

Noble

Nelson

Scott

et al. 2020

Research and Practice in Thrombosis and Haemostasis

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This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. AbstractIntroduction: Previous research from the United Kingdom and Spain has identified several areas of unmet clinical and support need for cancer patients diagnosed with venous thromboembolism. It is not known whether such experiences are restricted to those countries health care systems and culture. We therefore evaluated patients' experience of cancer-associated thrombosis (CAT) within a Canadian setting. Methods:Purposive sampling of patients with CAT attending a regional thrombosis clinic in Vancouver was undertaken. Semistructured interviews were audio recorded, transcribed, and coded using NVivo software. A deductive approach was taken by applying the framework matrix from the original study to these data on a case-bycase basis. Results: Twenty patients (10 male, 10 female) aged 39 to 74 (mean, 63) representing a breadth of different cancers participated. Commonalities between the UK and Canadian patients included the traumatic nature of experiencing CAT, the need for information, and adaptive behaviors through ritualization. Two new themes were identified: (1) Patients with incidental pulmonary emboli (iPE) were usually telephoned about their thrombus with little support and suboptimal communication; and (2) cost implications of accessing low-molecular-weight heparin varied according to insurance cover. Patients were sometimes converted to warfarin for financial reasons. Conclusion: The distress associated with CAT is a common experience across different populations but may be ameliorated by early access to specialist services, information, and support. The current process for managing iPE could be improved with better communication and a dedicated clinical pathway. Funding issues may influence choice of anticoagulant. K E Y W O R D S cancer-associated thrombosis, cultural, patient experience, qualitative, venous thromboembolism | 155 NOBLE Et aL.

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Predicting post-traumatic stress and health anxiety following a venous thrombotic embolism

Cited by 41 publications

References 21 publications

“Post‐thrombotic panic syndrome”: A thematic analysis of the experience of venous thromboembolism

“Post‐thrombotic panic syndrome”: A thematic analysis of the experience of venous thromboembolism

Health-related quality of life after pulmonary embolism: a cross-sectional study

Patient Experience of Living With Cancer‐Associated Thrombosis in Canada (PELICANADA)

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