Acute Stress Disorder Symptoms Predict All-Cause Mortality Among Myocardial Infarction Patients: a 15-Year Longitudinal Study
| Autor: | Avi Bleich, Arie Roth, Bella Koifman, Ilan Kutz, Daniel David, Karni Ginzburg, Michael Kriwisky |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Longitudinal study medicine.medical_specialty medicine.drug_class Myocardial Infarction Dissociative Hospital records 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Risk Factors Internal medicine medicine Humans Myocardial infarction Longitudinal Studies Psychiatry General Psychology Stress Disorders Traumatic Acute Ejection fraction business.industry Middle Aged medicine.disease Prognosis Acute Stress Disorder 030227 psychiatry Psychiatry and Mental health Predictive value of tests Female Symptom Assessment business 030217 neurology & neurosurgery All cause mortality Follow-Up Studies |
| Zdroj: | Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 50(2) |
| ISSN: | 1532-4796 |
| Popis: | Studies have recognized myocardial infarction (MI) as a risk for acute stress disorder (ASD), manifested in dissociative, intrusive, avoidant, and hyperarousal symptoms during hospitalization. This study examined the prognostic role of ASD symptoms in predicting all-cause mortality in MI patients over a period of 15 years. One hundred and ninety-three MI patients filled out questionnaires assessing ASD symptoms during hospitalization. Risk factors and cardiac prognostic measures were collected from patients’ hospital records. All-cause mortality was longitudinally assessed, with an endpoint of 15 years after the MI. Of the participants, 21.8 % died during the follow-up period. The decedents had reported higher levels of ASD symptoms during hospitalization than had the survivors, but this effect became nonsignificant when adjusting for age, sex, education, left ventricular ejection fraction, and depression. A series of analyses conducted on each of the ASD symptom clusters separately indicated that—after adjusting for age, sex, education, left ventricular ejection fraction, and depression—dissociative symptoms significantly predicted all-cause mortality, indicating that the higher the level of in-hospital dissociative symptoms, the shorter the MI patients’ survival time. These findings suggest that in-hospital dissociative symptoms should be considered in the risk stratification of MI patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink