The Impact of Anxiety, Stress and Pain in the Early Phase of Myocardial Infarction on the Development of Anxiety Symptoms and Posttraumatic Stress Disorder in the Long Term Outcome

The objective of the study was to assess the impact of DM2 at baseline on long-term mortality after acute myocardial infarction (MI) among different age groups. The data were taken from: “Register of Acute Myocardial Infarction.” A total of 862 patients were followed for five years after acute myocardial infarction. The primary endpoint was death from any cause. The patients were categorized into 2 groups based on their ages: group 1—comprised patients older than working age (n=358) and group 2—comprised employable patients (n=504). A total of 208 patients were diagnosed with both cardiovascular disease and DM2. Elderly patients with DM2 had worse prognosis and increased five-year mortality compared with patients of the same age group without DM2. Statistically significant differences in long-term outcomes were found in adult patients (p=0.004) only in group with longer duration of diabetes, unlike the group with DM2 onset. In conclusion, Type 2 DM increased 5-year mortality rate of elderly patients with myocardial infarction. However, younger patients with both myocardial infarction and DM2 had more complications in the early post-MI period compared with patients of the same age group without DM2 but did not show any statistically significant differences in the long-term outcome.

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The impact of smoking on long-term outcome of patients with premature (≤35years) ST-segment elevation acute myocardial infarction

American Heart Journal ◽

10.1016/j.ahj.2014.12.003 ◽

2015 ◽

Vol 169 (3) ◽

pp. 356-362 ◽

Cited By ~ 15

Author(s):

Loukianos S. Rallidis ◽

Eleftherios A. Sakadakis ◽

Konstantinos Tympas ◽

Christos Varounis ◽

Maria Zolindaki ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Term Outcome ◽

Long Term Outcome ◽

St Segment Elevation ◽

St Segment ◽

The Impact ◽

Elevation Acute Myocardial Infarction

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The Prevalence and Course of Posttraumatic Stress Disorder Symptoms in Partners of Burn Survivors

10.21203/rs.3.rs-89776/v1 ◽

2020 ◽

Author(s):

Elise Boersma-van Dam ◽

Rens van de Schoot ◽

Rinie Geenen ◽

Iris M. Engelhard ◽

Nancy E. Van Loey

Keyword(s):

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Stress Disorder ◽

Ptsd Symptoms ◽

Burn Survivors ◽

Initial Perception ◽

Life Threat ◽

The Impact ◽

Over Time

Abstract BackgroundPartners of burn survivors may develop posttraumatic stress disorder (PTSD) symptoms in the aftermath of the burn event. This longitudinal study examined the prevalence, course and potential predictors of partners’ PTSD symptoms up to 18 months postburn.MethodsParticipants were 111 partners of adult burn survivors. In a multicenter study, PTSD symptoms were assessed with the Impact of Event Scale-Revised (IES-R) during hospitalization of the burn survivor, and subsequently at 3, 6, 12 and 18 months postburn. Partners’ appraisal of threat to the burn survivor’s life, anger, guilt and level of rumination were assessed in the hospital as potential predictors of (long-term) PTSD symptoms in an exploratory piecewise latent growth model.ResultsAt the time of hospitalisation, 30% of the partners reported acute PTSD symptoms in the clinical range, which decreased to 4% at 18 months postburn. Higher acute PTSD symptoms were related to the presence of perceived life threat and higher levels of anger, guilt, and rumination. Over time, mean levels of PTSD symptoms decreased, especially in partners with high levels of acute PTSD symptoms, perceived life threat and rumination. From 3 months onward, PTSD symptoms decreased less in partners of more severely burned survivors. At 18 months postburn, higher levels of PTSD symptoms were related to more severe burn injuries and initial perception of life threat.ConclusionsOne in three partners of burn survivors reported clinical levels of acute PTSD symptoms shortly after the hospital admission, of which the majority recovered over time. This study showed that perceived life threat, feelings of anger and guilt, and rumination may indicate the presence of acute PTSD symptoms, whereas more severe burns and initial perception of life threat predict long-term PTSD symptom levels. The results highlight the need to offer psychological help to partners to alleviate acute elevated stress levels, which in turn may enhance the quality of support partners can provide to the burn survivor.

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Childbirth and Posttraumatic Stress Responses

European Journal of Psychological Assessment ◽

10.1027/1015-5759.22.4.259 ◽

2006 ◽

Vol 22 (4) ◽

pp. 259-267 ◽

Cited By ~ 40

Author(s):

Eelco Olde ◽

Rolf J. Kleber ◽

Onno van der Hart ◽

Victor J.M. Pop

Keyword(s):

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Stress Responses ◽

Rating Scales ◽

Rating Scale ◽

Stress Disorder ◽

Traumatic Experience ◽

Event Scale ◽

Self Rating ◽

The Impact

Childbirth has been identified as a possible traumatic experience, leading to traumatic stress responses and even to the development of posttraumatic stress disorder (PTSD). The current study investigated the psychometric properties of the Dutch version of the Impact of Event Scale-Revised (IES-R) in a group of women who recently gave birth (N = 435). In addition, a comparison was made between the original IES and the IES-R. The scale showed high internal consistency (α = 0.88). Using confirmatory factor analysis no support was found for a three-factor structure of an intrusion, an avoidance, and a hyperarousal factor. Goodness of fit was only reasonable, even after fitting one intrusion item on the hyperarousal scale. The IES-R correlated significantly with scores on depression and anxiety self-rating scales, as well as with scores on a self-rating scale of posttraumatic stress disorder. Although the IES-R can be used for studying posttraumatic stress reactions in women who recently gave birth, the original IES proved to be a better instrument compared to the IES-R. It is concluded that adding the hyperarousal scale to the IES-R did not make the scale stronger.

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