Posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patients
Posttraumatic stress disorder (PTSD) is related to acute coronary syndrome (ACS; i.e., myocardial infarction or unstable angina) recurrence and poor post-ACS adherence to medical advice. Since risk perceptions are a primary motivator of adherence behaviors, we assessed the relationship of probable P...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2012-05-01
|
| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2012.00144/full |
| _version_ | 1819294148976443392 |
|---|---|
| author | Donald eEdmondson Jonathan A Shaffer Ellen-ge eDenton Daichi eShimbo Lynn eClemow |
| author_facet | Donald eEdmondson Jonathan A Shaffer Ellen-ge eDenton Daichi eShimbo Lynn eClemow |
| author_sort | Donald eEdmondson |
| collection | DOAJ |
| description | Posttraumatic stress disorder (PTSD) is related to acute coronary syndrome (ACS; i.e., myocardial infarction or unstable angina) recurrence and poor post-ACS adherence to medical advice. Since risk perceptions are a primary motivator of adherence behaviors, we assessed the relationship of probable PTSD to ACS risk perceptions in hospitalized ACS patients (n= 420). Participants completed a brief PTSD screen 3-7 days post-ACS, and rated their 1-year ACS recurrence risk relative to other men or women their age. Most participants exhibited optimistic bias (mean recurrence risk estimate between average and below average). Further, participants who screened positive for current PTSD (n=15) showed significantly greater optimistic bias than those who screened negative (p< .05), after adjustment for demographics, ACS severity, medical comorbidities, depression, and self-confidence in their ability to control their heart disease. Clinicians should be aware that psychosocial factors, and PTSD in particular, may be associated with poor adherence to medical advice due to exaggerated optimistic bias in recurrence risk perceptions. |
| first_indexed | 2024-12-24T04:21:43Z |
| format | Article |
| id | doaj.art-2052847fa2ef480f8d953730aede74f3 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-24T04:21:43Z |
| publishDate | 2012-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-2052847fa2ef480f8d953730aede74f32022-12-21T17:15:46ZengFrontiers Media S.A.Frontiers in Psychology1664-10782012-05-01310.3389/fpsyg.2012.0014426934Posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patientsDonald eEdmondson0Jonathan A Shaffer1Ellen-ge eDenton2Daichi eShimbo3Lynn eClemow4Columbia University Medical CenterColumbia University Medical CenterColumbia University Medical CenterColumbia University Medical CenterColumbia University Medical CenterPosttraumatic stress disorder (PTSD) is related to acute coronary syndrome (ACS; i.e., myocardial infarction or unstable angina) recurrence and poor post-ACS adherence to medical advice. Since risk perceptions are a primary motivator of adherence behaviors, we assessed the relationship of probable PTSD to ACS risk perceptions in hospitalized ACS patients (n= 420). Participants completed a brief PTSD screen 3-7 days post-ACS, and rated their 1-year ACS recurrence risk relative to other men or women their age. Most participants exhibited optimistic bias (mean recurrence risk estimate between average and below average). Further, participants who screened positive for current PTSD (n=15) showed significantly greater optimistic bias than those who screened negative (p< .05), after adjustment for demographics, ACS severity, medical comorbidities, depression, and self-confidence in their ability to control their heart disease. Clinicians should be aware that psychosocial factors, and PTSD in particular, may be associated with poor adherence to medical advice due to exaggerated optimistic bias in recurrence risk perceptions.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2012.00144/fullAcute Coronary SyndromeMyocardial InfarctionSecondary Preventioncardiovascular diseasePTSDrisk perceptions |
| spellingShingle | Donald eEdmondson Jonathan A Shaffer Ellen-ge eDenton Daichi eShimbo Lynn eClemow Posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patients Frontiers in Psychology Acute Coronary Syndrome Myocardial Infarction Secondary Prevention cardiovascular disease PTSD risk perceptions |
| title | Posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patients |
| title_full | Posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patients |
| title_fullStr | Posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patients |
| title_full_unstemmed | Posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patients |
| title_short | Posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patients |
| title_sort | posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patients |
| topic | Acute Coronary Syndrome Myocardial Infarction Secondary Prevention cardiovascular disease PTSD risk perceptions |
| url | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2012.00144/full |
| work_keys_str_mv | AT donaldeedmondson posttraumaticstressandmyocardialinfarctionriskperceptionsinhospitalizedacutecoronarysyndromepatients AT jonathanashaffer posttraumaticstressandmyocardialinfarctionriskperceptionsinhospitalizedacutecoronarysyndromepatients AT ellengeedenton posttraumaticstressandmyocardialinfarctionriskperceptionsinhospitalizedacutecoronarysyndromepatients AT daichieshimbo posttraumaticstressandmyocardialinfarctionriskperceptionsinhospitalizedacutecoronarysyndromepatients AT lynneclemow posttraumaticstressandmyocardialinfarctionriskperceptionsinhospitalizedacutecoronarysyndromepatients |