Impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome: a prospective cohort study
Background: Posttraumatic stress disorder (PTSD) symptoms are known to occur after acute coronary syndrome (ACS). Peritraumatic distress has been indicated as a risk factor for PTSD and can be measured by the Peritraumatic Distress Inventory (PDI). However, no studies have yet measured peritraumatic...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-01-01
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| Series: | European Journal of Psychotraumatology |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20008198.2020.1854511 |
| _version_ | 1797844519738146816 |
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| author | Tomomi Narisawa Daisuke Nishi Ryo Okubo Hiroko Noguchi Kei Hamazaki Akihiro Yamashita Yutaka J. Matsuoka |
| author_facet | Tomomi Narisawa Daisuke Nishi Ryo Okubo Hiroko Noguchi Kei Hamazaki Akihiro Yamashita Yutaka J. Matsuoka |
| author_sort | Tomomi Narisawa |
| collection | DOAJ |
| description | Background: Posttraumatic stress disorder (PTSD) symptoms are known to occur after acute coronary syndrome (ACS). Peritraumatic distress has been indicated as a risk factor for PTSD and can be measured by the Peritraumatic Distress Inventory (PDI). However, no studies have yet measured peritraumatic distress after ACS using the PDI to predict PTSD. Objectives: This prospective cohort study examined the impact of peritraumatic distress on PTSD symptoms at 6 months after ACS. Methods: We used the PDI to assess peritraumatic distress in patients treated for ACS at a teaching hospital in Tokyo within 7 days after percutaneous coronary intervention. They were followed up over the next 6 months and were assessed for PTSD symptoms at 6 months using the Impact of Event Scale-Revised. The association between peritraumatic distress and PTSD symptoms was examined by multiple linear regression analysis. Results: The study enrolled 101 ACS patients, and 97 completed the follow-up assessment. PDI total score was an independent predictor of PTSD symptoms after adjustment for potential covariates (beta = 0.38; p < 0.01). Limitations: The results were obtained from a single teaching hospital and assessment of PTSD symptoms was questionnaire based. Conclusion: We provide the first evidence that PDI score can predict the development of PTSD symptoms in ACS patients. Assessing peritraumatic distress after ACS with the PDI may be useful for initiating early intervention against PTSD symptoms. |
| first_indexed | 2024-04-09T17:24:50Z |
| format | Article |
| id | doaj.art-5324981a30734c4a9e7548580f79aa2e |
| institution | Directory Open Access Journal |
| issn | 2000-8066 |
| language | English |
| last_indexed | 2024-04-09T17:24:50Z |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of Psychotraumatology |
| spelling | doaj.art-5324981a30734c4a9e7548580f79aa2e2023-04-18T14:59:09ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662021-01-0112110.1080/20008198.2020.18545111854511Impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome: a prospective cohort studyTomomi Narisawa0Daisuke Nishi1Ryo Okubo2Hiroko Noguchi3Kei Hamazaki4Akihiro Yamashita5Yutaka J. Matsuoka6Center for Public Health Sciences, National Cancer Center JapanThe University of TokyoCenter for Public Health Sciences, National Cancer Center JapanCenter for Public Health Sciences, National Cancer Center JapanUniversity of ToyamaNational Disaster Medical CenterCenter for Public Health Sciences, National Cancer Center JapanBackground: Posttraumatic stress disorder (PTSD) symptoms are known to occur after acute coronary syndrome (ACS). Peritraumatic distress has been indicated as a risk factor for PTSD and can be measured by the Peritraumatic Distress Inventory (PDI). However, no studies have yet measured peritraumatic distress after ACS using the PDI to predict PTSD. Objectives: This prospective cohort study examined the impact of peritraumatic distress on PTSD symptoms at 6 months after ACS. Methods: We used the PDI to assess peritraumatic distress in patients treated for ACS at a teaching hospital in Tokyo within 7 days after percutaneous coronary intervention. They were followed up over the next 6 months and were assessed for PTSD symptoms at 6 months using the Impact of Event Scale-Revised. The association between peritraumatic distress and PTSD symptoms was examined by multiple linear regression analysis. Results: The study enrolled 101 ACS patients, and 97 completed the follow-up assessment. PDI total score was an independent predictor of PTSD symptoms after adjustment for potential covariates (beta = 0.38; p < 0.01). Limitations: The results were obtained from a single teaching hospital and assessment of PTSD symptoms was questionnaire based. Conclusion: We provide the first evidence that PDI score can predict the development of PTSD symptoms in ACS patients. Assessing peritraumatic distress after ACS with the PDI may be useful for initiating early intervention against PTSD symptoms.http://dx.doi.org/10.1080/20008198.2020.1854511ptsd symptomsposttraumatic stress responseperitraumatic distressperitraumatic distress inventoryacute coronary syndrome |
| spellingShingle | Tomomi Narisawa Daisuke Nishi Ryo Okubo Hiroko Noguchi Kei Hamazaki Akihiro Yamashita Yutaka J. Matsuoka Impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome: a prospective cohort study European Journal of Psychotraumatology ptsd symptoms posttraumatic stress response peritraumatic distress peritraumatic distress inventory acute coronary syndrome |
| title | Impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome: a prospective cohort study |
| title_full | Impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome: a prospective cohort study |
| title_fullStr | Impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome: a prospective cohort study |
| title_full_unstemmed | Impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome: a prospective cohort study |
| title_short | Impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome: a prospective cohort study |
| title_sort | impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome a prospective cohort study |
| topic | ptsd symptoms posttraumatic stress response peritraumatic distress peritraumatic distress inventory acute coronary syndrome |
| url | http://dx.doi.org/10.1080/20008198.2020.1854511 |
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