Effect of Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome at Long-Term Follow-Up
ObjectivePsychological consequences of myocardial infarction (MI) are substantial, as 4% of all MI patients develop posttraumatic stress disorder (PTSD) and 12% clinically relevant posttraumatic stress symptoms (PTSS). The study investigated the course and development within 12 months of MI-induced...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.846397/full |
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| author | Mary Princip Aju P. Pazhenkottil Aju P. Pazhenkottil Aju P. Pazhenkottil Jürgen Barth Ulrich Schnyder Hansjörg Znoj Jean-Paul Schmid Rebecca E. Langraf-Meister Rebecca E. Langraf-Meister Roland von Känel Katharina Ledermann Katharina Ledermann |
| author_facet | Mary Princip Aju P. Pazhenkottil Aju P. Pazhenkottil Aju P. Pazhenkottil Jürgen Barth Ulrich Schnyder Hansjörg Znoj Jean-Paul Schmid Rebecca E. Langraf-Meister Rebecca E. Langraf-Meister Roland von Känel Katharina Ledermann Katharina Ledermann |
| author_sort | Mary Princip |
| collection | DOAJ |
| description | ObjectivePsychological consequences of myocardial infarction (MI) are substantial, as 4% of all MI patients develop posttraumatic stress disorder (PTSD) and 12% clinically relevant posttraumatic stress symptoms (PTSS). The study investigated the course and development within 12 months of MI-induced PTSS to gain novel insights in potentially delayed response to early trauma-focused counseling aimed at preventing the incidence of MI-induced PTSS.MethodsIn the MI-SPRINT two-group randomized controlled trial, 190 MI-patients were randomly allocated to receive a single-session intervention of either trauma-focused counseling or an active control intervention targeting the general role of stress in patients with heart disease. Blind interviewer-rated PTSS (primary outcome) and additional health outcomes were assessed at 12-month follow-up.Results12-month follow-up of outcomes were available for 106 (55.8%) of 190 participants: In the entire sample, one patient (0·5%, 1/190) who received trauma-focused counseling developed full PTSD. There was no significant difference between trauma-focused counseling and stress counseling regarding total score of interviewer-rated PTSS (p > 0.05). The only group difference emerged in terms of more severe hyperarousal symptoms in the trauma-focused counseling group in the ITT analysis, but not in the completer analysis.ConclusionsNo benefits were found for trauma-focused counseling after 12 months when compared with an active control intervention. PTSD prevalence in the present study was low highlighting a potential beneficial effect of both interventions. Further studies are needed to determine the most accurate approach of counseling. |
| first_indexed | 2024-12-12T05:04:18Z |
| format | Article |
| id | doaj.art-6af8f83d2ad54f469f8985009bf94e01 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-12T05:04:18Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-6af8f83d2ad54f469f8985009bf94e012022-12-22T00:37:08ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-05-011310.3389/fpsyt.2022.846397846397Effect of Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome at Long-Term Follow-UpMary Princip0Aju P. Pazhenkottil1Aju P. Pazhenkottil2Aju P. Pazhenkottil3Jürgen Barth4Ulrich Schnyder5Hansjörg Znoj6Jean-Paul Schmid7Rebecca E. Langraf-Meister8Rebecca E. Langraf-Meister9Roland von Känel10Katharina Ledermann11Katharina Ledermann12Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandDepartment of Cardiology, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandCardiac Imaging, Department of Nuclear Medicine, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandInstitute for Complementary and Integrative Medicine, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandDepartment of Clinical Psychology and Psychotherapy, University of Bern, Bern, SwitzerlandDepartment of Cardiology, Clinic Gais, Gais, SwitzerlandDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandClienia Schlössli AG, Oetwil am See, SwitzerlandDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandDepartment of Clinical and Health Psychology, University of Fribourg, Fribourg, SwitzerlandObjectivePsychological consequences of myocardial infarction (MI) are substantial, as 4% of all MI patients develop posttraumatic stress disorder (PTSD) and 12% clinically relevant posttraumatic stress symptoms (PTSS). The study investigated the course and development within 12 months of MI-induced PTSS to gain novel insights in potentially delayed response to early trauma-focused counseling aimed at preventing the incidence of MI-induced PTSS.MethodsIn the MI-SPRINT two-group randomized controlled trial, 190 MI-patients were randomly allocated to receive a single-session intervention of either trauma-focused counseling or an active control intervention targeting the general role of stress in patients with heart disease. Blind interviewer-rated PTSS (primary outcome) and additional health outcomes were assessed at 12-month follow-up.Results12-month follow-up of outcomes were available for 106 (55.8%) of 190 participants: In the entire sample, one patient (0·5%, 1/190) who received trauma-focused counseling developed full PTSD. There was no significant difference between trauma-focused counseling and stress counseling regarding total score of interviewer-rated PTSS (p > 0.05). The only group difference emerged in terms of more severe hyperarousal symptoms in the trauma-focused counseling group in the ITT analysis, but not in the completer analysis.ConclusionsNo benefits were found for trauma-focused counseling after 12 months when compared with an active control intervention. PTSD prevalence in the present study was low highlighting a potential beneficial effect of both interventions. Further studies are needed to determine the most accurate approach of counseling.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.846397/fullposttraumatic stress symptomsmyocardial infarctionearly preventioncounselingacute trauma stressacute coronary care |
| spellingShingle | Mary Princip Aju P. Pazhenkottil Aju P. Pazhenkottil Aju P. Pazhenkottil Jürgen Barth Ulrich Schnyder Hansjörg Znoj Jean-Paul Schmid Rebecca E. Langraf-Meister Rebecca E. Langraf-Meister Roland von Känel Katharina Ledermann Katharina Ledermann Effect of Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome at Long-Term Follow-Up Frontiers in Psychiatry posttraumatic stress symptoms myocardial infarction early prevention counseling acute trauma stress acute coronary care |
| title | Effect of Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome at Long-Term Follow-Up |
| title_full | Effect of Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome at Long-Term Follow-Up |
| title_fullStr | Effect of Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome at Long-Term Follow-Up |
| title_full_unstemmed | Effect of Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome at Long-Term Follow-Up |
| title_short | Effect of Early Psychological Counseling for the Prevention of Posttraumatic Stress Induced by Acute Coronary Syndrome at Long-Term Follow-Up |
| title_sort | effect of early psychological counseling for the prevention of posttraumatic stress induced by acute coronary syndrome at long term follow up |
| topic | posttraumatic stress symptoms myocardial infarction early prevention counseling acute trauma stress acute coronary care |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.846397/full |
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