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Impact of prior trauma exposure on the development of PTSD symptoms after suspected acute coronary syndrome
- Source :
- Gen Hosp Psychiatry
- Publication Year :
- 2021
- Publisher :
- eScholarship, University of California, 2021.
-
Abstract
- ObjectiveTo determine the association between PTSD symptoms due to prior trauma and prior trauma type with PTSD symptoms after suspected acute coronary syndrome (ACS).MethodA consecutive sample of patients presenting to the emergency department (ED) for suspected ACS were surveyed. Logistic regression was used to estimate the odds of elevated ACS-related PTSD symptoms [PCL-S≥33] at 1-month associated with PTSD symptoms due to prior trauma and prior trauma type at the time of suspected ACS, adjusting for demographics, comorbidities, depression, and etiology of ACS symptoms.ResultsOf 984 patients, 81.6% reported ≥1 prior trauma type and 22.5% reported PTSD symptoms due to prior trauma at the time of suspected ACS. One month later, 18.0% had ACS-related PTSD symptoms. Patients with versus without PTSD symptoms due to prior trauma at the time of the suspected ACS had increased odds of ACS-related PTSD symptoms one month later (42.1% vs 9.9%; aOR 4.49, 95% CI:3.05-6.60; p&nbsp
- Subjects :
- Acute coronary syndrome
medicine.medical_specialty
ACS-induced PTSD
Trauma-informed care
Clinical Sciences
Logistic regression
Cardiovascular
behavioral disciplines and activities
Trauma
Article
Stress Disorders, Post-Traumatic
CONSECUTIVE SAMPLE
03 medical and health sciences
Hospital
0302 clinical medicine
Medical illness
Clinical Research
Internal medicine
mental disorders
medicine
Humans
030212 general & internal medicine
Acute Coronary Syndrome
Depression (differential diagnoses)
Heart Disease - Coronary Heart Disease
Stress Disorders
Psychiatry
Emergency Service
business.industry
Posttraumatic stress disorder
Emergency department
medicine.disease
Cardiovascular disease
Post-Traumatic Stress Disorder (PTSD)
Atherosclerosis
Anxiety Disorders
030227 psychiatry
Brain Disorders
Psychiatry and Mental health
Increased risk
Mental Health
Heart Disease
Etiology
Post-Traumatic
Emergency Service, Hospital
business
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Gen Hosp Psychiatry
- Accession number :
- edsair.doi.dedup.....7d993eabe1e1c1cbfe565f845e724040