Publication: Does ıllness perception predict posttraumatic stress disorder in patients with myocardial ınfarction?
Abstract
Giriş: Myokard infarktüsü (Mİ), akut stres bozukluğu (ASB), travma sonrası stres bozukluğu (TSSB) veya ikisinin birlikte gelişmesine yol açabilen, tekrarlama olasılığı yüksek ve kronik yeti yitim kaybı yapabilen, hayatı tehdit eden bir olaydır. Çalışmamız Mİ sonrası ASB, TSSB veya ikisini birden tanı alanlarla hastalık algısı arasındaki ilişkiyi araştırmaktadır. Yöntem: Prospektif çalışmamıza akut Mİ geçirmiş 76 hasta alınmıştır. Hastalar Mİ sonrası ilk hafta ve altıncı ayda değerlendirilmişlerdir. Değerlendirme ölçekleri olarak Klinisyen Tarafından Uygulanan Travma Sonrası Stres Bozukluğu Ölçeği (TSSB-Ö), Hamilton Depresyon Değerlendirme Ölçeği (HDDÖ), Hamilton Anksiyete Değerlendirme Ölçeği (HADÖ), Kısa Hastalık Algısı Ölçeği ve sosyodemografik özellikler için yarı yapılandırılmış görüşme çizelgesi uygulanmıştır. Bulgular: Miyokard infarktüsü sonrası %9,2 hastada ASB, %11,9 hastada TSSB gelişmiştir. Hastalık algısı faktörlerinden önem, tanımlama ve kaygı faktörlerinin ASB ve TSSB gelişmesinde, duygu faktörünün ise yalnız TSSB gelişmesinde belirleyici oldukları bulundu. Sonuç: Miyokard infarktüsü geçiren hastalarda, ASB ve TSSB gelişmesinde hastalık algısı faktörleri belirleyicidir.
Introduction: Myocardial infarction (MI) as a life-threatening event, carrying high risk of recurrence and chronic disabling complications, increases the risk of developing acute stress disorder (ASD), posttraumatic stress disorder (PTSD), or both. The aim of this study was to investigate the relationship between illness perceptions and having ASD, PTSD, or both in patients after MI. Met­hod: Seventy-six patients diagnosed with acute MI were enrolled into our prospective study. We evaluated patients during the first week and six months after MI. Patients were assessed by using the Clinician Administered PTSD Scale (CAPS), the Hamilton Depression Rating Scale (HDRS), the Hamilton Anxiety Rating Scale (HARS), the Brief Illness Perception Questionnaire (BIPQ), and a semi-structured interview for socio-demographic characteristics during both the first and second evaluations. Re­sults: Acute stress disorder (ASD) developed in 9.2% of patients and PTSD developed in 11.9% of patients with MI. Illness perception factors of consequences, identity and concern predicted the occurrence of both ASD and PTSD, whereas emotion predicted only PTSD. Conc­lu­si­on: The factors of illness perceptions predicted the induction of ASD and PTSD in patients who had acute MI.
Introduction: Myocardial infarction (MI) as a life-threatening event, carrying high risk of recurrence and chronic disabling complications, increases the risk of developing acute stress disorder (ASD), posttraumatic stress disorder (PTSD), or both. The aim of this study was to investigate the relationship between illness perceptions and having ASD, PTSD, or both in patients after MI. Met­hod: Seventy-six patients diagnosed with acute MI were enrolled into our prospective study. We evaluated patients during the first week and six months after MI. Patients were assessed by using the Clinician Administered PTSD Scale (CAPS), the Hamilton Depression Rating Scale (HDRS), the Hamilton Anxiety Rating Scale (HARS), the Brief Illness Perception Questionnaire (BIPQ), and a semi-structured interview for socio-demographic characteristics during both the first and second evaluations. Re­sults: Acute stress disorder (ASD) developed in 9.2% of patients and PTSD developed in 11.9% of patients with MI. Illness perception factors of consequences, identity and concern predicted the occurrence of both ASD and PTSD, whereas emotion predicted only PTSD. Conc­lu­si­on: The factors of illness perceptions predicted the induction of ASD and PTSD in patients who had acute MI.