Details

Autor(en) / Beteiligte

• Sumner, Jennifer A
• Kim, Esther S H
• Wood, Malissa J
• Chi, Gerald
• Nolen, Jessica
• Grodzinsky, Anna
• Gornik, Heather L
• Kadian-Dodov, Daniella
• Wells, Bryan J
• Hess, Connie N
• Lewey, Jennifer
• Tam, Lori
• Henkin, Stanislav
• Orford, James
• Wells, Gretchen
• Kumbhani, Dharam J
• Lindley, Kathryn J
• Gibson, C Michael
• Leon, Katherine K
• Naderi, Sahar

Titel

Posttraumatic Stress Disorder After Spontaneous Coronary Artery Dissection: A Report of the International Spontaneous Coronary Artery Dissection Registry

Ist Teil von

• Journal of the American Heart Association, 2024-04, Vol.13 (7), p.e032819-e032819

Ort / Verlag

England: John Wiley and Sons Inc

Erscheinungsjahr

2024

Link zum Volltext

Quelle

Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals

Beschreibungen/Notizen

• Myocardial infarction secondary to spontaneous coronary artery dissection (SCAD) can be traumatic and potentially trigger posttraumatic stress disorder (PTSD). In a large, multicenter, registry-based cohort, we documented prevalence of lifetime and past-month SCAD-induced PTSD, as well as related treatment seeking, and examined a range of health-relevant correlates of SCAD-induced PTSD. Patients with SCAD were enrolled in the iSCAD (International SCAD) Registry. At baseline, site investigators completed medical report forms, and patients reported demographics, medical/SCAD history, psychosocial factors (including SCAD-induced PTSD symptoms), health behaviors, and health status via online questionnaires. Of 1156 registry patients, 859 patients (93.9% women; mean age, 52.3 years) completed questionnaires querying SCAD-induced PTSD. Nearly 35% (n=298) of patients met diagnostic criteria for probable SCAD-induced PTSD in their lifetime, and 6.4% (n=55) met criteria for probable past-month PTSD. Of 811 patients ever reporting any SCAD-induced PTSD symptoms, 34.8% indicated seeking treatment for this distress. However, 46.0% of the 298 patients with lifetime probable SCAD-induced PTSD diagnoses reported never receiving trauma-related treatment. Younger age at first SCAD, fewer years since SCAD, being single, unemployed status, more lifetime trauma, and history of anxiety were associated with greater past-month PTSD symptom severity in multivariable regression models. Greater past-month SCAD-induced PTSD symptoms were associated with greater past-week sleep disturbance and worse past-month disease-specific health status when adjusting for various risk factors. Given the high prevalence of SCAD-induced PTSD symptoms, efforts to support screening for these symptoms and connecting patients experiencing distress with empirically supported treatments are critical next steps. URL: https://www.clinicaltrials.gov; Unique identifier: NCT04496687.