ArticleClinical practice and epidemiology in mental health : CP & EMH2013
Alexithymia affects pre-hospital delay of patients with acute myocardial infarction: meta-analysis of existing studies.
Article in Clinical practice and epidemiology in mental health : CP & EMH, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- The High-Risk Model of Threat Perception Modulates Learning of Placebo and Nocebo Effects and Functional Somatic Disorders.Brain sciences · 2025Review
- Why is it Important to Assess and Treat Alexithymia in the Cardiologic Field? An Overview of the Literature.Clinical practice and epidemiology in mental health : CP & EMH · 2023Review
- The Impact of Resilience, Alexithymia and Subjectively Perceived Helplessness of Myocardial Infarction on the Risk of Posttraumatic Stress.Journal of clinical psychology in medical settings · 2022Article
- Alexithymia is a determinant of early death in the long-term course of post-myocardial infarction.Journal of public health research · 2022Article
- Surviving to Acute Myocardial Infarction: The Role of Psychological Factors and Alexithymia in Delayed Time to Searching Care: A Systematic Review.Journal of clinical medicine · 2021Review
Corrections and comments
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Authors and funding
4 authors.
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Abstract
backgroundThe time between the onset of symptoms and reperfusion is a critical determinant of the clinical course of patients with acute myocardial infarction (AMI). Any delay in seeking help will affect patient's outcome. Alexithymia can influence the information processing but also the skills to detect the signal of an ongoing AMI.
methodSystematic review and meta-analysis of studies investigating the role of alexithymia in pre-hospital delay after AMI. Pubmed/Medline and PsychINFO/Ovid search from 1990 until 2012.
resultsOut of 29 studies investigating the role of psychological factors in pre-hospital delay after AMI, 3 studies specifically assessed alexithymia, involving 258 patients. All studies used the Toronto Alexithymia Scale to group patients into clusters by time to presentation after AMI. Meta-analysis of data showed that the patients with higher emotional awareness (i.e., low alexithymia) had shorter time to presentation after AMI.
conclusionsPreliminary evidence indicates that alexithymia may have a role in seeking help delay after AMI. Further studies are necessary to better appreciate how alexithymia influence help-seeking in patients with an evolving AMI and in what extent their ineffective behavior can be changed.
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Registered trials
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