Evidence map›Paper›PMID 26241667›Full record

ArticleJournal of affective disorders2015

Dimensional structure and correlates of posttraumatic stress symptoms following suspected acute coronary syndrome.

Jennifer A Sumner, Ian M Kronish, Robert H Pietrzak, Daichi Shimbo, Jonathan A Shaffer, Faith E Parsons, Donald Edmondson

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Distress dynamics in patient and partner dyads early after stroke/transient ischemic attack: A pilot feasibility study.Families, systems & health : the journal of collaborative family healthcare · 2026
    Observational
  3. Observational
  4. Article
  5. Post-Traumatic Stress Disorder Trajectories the Year after COVID-19 Hospitalization.International journal of environmental research and public health · 2022
    Article
  6. Four-symptom model of medical-related posttraumatic stress among adult cancer patients.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
  7. Article
  8. Observational
  9. Review
  10. Observational
  11. Observational
  12. Article
  13. Development and Validation of a Measure to Assess Patients' Threat Perceptions in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018
    Observational
  14. Observational
  15. Observational
  16. Observational
  17. Patient perceptions of stress during evaluation for ACS in the ED.The American journal of emergency medicine · 2017
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Jennifer A SumnerDepartment of Epidemiology, Columbia University Mailman School of Public Health, 722W. 168th St, New York, NY 10032, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA. Electronic address: js4456@cumc.columbia.edu.
Ian M KronishCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, 622W. 168th St, New York, NY 10032, USA.
Robert H PietrzakClinical Neurosciences Division, U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Veterans Affairs Connecticut Healthcare System, 950 Campbell Ave, West Haven, CT 06516, USA; Department of Psychiatry, Yale University School of Medicine, 300 George St, Suite 901, New Haven, CT 06511, USA.
Daichi ShimboCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, 622W. 168th St, New York, NY 10032, USA.
Jonathan A ShafferCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, 622W. 168th St, New York, NY 10032, USA.
Faith E ParsonsCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, 622W. 168th St, New York, NY 10032, USA.
Donald EdmondsonCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, 622W. 168th St, New York, NY 10032, USA.
Columbia University Irving Medical Center · USColumbia University · USVA Connecticut Healthcare System · US

Funding

Impact of Social-Interpersonal Factors in the ER on PTSD/Cardiac OutcomesR01HL117832 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DAVIDSON, KARINA W., EDMONDSON, DONALD · 2013 to 2017
$3.1M
PTSD, Medication Adherence, and Prognosis after Acute Coronary SyndromesR01HL123368 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DAVIDSON, KARINA W., KRONISH, IAN MATTHEW · 2014 to 2017
$1.6M
Uncontrolled hypertension - the role of medication adherence and clinical inertiaK23HL098359 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KRONISH, IAN MATTHEW · 2010 to 2014
$688k
NHLBI NIH HHS K23 HL098359NHLBI NIH HHS R01 HL117832NHLBI NIH HHS R01 HL123368
6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) is a heterogeneous construct, and some have suggested that PTSD triggered by acute coronary syndrome (ACS) may differ from PTSD due to prototypical traumas.

methodsWe conducted the first examination of the latent structure of PTSD symptoms after suspected ACS in 399 adults in the REactions to Acute Care and Hospitalization (REACH) study, an observational cohort study of patients recruited from the emergency department during evaluation for ACS. Using confirmatory factor analysis, we compared the 4-factor dysphoria, 4-factor numbing, and 5-factor dysphoric arousal models of PTSD.

resultsAlthough all models fit well, the dysphoria model was selected as the best-fitting model. Further, there was measurement invariance of the dysphoria model by sex. PTSD dimensions evidenced differential associations with indicators of threat perception during ACS evaluation and adherence to cardioprotective medication. LIMITATIONS: One limitation of this investigation is the use of self-report measures. In addition, only one-third of the sample was diagnosed with ACS at discharge; the remaining participants received diagnoses such as chest pain without a cardiac diagnosis, another symptom/disease process (e.g., hypertensive chronic kidney disease), or another cardiac disease.

conclusionsFindings suggest that suspected ACS-related PTSD symptoms are best-represented by a 4-factor structure distinguishing between specific (e.g., re-experiencing) and non-specific (dysphoria) symptoms of PTSD that has received support in the broader PTSD literature.

Indexed as

Acute Coronary SyndromeAdultAgedCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Acceptance of Health CarePatient DischargeQuality of LifeRisk FactorsSelf ReportStress Disorders, Post-TraumaticSurvivorsAcute coronary syndromeConfirmatory factor analysisLatent structurePosttraumatic stress disorder

Identifiers

PMID26241667
PMCPMC4565739
OpenAlexW2135413736

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.