Observational studyJournal of behavioral medicine2018
The role of perceived threat during emergency department cardiac evaluation and the age-posttraumatic stress disorder link.
Observational study in Journal of behavioral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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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.
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.
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Who cites it
19 citing papers in PubMed, 22 citations in OpenAlex.
- Cardiac event-induced PTSD symptoms and continuous heart rate in coronary artery disease patients.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Article
- 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 · 2026Observational
- Depression, anxiety, posttraumatic stress disorder and perceived psychosocial care during hospital stay after myocardial infarction: a cross-sectional study.BMC cardiovascular disorders · 2025Article
- Development of a codebook for the narrative analysis of in-hospital trauma interviews of patients following stroke.Journal of traumatic stress · 2025Article
- Article
- Mitochondrial DNA Copy Number Adaptation as a Biological Response Derived from an Earthquake at Intrauterine Stage.International journal of environmental research and public health · 2021Article
- Effect of cohabiting partners on the development of posttraumatic stress symptoms after emergency department visits for stroke and transient ischemic attack.Social science & medicine (1982) · 2021Observational
- Dyadic Disruption Theory.Social and personality psychology compass · 2021Article
- The ED-AWARENESS Study: A Prospective, Observational Cohort Study of Awareness With Paralysis in Mechanically Ventilated Patients Admitted From the Emergency Department.Annals of emergency medicine · 2021Observational
- COVID-19 and traumatic stress: The role of perceived vulnerability, COVID-19-related worries, and social isolation.Journal of anxiety disorders · 2020Article
- Short Sleep Duration After Hospital Evaluation for Acute Coronary Syndrome Is Associated With Increased Risk of 6-Month Readmission.Psychosomatic medicine · 2020Observational
- Stressing Out About the Heart: A Narrative Review of the Role of Psychological Stress in Acute Cardiovascular Events.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Review
- Observational
- Nausea in the peri-traumatic period is associated with prospective risk for PTSD symptom development.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019Article
- 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 · 2018Observational
- Association between cardiac event-induced PTSD symptoms and daily intrusive thoughts about cardiac risk: An ecological momentary assessment study.General hospital psychiatryObservational
- Can hospitalization be hazardous to your health? A nosocomial based stress model for hospitalization.General hospital psychiatryReview
- Correlates of Skin Conductance Reactivity to Stroke-Related Trauma Reminders During Hospitalization for Stroke.Chronic stress (Thousand Oaks, Calif.)Article
- Bringing close others to the emergency department for an acute coronary event is associated with increased patient perception of threat.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Evaluation for acute coronary syndrome (ACS) can trigger posttraumatic stress symptoms (PSS). Research suggests that younger, versus older, individuals may be at elevated risk for PSS after ACS evaluation. It has been proposed that younger individuals may be at greater risk because they perceive the suspected ACS event as more threatening than their older counterparts; however, this has yet to be tested. We examined whether perceived threat during ACS evaluation mediated the association between age and PSS after ACS evaluation in an observational cohort study of patients presenting to the emergency department (ED) with suspected ACS. Demographics and perceived threat were assessed in the ED. PSS were measured upon inpatient transfer or by phone 3 days later. The analytic sample comprised 871 adult participants. Multiple linear regression was used to examine (1) associations of age and perceived threat with PSS and (2) whether perceived threat mediated the association. Bootstrapping with percentile-based confidence intervals (CIs) was used to test the indirect effect. Each year of age was associated with lower PSS (b = - 0.12, p < .001), independent of covariates. Older age was associated with lower perceived threat during ACS evaluation (b = - 0.05, p < .001). Greater threat perceptions predicted greater PSS (b = 0.94, p < .0001). The indirect effect (- 0.04) was statistically significant (95% CI - 0.07, - 0.02). Younger, versus older, individuals are at risk for greater PSS after ACS evaluation, and elevated perceived threat partially mediated this association. Understanding age differences in PSS development risk and the potential impact of age on threat perceptions may help inform ED treatment.
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