ArticleJournal of behavioral medicine2018
Posttraumatic stress disorder due to acute cardiac events and aversive cognitions towards cardiovascular medications.
Article 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 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Prevalence and incidence of post-traumatic stress disorder and symptoms in people with chronic somatic diseases: A systematic review and meta-analysis.Frontiers in psychiatry · 2023Pooled it
- 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
- Best evidence summary for the assessment and management of psychosocial distress in patients with coronary heart disease.Frontiers in cardiovascular medicine · 2026Review
- Home-based cognitive bias modification training for reducing maladaptive fear in patients with suspected acute coronary syndrome: a pilot randomized clinical trial.Pilot and feasibility studies · 2024Article
- Psychological Distress and Hypertension Diagnostic Testing: Is There Anything to Worry About?American journal of hypertension · 2024Article
- Posttraumatic stress disorder and diabetes-related outcomes in patients with type 1 diabetes.Scientific reports · 2023Article
- Posttraumatic stress and medication adherence in pediatric transplant recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022Article
- Profiles of partner health linked to a partner-focused intervention following patient initial implantable cardioverter defibrillator (ICD).Journal of behavioral medicine · 2021Article
- Impact of peritraumatic distress on posttraumatic stress disorder symptoms at 6 months after acute coronary syndrome: a prospective cohort study.European journal of psychotraumatology · 2021Article
- Screening and referral is not enough: a qualitative exploration of barriers to access and uptake of mental health services in patients with cardiovascular diseases.BMC health services research · 2021Article
- Article
- Adherence to Medication During Transition to Adult Services.Paediatric drugs · 2020Review
- Intervening on fear after acute cardiac events: Rationale and design of the INFORM randomized clinical trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020Article
- Posttraumatic Stress Disorder and Electronically Measured Medication Adherence After Suspected Acute Coronary Syndromes.Circulation · 2020Article
- 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
- Short Sleep Duration After Hospital Evaluation for Acute Coronary Syndrome Is Associated With Increased Risk of 6-Month Readmission.Psychosomatic medicine · 2020Observational
- A challenge for psychocardiology: Addressing the causes and consequences of patients' perceptions of enduring somatic threat.The American psychologist · 2018Article
- Identifying targets for cardiovascular medication adherence interventions through latent class analysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2018Article
- Association between cardiac event-induced PTSD symptoms and daily intrusive thoughts about cardiac risk: An ecological momentary assessment study.General hospital psychiatryObservational
- Posttraumatic stress disorder in patients who rule out versus rule in for acute coronary syndrome.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Posttraumatic stress disorder (PTSD) after acute medical events is associated with medication nonadherence. The mechanisms of PTSD-related nonadherence are poorly understood. We tested whether patients with elevated PTSD symptoms induced by suspected acute coronary syndrome (ACS) were more likely to have aversive cognitions towards cardiovascular medications. We enrolled a consecutive cohort of patients who presented to the emergency department with suspected ACS. One month after discharge, ACS-induced PTSD symptoms were assessed using the PTSD Checklist (PCL-S), and patients were asked "how often did" (1) "you miss your heart medication because you did not want to be reminded about your heart problem"; (2) "thinking about your heart medication make you feel nervous or anxious"; and (3) "thinking about your heart medication make you think about your risk for future heart problems." Logistic regression was used to determine the association between elevated PTSD symptoms and each aversive cognition, adjusting for age, sex, race, ethnicity, education, depression, and ACS status. Of 424 patients included, 15.8% had elevated PTSD symptoms (PCL-S ≥ 34). In adjusted analyses, higher PCL-S scores were associated with missing medications to avoid reminders of heart disease (OR 1.22 per 5-point PCL-S increase, 95%CI 1.07-1.40), as well as anxiety (OR 1.34, 95%CI 1.19-1.51) and thoughts of future risk (OR 1.19, 95%CI 1.08-1.32) when thinking about cardiovascular medications. We concluded that patients with elevated PTSD symptoms following suspected ACS were more likely to report aversive cognitions about their cardiovascular medications, suggesting that medications can act as traumatic reminders of the cardiac event and ongoing risk in this group.
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Registered trials
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.