Observational studyAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2018
Development and Validation of a Measure to Assess Patients' Threat Perceptions in the Emergency Department.
Observational study in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06048068 (Removing Surrogates' Uncertainty to Reduce Fear and Anxiety After Cardiac Events), which is not on this map. Cited by 23 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.
Removing Surrogates' Uncertainty to Reduce Fear and Anxiety After Cardiac Events (RESURFACE): A Randomized Pilot Intervention Study
Who cites it
23 citing papers in PubMed.
- 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
- 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
- Health insurance, perceived threat, and posttraumatic stress after suspected acute coronary syndrome.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024Observational
- Article
- Skin Conductance Reactivity as a Predictor of Stroke-induced Posttraumatic Stress Disorder Symptoms: A Dimensional Approach.Depression and anxiety · 2023Article
- Post-Traumatic Stress Disorder Trajectories the Year after COVID-19 Hospitalization.International journal of environmental research and public health · 2022Article
- Psychometric evaluation of the Chinese version of fear of hospitalization scale among outpatients: A validation study.Frontiers in psychology · 2022Article
- 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
- Emergency medical care utilization, romantic attachment, and psychological distress in pregnant adolescent and young adult couples.Families, systems & health : the journal of collaborative family healthcare · 2021Article
- 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
- 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
- Are patients afraid to go home? Disposition preferences after transient ischaemic attack and minor stroke.Emergency medicine journal : EMJ · 2020Observational
- The impact of support provided by close others in the emergency department on threat perceptions.Psychology & health · 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
- Observational
- The Impact of Cardiac-induced Post-traumatic Stress Disorder Symptoms on Cardiovascular Outcomes: Design and Rationale of the Prospective Observational Reactions to Acute Care and Hospitalizations (ReACH) Study.Health psychology bulletin · 2019Article
- Correlates of Skin Conductance Reactivity to Stroke-Related Trauma Reminders During Hospitalization for Stroke.Chronic stress (Thousand Oaks, Calif.)Article
- Can hospitalization be hazardous to your health? A nosocomial based stress model for hospitalization.General hospital psychiatryReview
- Trajectories of posttraumatic stress in patients with confirmed and rule-out acute coronary syndrome.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveThreat perceptions in the emergency department (ED; e.g., patients' subjective feelings of helplessness or lack of control) during evaluation for an acute coronary syndrome (ACS) are associated with the development of posttraumatic stress disorder (PTSD), and PTSD has been associated with medication nonadherence, cardiac event recurrence, and mortality. This study reports the development and validation of a seven-item measure of ED threat perceptions in English- and Spanish-speaking patients evaluated for ACS.
methodsParticipants were drawn from an observational cohort study of 1,000 patients evaluated for ACS between 2013 and 2016 in a large New York City hospital. Participants reported on threat perceptions in the ED and during inpatient stay (using 12 items previously identified as predictive of PTSD) and reported on cardiac-induced PTSD 1 month postdischarge. Exploratory and confirmatory factor analyses were used to establish the factor structure and test measurement invariance. Validity and reliability were examined, as was the association of ED threat perceptions with cardiac-induced PTSD.
resultsFactor analyses identified a seven-item measure of ED threat perceptions (e.g., "I feel helpless," "I am worried that I am going to die") for both English- and Spanish-speaking patients. ED threat perceptions demonstrated convergent validity, correlating with ED stress and ED crowdedness (r = 0.29 and r = 0.14), good internal consistency (α = 0.82), and stability (r = 0.61). Threat perceptions were associated with cardiac-induced acute stress at inpatient and PTSD symptoms at 1 month (r = 0.43 and r = 0.39).
conclusionsThis brief tool assessing ED threat perceptions has clinical utility for providers to identify patients at risk for developing cardiac-induced PTSD and is critical to inform research on whether threat may be modified in-ED to reduce PTSD incidence.
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