ArticleThe American psychologist2018
A challenge for psychocardiology: Addressing the causes and consequences of patients' perceptions of enduring somatic threat.
Article in The American psychologist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- A Confirmatory Factory Analysis of the Exercise Sensitivity Questionnaire (ESQ).Journal of cardiopulmonary rehabilitation and prevention · 2025Trial
- 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
- Translation and psychometric validation of the symptom catastrophizing scale in cardiac surgery patients: a cross-sectional study.Health psychology and behavioral medicine · 2026Article
- Spiritual well-being of terminally ill patients and next-of-kin caregivers in hospice care: A quantitative and qualitative approach.Palliative & supportive care · 2025Article
- Survivorship After Cardiogenic Shock.Circulation · 2025Review
- Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art review.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025Review
- Posttraumatic Stress Disorder After Spontaneous Coronary Artery Dissection: A Report of the International Spontaneous Coronary Artery Dissection Registry.Journal of the American Heart Association · 2024Observational
- 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
- The relationship between mindfulness and enduring somatic threat severity in long-term cardiac arrest survivors.Journal of behavioral medicine · 2023Article
- Addressing PTSD in Implantable Cardioverter Defibrillator Patients: State-of-the-Art Management of ICD Shock and PTSD.Current cardiology reports · 2023Review
- The relationship between anxiety sensitivity and clinical outcomes in cardiac rehabilitation: A scoping review.American journal of preventive cardiology · 2022Article
- Psychological Distress After Sudden Cardiac Arrest and Its Impact on Recovery.Current cardiology reports · 2022Review
- 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
- The potential role of anxiety sensitivity in the risk for and recovery from heart attacks: Comment on Edmondson et al. (2018).The American psychologistArticle
- Cardiac-induced PTSD symptoms predict shorter sleep a month after acute coronary syndrome evaluation.General hospital psychiatryArticle
- Association between cardiac event-induced PTSD symptoms and daily intrusive thoughts about cardiac risk: An ecological momentary assessment study.General hospital psychiatryObservational
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6 authors.
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Abstract
The enduring somatic threat (EST) model of posttraumatic stress disorder (PTSD) due to life-threatening medical events suggests that PTSD-like symptoms represent patients' sensitization to cues of ongoing threat in the body. In this article, we review research on the prevalence and consequences of such reactions in cardiovascular disease patients, discuss early tests of the EST model, and then report a new test of the EST model in 143 patients enrolled during their first acute coronary syndrome (ACS; i.e., non-ST elevation myocardial infarction or unstable angina-colloquially, "heart attack"). Invasive coronary revascularization procedures are commonly used to reduce secondary ACS risk and may reduce patients' EST, as revascularized patients often report being "cured." We assessed ACS patients' initial threat perceptions during emergency department (ED) evaluation and followed them for 1 month for PTSD symptoms (specific for ACS, by telephone). We compared PTSD symptoms in participants who were revascularized (n = 65), catheterized but not revascularized (n = 35), and medically managed (n = 43). PTSD symptoms were lower for revascularized versus medically managed participants (B = -5.32, 95% confidence interval [-9.77, -0.87]), t(98.19) = -2.37, p = .020. In a multiple regression model adjusted for clinical and psychosocial covariates, the interaction of threat perception in the ED and ACS management group was significant (greater ED threat predicted greater 1-month PTSD symptoms only in medically managed participants). These findings offer further support for the EST model and suggest that psychological interventions to preempt patients' development of EST should be considered in the hospital. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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