ArticleGeneral hospital psychiatry
Bringing close others to the emergency department for an acute coronary event is associated with increased patient perception of threat.
Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 12 citations in OpenAlex.
- Family-authored ICU diaries to reduce fear in patients experiencing a cardiac arrest (FAID fear): A pilot randomized controlled trial.PloS one · 2023Trial
- 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
- Development of a codebook for the narrative analysis of in-hospital trauma interviews of patients following stroke.Journal of traumatic stress · 2025Article
- Early Trauma-Focused Counseling for the Prevention of Acute Coronary Syndrome-Induced Posttraumatic Stress: Social and Health Care Resources Matter.Journal of clinical medicine · 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
- Dyadic Disruption Theory.Social and personality psychology compass · 2021Article
- 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
- Partner presence in the emergency department and adherence to daily cardiovascular medications in patients evaluated for acute coronary syndrome.Journal of behavioral medicine · 2020Article
- The impact of support provided by close others in the emergency department on threat perceptions.Psychology & health · 2020Article
- Early Exposure to Cardiac Treatment and Distress Among Patients and Their Caregiving Partners.Frontiers in psychology · 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
- Patterns of peritraumatic threat perceptions in patients evaluated for suspected acute coronary syndrome according to prior and current posttraumatic stress symptoms.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveRelationship quality is one of the most consistent psychosocial predictors of physical and mental health. Yet, little research examines relationship types or support within the immediate context of acute health events. We tested the unexplored role that close others play in patients' experience of threat during evaluation for acute coronary syndrome (ACS) in the Emergency Department (ED), as well as the indirect effect of close others on ACS-induced posttraumatic stress disorder (PTSD).
methodParticipants were 871 patients evaluated for ACS at an urban academic ED (60.86 years old; 54.08% male; 56.37% Hispanic, 19.86% Black, 16.65% White). Threat perceptions were assessed in-ED and median 3 days later. ACS-induced PTSD was assessed median 41 days later using the PTSD checklist cued to a specific stressor. Non-overlapping categories were created representing close others in the ED (i.e., spouse/significant other, child), non-close others (e.g., neighbor), or no one.
resultsPatients who brought close others recalled experiencing greater threat in the ED: vs. no one, b = 0.11, p = .072; vs. non-close others, b = 0.16, p = .030. There was no direct effect of close others on ACS-induced PTSD; however, recalled threat mediated the effect of close others on development of ACS-induced PTSD, ps < .05.
conclusionsClose others were associated with recalling greater threat during ED evaluation, which predicted ACS-induced PTSD. ACS-induced PTSD is associated with medication nonadherence, event recurrence, and mortality, highlighting the need to develop a greater understanding of the impact stressful medical environments have on patients and close others.
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