Evidence map›Paper›PMID 38087199›Full record

ArticleBMC psychiatry2023

Post-traumatic stress disorder among heart disease patients: a clinical follow-up of individuals with myocardial infarction in the Tromsø Study.

Geir Fagerjord Lorem, Eva T Næss, Maja-Lisa Løchen, Kjersti Lillevoll, Else-Marie Molund, Assami Rösner, Sigmund Lindkvist, Henrik Schirmer

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Geir Fagerjord LoremDepartment of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway. Geir.lorem@uit.no.
Eva T NæssDepartment of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Maja-Lisa LøchenDepartment of Cardiology, University Hospital of North Norway, Tromsø, Norway.
Kjersti LillevollDepartment of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Else-Marie MolundDepartment of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.
Assami RösnerDepartment of Cardiology, University Hospital of North Norway, Tromsø, Norway.
Sigmund LindkvistDepartment of Medicine, Finnmark Hospital Trust, Hammerfest, Norway.
Henrik SchirmerDepartment of Cardiology, Akershus University Hospital, Nordbyhagen, Norway.
UiT The Arctic University of Norway · NOUniversity Hospital of North Norway · NOHammerfest Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocardial infarction is likely to be experienced as a life-threatening and potentially traumatic event. Approximately one-third of patients with myocardial infarction experience clinically significant symptoms of anxiety/depression. However, it is unclear how many of these patients experience these symptoms because of post-traumatic stress disorder (PTSD). We conducted a clinical screening of individuals with a confirmed myocardial infarction diagnosis. Our goal was to examine the prevalence of PTSD in myocardial infarction patients and study how PTSD symptoms were associated with exposure to potentially traumatic events.

methodThis is epidemiological research with a cross-sectional design following up participants from the Tromsø Study with a confirmed diagnosis of myocardial infarction. We sent invitations to participants in the Tromsø Study with clinically significant self-reported anxiety or depression symptoms following myocardial infarction. A cross-sectional sample of N = 79 participants (61 men and 18 women) was collected. During an interview, participants completed the Stressful Life Events Screening Questionnaire and the PTSD checklist PCL-5.

resultsWe found nine participants (11.6%) with probable PTSD. This was significantly higher than the postulated population prevalence in Norway (p < 0.015). We found no direct association between myocardial infarction as illness trauma and symptom levels (p = 0.123). However, we found a significant linear trend (p = 0.002), indicating that symptom severity increased proportionately as the number of post-traumatic events increased.

conclusionPTSD prevalence in myocardial infarction patients was related to lifetime exposure to traumatic events, not the myocardial infarction event alone. More research is required to examine the interaction between myocardial infarction and PTSD. Clinicians should be aware that anxiety or depression symptoms after MI could be secondary symptoms of PTSD.

Indexed as

Myocardial InfarctionStress Disorders, Post-TraumaticAnxiety DisordersCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleComorbid mental healthMental healthMental traumaMyocardial infarctionPost-traumatic stress disorder (PTSD)Public healthStressful life eventsThe Tromsø Study

Identifiers

PMID38087199
PMCPMC10714632
OpenAlexW4389617170

What OpenQuestion holds

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Registered trials

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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.