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Cited by 108Acute Myocardial Infarction ResearchCardiac Health and Mental HealthClinical Reasoning and Diagnostic Skills

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Psychological factors related to prehospital delay during acute myocardial infarction

Kenyon, L W, Ketterer, M W, Gheorghiade, M, Goldstein, S·1991·Circulation
DOI 10.1161/01.cir.84.5.1969
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Abstract

BACKGROUND: Prior studies have had difficulty identifying factors that significantly explain patients' delay in responding to symptoms of acute myocardial infarction (AMI). METHODS AND RESULTS: We therefore examined factors affecting the time between symptom onset and hospital arrival for 103 AMI patients admitted to a Detroit metropolitan hospital between October 1989 and January 1990. Variables evaluated included demographic and medical history factors, psychological characteristics of somatic and emotional awareness, and type A behavior. The mean prehospital delay time was 9.0 +/- 10.8 hours (median, 5.0 hours; range, 0.25-62.0 hours). Delay time was not significantly associated with demographic or medical history categories or with type A behavior. Of study variables that can be identified prior to evolution of an AMI, somatic and emotional awareness were the only factors significantly predictive of delay time. Patients who were more capable of identifying inner experiences of emotions and/or bodily sensations sought treatment significantly earlier than patients with low emotional or somatic awareness (low emotional awareness median delay, 12.8 hours; high emotional awareness median delay, 3.8 hours; low somatic awareness median delay, 7 hours; high somatic awareness median delay, 4 hours). CONCLUSIONS: Variations in sensitivity to bodily sensations and emotions appear to play an important role in treatment seeking and thus potentially in treatment outcome for AMI patients. Assessment of these characteristics in patients with coronary risk factors could allow early identification of persons at risk of excessive delay in responding to symptoms of AMI.

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Crossref · 10.1161/01.cir.84.5.1969

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Metadata

Authors
Kenyon, L. W., Ketterer, M. W., Gheorghiade, M., & Goldstein, S.
Affiliations
Henry Ford Hospital (US)
ORCID
Gheorghiade, M
Venue
Circulation
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1991-11
Volume
84
Issue
5
Pages
1969-1976
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
DOI
10.1161/01.cir.84.5.1969
OpenAlex
W2030982757
Cited by
108
References
33
Citations by year
2025: 2 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 2 · 2018: 1 · 2016: 5 · 2015: 1 · 2014: 3 · 2013: 3
FWCI
2.10
Type
journal article
Language
en
Open access
closed
Locations
  • Circulation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
Keywords
acute myocardial infarction, prehospital delay, psychological factors, emotional awareness, somatic awareness, Type A behavior pattern, treatment seeking
MeSH terms
Attitude to Health, Awareness, Emotions, Female, Humans, Interviews as Topic, Male, Middle Aged, Myocardial Infarction, Patient Acceptance of Health Care, Psychological Tests, Risk Factors, Time Factors, Type A Personality

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