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
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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“individuals with alexithymia are delayed in seeking medical treatment in response to acute myocardial infarction, for example (Carta et al., 2013; Kenyon et al., 1991).”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Kenyon et al., 1991
Citations
Cites
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Reducing Delay in Seeking Treatment by Patients With Acute Coronary Syndrome and Stroke
Moser, D. K., Kimble, L. P., Alberts, M. J., Alonzo, A. A., Croft, J. B., Dracup, K., Evenson, K. R., Go, A. S., Hand, M. M., Kothari, R., et al. (2006) · Circulation · doi:10.1161/circulationaha.106.176040 · Cited by 647
How are alexithymia and physical illness linked? A review and critique of pathways
Lumley, M. A., Stettner, L. J., & Wehmer, F. (1996) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(96)00222-x · Cited by 388
Causes of delay in seeking treatment for heart attack symptoms
Dracup, K., Moser, D. K., Eisenberg, M. S., Meischke, H. W., Alonzo, A. A., & Braslow, A. (1995) · Social Science & Medicine · doi:10.1016/0277-9536(94)00278-2 · Cited by 313
Knowledge of Heart Attack Symptoms in a Population Survey in the United States: The REACT Trial
Goff, D. C. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.21.2329 · Cited by 210
Finnegan, J. R., Meischke, H. W., Zapka, J. G., Leviton, L. C., Meshack, A., Benjamin-Garner, R., Estabrook, B. B., Hall, N. J., Schaeffer, S. M., Smith, C., et al. (2000) · Preventive Medicine · doi:10.1006/pmed.2000.0702 · Cited by 208
Metadata
- Authors
- Kenyon, L. W., Ketterer, M. W., Gheorghiade, M., & Goldstein, S.
- Affiliations
- Henry Ford Hospital (US)
- ORCID
- Gheorghiade, M
- Venue
- Circulation
- Published
- 1991-11
- Volume
- 84
- Issue
- 5
- Pages
- 1969-1976
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- 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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