Enduring somatic threat perceptions and post-traumatic stress disorder symptoms in survivors of cardiac events
Open accessAbstract
Post-traumatic stress disorder due to acute cardiovascular events may be uniquely defined by enduring perceptions of somatic threat. We tested whether post-traumatic stress disorder at 1 month post–acute coronary syndrome indeed required both high peritraumatic threat during the acute coronary syndrome and ongoing cardiac threat perceptions. We assessed peritraumatic threat during emergency department enrollment of 284 patients with a provisional acute coronary syndrome diagnosis and cardiac threat perceptions and post-traumatic stress disorder symptoms 1 month post-discharge. In a multiple regression model with adjustment for important covariates, emergency department threat perceptions were associated with higher 1 month post-traumatic stress disorder symptoms only among those with high levels of ongoing cardiac threat.
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The study assessed ESTs using four ASI-R cardiac threat items, following a prior acute coronary syndrome study, in the absence of an established EST measure.
“Our approach to measuring ESTs is consistent with a previous study that examined ESTs in acute coronary syndrome patients (Meli et al., 2019).”
From The relationship between mindfulness and enduring somatic threat severity in long-term cardiac arrest survivors. (2023) · cites this paper as Meli et al., 2019
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- Authors
- Meli, L., Alcántara, C., Sumner, J. A., Swan, B., Chang, B. P., & Edmondson, D.
- Affiliations
- Columbia University Irving Medical Center (US)
- Columbia University (US)
- Corresponding author
- Edmondson, Donald
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2017-04-27
- Volume
- 24
- Issue
- 13
- Pages
- 1817-1827
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- PMC
- PMC5650555
- OpenAlex
- W2607535951
- Cited by
- 43
- References
- 45
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 6 · 2020: 2 · 2019: 8 · 2018: 6 · 2017: 3
- FWCI
- 6.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (K01 HL130650, R01 HL117832, R01 HL128497)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- post-traumatic stress disorder, acute coronary syndrome, emergency department patients
- MeSH terms
- Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Psychophysiologic Disorders, Stress Disorders, Post-Traumatic, Survivors, Acute Coronary Syndrome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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