Symptoms of Posttraumatic Stress Disorder in Patients Who Have Had a Myocardial Infarction
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- 作者：Eyal Shemesh ; M.D. ; eyal.shemesh@mssm.edu ; Maya Koren-Michowitz ; M.D. ; Rachel Yehuda ; Ph.D. ; Olga Milo-Cotter ; M.D. ; Elmer Murdock ; B.S. ; Zvi Vered ; M.D. ; FACC ; Benjamin L. Shneider ; M.D. ; Jack M. Gorman ; M.D. ; Gad Cotter ; M.D. ; FACC
- 刊名：Psychosomatics
- 出版年：2006
- 出版时间：May-June 2006
- 年：2006
- 卷：47
- 期：3
- 页码：231-239
- 全文大小：149 K
文摘
Symptoms of posttraumatic stress disorder (PTSD) and risk factors for recurrent ischemia were evaluated in 65 survivors of a myocardial infarction (MI) at baseline and 6 months afterward. PTSD patients had more uncontrolled cardiovascular risk factors at baseline. Patients with PTSD (N = 14) were offered trauma-focused cognitive-behavior treatment (CBT) plus a nonspecific intervention to improve adherence to medical recommendations. Adherence to aspirin improved in recipients of the nonspecific intervention (N = 8); PTSD symptoms and cardiovascular risk improved in patients who received CBT (N = 6). PTSD may be a treatable risk factor for poor post-MI outcome. Further research is needed to evaluate treatment options.