うつ病と不安に関するジャーナル
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概要

Chronic Post-traumatic Stress Following a Myocardial Infarction: Prevalence and Detection in Hospital Setting

Christophe Fortin, Gilles Dupuis, André Marchand and Bianca D’Antono

Objective: This paper examines the prevalence of chronic Post-Traumatic Stress Disorder (PTSD) after a Myocardial Infarction (MI) and the factors associated its early detection in a hospital setting.

Methods: Of 1344 MI patients admitted to three Canadian hospitals, 474 patients did not meet the inclusion criteria and 370 declined participation in the study; 500 patients consented to participate in the study. A structured clinical interview and questionnaires were administered to patients 48 hours to 14 days post-MI (M=4SD=2.7 days) and three months later to assess the prevalence of chronic PTSD and its risk factors.

Results: Respectively 4.4% and 11.1% of the patients met the full and partial diagnostic criteria of chronic PTSD, measured with the Interview from the DSM-IV-TR PTSD module. Using binary logistic regression, both the intensity of anxiety (Beck Anxiety Inventory) (OR=1.05 per unit increase; p