Mediating mechanism of cognitive evaluation of type D personality regulation in the evolution of acute stress disorder to post-traumatic stress disorder in patients with acute myocardial infarction
10.3760/cma.j.cn115682-20201216-06704
- VernacularTitle:D型人格调控认知评价在急性心肌梗死患者ASD演变为PTSD的中介机制研究
- Author:
Ying LIU
1
;
Ping LIN
;
Zhenjuan ZHAO
;
Yini WANG
;
Yuying ZHANG
Author Information
1. 哈尔滨医科大学附属第二医院心内科，哈尔滨 150086
- Keywords:
Acute myocardial infarction;
Acute stress disorder;
Post-traumatic stress disorder;
Cognitive evaluation;
Type D personality;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2021;27(18):2430-2436
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the predictive effect of acute stress disorder (ASD) in patients with acute myocardial infarction (AMI) on subsequent post-traumatic stress disorder (PTSD) , and to clarify the potential mediating role and pathway of type D personality and cognitive evaluation in the evolution of ASD to PTSD in AMI patients.Methods:Using the convenient sampling method, patients with newly diagnosed AMI in Department of Cardiology of the 2nd Affiliated Hospital of Harbin Medical University from September to December 2019 were selected as the research subjects. General Information Questionnaire, Acute Stress Disorder Scale (ASDS) , Type D Personality Scale-14 (DS-14) and Cognitive Appraisal of Health Scale (CAHS) were used for survey 1 to 2 days after hospitalization.One month after discharge from the hospital, a follow-up call was used to complete Post-traumatic Stress Disorder Checklist-Civilian Version (PCL-C) .Results:A total of 494 questionnaires were distributed in this study, and 457 valid questionnaires were returned.The incidence of ASD in AMI patients was 31.29% (143/457) , and the ASDS score was (40.28±12.74) . The incidence of PTSD was 33.5% (153/457) , and the PCL-C score was (34.49±14.00) .The moderated mediating effect analysis showed that ASD could directly and positively predict PTSD ( P<0.01) , and injury cognition and irrelevant cognition played a mediating role in the transition from ASD to PTSD ( P<0.01) .At the same time, type D personality can influence the process of ASD to PTSD transformation by regulating injury cognition and irrelevant cognition ( P<0.05) . Conclusions:The occurrence of ASD in AMI patients can effectively predict the occurrence of PTSD one month after discharge.At the same time, the cognitive evaluation of type D personality regulation can play an important mediating role in the process of ASD transforming into PTSD.
