Cross-lagged analysis of acute stress disorder, post-traumatic stress disorder, anxiety and depression in patients with acute myocardial infarction
10.3760/cma.j.cn115682-20210607-02488
- VernacularTitle:急性心肌梗死患者急性应激障碍、创伤后应激障碍、焦虑及抑郁的交叉滞后分析
- Author:
Yuying ZHANG
1
;
Ping LIN
;
Yini WANG
;
Zhenjuan ZHAO
;
Ying LIU
Author Information
1. 哈尔滨医科大学附属第二医院心内科，哈尔滨 150001
- Keywords:
Stress disorders, post-traumatic;
Anxiety;
Depression;
Stress disorders, traumatic, acute;
Acute myocardial infarction patients;
Cross-lagged analysis
- From:
Chinese Journal of Modern Nursing
2021;27(32):4415-4420
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the acute stress disorder (ASD) , post-traumatic stress disorder (PTSD) , anxiety, and depression in patients with acute myocardial infarction (AMI) , and analyze the predictive effect of ASD, anxiety, and depression during hospitalization on the PTSD, anxiety and depression in the following month.Methods:From September to December 2019, convenience sampling was used to select 457 AMI patients from a ClassⅢ Grade A hospital in Harbin as the research object. The Acute Stress Disorder Scale (ASDS) , Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C) , Beck Anxiety Inventory (BAI) and Beck Depression Inventory-Ⅱ (BDI-Ⅱ) was used to investigate the patients during hospitalization (within one week of admission) and the following month.Results:Among 457 AMI patients, the incidence of ASD, anxiety and depression during hospitalization were 31.29% (143/457) , 42.23% (193/457) and 29.98% (137/457) , respectively. The incidence of PTSD, anxiety, and depression in AMI patients at one month was 30.20% (138/457) , 10.50% (48/457) , and 26.48% (121/457) , respectively. The results of the cross-lagged analysis showed that ASD (β=0.11, P<0.05) , anxiety (β=0.16, P<0.01) , depression (β=0.25, P<0.01) during hospitalization had statistical significance in predicting PTSD at one month. Besides, anxiety during hospitalization had statistical significance in predicting anxiety (β=0.34, P<0.01) and PTSD (β=0.16, P<0.01) at one month, and depression during hospitalization had statistical significance in predicting depression (β =0.59, P<0.01) and PTSD (β=0.25, P<0.01) at one month. Multiple linear regression analysis showed that the high alertness, re-experience and separation of symptoms of ASD had statistical significance on the predictive effect of PTSD ( P<0.01) . Conclusions:ASD, anxiety, and depression during hospitalization of AMI patients have a positive predictive effect on PTSD, anxiety, and depression in the following month. Psychological intervention during hospitalization of AMI patients should be strengthened to relieve their anxiety, depression, fear and other negative emotions in time, so as to effectively reduce the occurrence of later traumatic stress disorder.
