The mediating effect of fear of disease progress between cardiac discomfort symptoms and post-traumatic stress disorder in patients with acute myocardial infarction
10.3760/cma.j.cn371468-20210410-00191
- VernacularTitle:急性心肌梗死患者疾病进展恐惧在心脏不适症状与创伤后应激障碍间的中介作用
- Author:
Jianxiu DONG
1
;
Jianhui WANG
;
Hui YANG
;
Yi ZHANG
;
Changxiang CHEN
;
Yuna JIA
;
Wenhong CHANG
;
Jing HAN
Author Information
1. 唐山市工人医院心内科 063000
- Keywords:
Acute myocardial infarction;
Cardiac discomfort symptoms;
Fear of disease progression;
Post-traumatic stress disorder;
Mediating effect
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2021;30(9):806-810
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between cardiac discomfort symptoms, fear of disease progress and post-traumatic stress disorder (PTSD) in patients with acute myocardial infarction(AMI) after discharge, and to clarify main intervention direction of PTSD in patients with AMI.Methods:Patients with AMI who were discharged from Tangshan Gongren Hospital between 1 month and 1 year were selected from November 2019 to November 2020.The cardiac discomfort symptoms scale, fear of progress questionnaire(FoP-Q-SF) and post-traumatic stress disorder self-rating scale(PTSD-SS) were used to investigate cardiac discomfort symptoms, fear of disease progress level and post-traumatic stress disorder status.Spearman rank correlation analysis was used to analyze the relationship between cardiac discomfort symptoms, fear of disease progress and post-traumatic stress disorder by SPSS 24.0 software. The mediating effect of fear of disease progress was analyzed by AMOS 24.0 software.Results:The PTSD score was (32.78±12.38) of patients with AMI discharged from hospital for 1 month to 1 year and the incidence of PTSD was 12.3%.Spearman correlation test showed cardiac discomfort symptoms and fear of disease progress were positively correlated with PTSD( r=0.530, 0.723, both P<0.01) and cardiac discomfort symptoms was positively correlated with fear of disease progress( r=0.518, P<0.01). Mediating effect test showed that fear of disease progress was a complete mediator between cardiac discomfort symptoms and PTSD. Conclusion:Cardiac discomfort symptoms can affect PTSD through a complete mediator of fear of disease progress.
