The purpose of the study was to investigate whether experiencing fear of dying after acute coronary syndrome predicts later posttraumatic stress symptoms. We enrolled 90 patients hospitalized with main diagnosis of acute coronary syndrome and assessed baseline characteristics. One month after discharge, we collected the Posttraumatic Stress Scale. A total of 24 patients (26.7%) developed posttraumatic stress symptoms 1 month after the acute coronary syndrome event. Patients with posttraumatic stress symptoms reported significantly greater fear of dying, helplessness, avoidance-focused coping, and severe anxiety. In our prospective study, fear of dying was associated with occurrence of posttraumatic stress symptoms in patients hospitalized with acute coronary syndrome.
American Psychiatric Association (2000) Diagnostic Criteria from DSM-IV-TR. Washington, DC: American Psychiatric Association.
2.
BediUSAroraR (2007) Cardiovascular manifestations of posttraumatic stress disorder. Journal of the National Medical Association99: 642–649.
3.
BluvsteinIMoravchickLShepsD. (2013) Posttraumatic growth, posttraumatic stress symptoms and mental health among coronary heart disease survivors. Journal of Clinical Psychology in Medical Settings20: 164–172.
4.
BurnettREBlumenthalJAMarkDB. (1995) Distinguishing between early and late responders to symptoms of acute myocardial infarction. The American Journal of Cardiology75: 1019–1022.
5.
CarverCSScheierMFWeintraubJK (1989) Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology56: 267–283.
6.
ChungMCBergerZRuddH (2007) Comorbidity and personality traits in patients with different levels of posttraumatic stress disorder following myocardial infarction. Psychiatry Research152: 243–252.
7.
ChungMCBergerZRuddH (2008) Coping with posttraumatic stress disorder and comorbidity after myocardial infarction. Comprehensive Psychiatry49: 55–64.
8.
ChungMCDennisIBergerZ. (2011) Posttraumatic stress disorder following myocardial infarction: Personality, coping, and trauma exposure characteristics. International Journal of Psychiatry in Medicine42: 393–419.
9.
EdmondsonDRieckmannNShafferJA. (2011) Posttraumatic stress due to an acute coronary syndrome increases risk of 42-month major adverse cardiac events and all-cause mortality. Journal of Psychiatric Research45: 1621–1626.
10.
EdmondsonDShafferJADentonEG. (2012) Posttraumatic stress and myocardial infarction risk perceptions in hospitalized acute coronary syndrome patients. Frontiers in Psychology3: 144.
11.
FoaEBRoggsDSDancuCV. (1993) Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress6: 459–473.
12.
GamperGWilleitMSterzF. (2004) Life after death: Posttraumatic stress disorder in survivors of cardiac arrest—Prevalence, associated factors, and the influence of sedation and analgesia. Critical Care Medicine32: 378–383.
13.
GanderMLVon KanelR (2006) Myocardial infarction and post-traumatic stress disorder: Frequency, outcome, and atherosclerotic mechanisms. European Journal of Cardiovascular Prevention and Rehabilitation13: 165–172.
14.
GinzburgK (2006) Comorbidity of PTSD and depression following myocardial infarction. Journal of Affective Disorders94: 135–143.
15.
GulerESchmidJPWiedemarL. (2009) Clinical diagnosis of posttraumatic stress disorder after myocardial infarction. Clinical Cardiology32: 125–129.
16.
KristofferzonMLLofmarkRCarlssonM (2005) Coping, social support and quality of life over time after myocardial infarction. Journal of Advanced Nursing52: 113–124.
17.
LoweRNormanPBennettP (2000) Coping, emotion and perceived health following myocardial infarction: Concurrent and predictive associations. British Journal of Health Psychology5: 337–350.
18.
MeisterRPrincipMSchmidJP. (2013) Myocardial Infarction—Stress PRevention INTervention (MI-SPRINT) to reduce the incidence of posttraumatic stress after acute myocardial infarction through trauma-focused psychological counseling: Study protocol for a randomized controlled trial. Trials14: 329.
19.
NilssonUGIvarssonBAlm-RoijerC. (2013) The desire for involvement in healthcare, anxiety and coping in patients and their partners after a myocardial infarction. European Journal of Cardiovascular Nursing12: 461–467.
20.
PerkJDe BackerGGohlkeH. (2012) European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). European Heart Journal33: 1635–1701.
21.
RoestAMMartensEJde JongeP. (2010) Anxiety and risk of incident coronary heart disease: A meta-analysis. Journal of the American College of Cardiology56: 38–46.
22.
RutledgeTKenkreTSBittnerV. (2013) Anxiety associations with cardiac symptoms, angiographic disease severity, and healthcare utilization: The NHLBI-sponsored Women’s Ischemia Syndrome Evaluation. International Journal of Cardiology168: 2335–2340.
23.
Salminen-TuomaalaMAstedt-KurkiPRekiaroM. (2012) Coping experiences: A pathway towards different coping orientations four and twelve months after myocardial infarction—A grounded theory approach. Nursing Research and Practice2012: 674783.
24.
ShemeshEKoren-MichowitzMYehudaR. (2006) Symptoms of posttraumatic stress disorder in patients who have had a myocardial infarction. Psychosomatics47: 231–239.
25.
SonHThomasSAFriedmannE (2012) The association between psychological distress and coping patterns in post-MI patients and their partners. Journal of Clinical Nursing21: 2392–2394.
26.
SpindlerHPedersenSS (2005) Posttraumatic stress disorder in the wake of heart disease: Prevalence, risk factors, and future research directions. Psychosomatic Medicine67: 715–723.
27.
SteinMBJangKLTaylorS. (2002) Genetic and environmental influences on trauma exposure and posttraumatic stress disorder symptoms: A twin study. The American Journal of Psychiatry159: 1675–1681.
28.
SteptoeAMolloyGJMesserli-BurgyN. (2011) Fear of dying and inflammation following acute coronary syndrome. European Heart Journal32: 2405–2411.
29.
ThygesenKAlpertJSWhiteHD. (2007) Universal definition of myocardial infarction. Circulation116: 2634–2653.
30.
Von KanelRHariRSchmidJP. (2011) Non-fatal cardiovascular outcome in patients with posttraumatic stress symptoms caused by myocardial infarction. Journal of Cardiology58: 61–68.
31.
WhiteheadDLPerkins-PorrasLStrikePC. (2006) Post-traumatic stress disorder in patients with cardiac disease: Predicting vulnerability from emotional responses during admission for acute coronary syndromes. Heart92: 1225–1229.
32.
WikmanABhattacharyyaMPerkins-PorrasL. (2008) Persistence of posttraumatic stress symptoms 12 and 36 months after acute coronary syndrome. Psychosomatic Medicine70: 764–772.
33.
YehudaR (2002) Post-traumatic stress disorder. The New England Journal of Medicine346: 108–114.
34.
ZigmondASSnaithRP (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica67: 361–370.
