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Centre for Policy on Ageing | |
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Post-traumatic stress and co-morbidity following myocardial infarction among older patients
— the role of coping | | Author(s) | M C Chung, Z Berger, R Jones |
| Journal title | Aging & Mental Health, vol 12, no 1, January 2008 |
| Publisher | Taylor & Francis, January 2008 |
| Pages | pp 124-133 |
| Source | http://www.tandfonline.com |
| Keywords | Anxiety ; Stress ; Heart disease ; Adjustment ; Correlation. |
| Annotation | 96 myocardial infarction (MI) patients were recruited from two UK general practices and completed the Post-traumatic Stress Diagnostic Scale (PDS), the General Health Questionnaire 28 (GHQ-28) and the COPE scale. 92 older patients with no previous MI experience constituted the control. Using the PDS, 30%, 42% and 28% had full, partial and no PTSD respectively. There were significant differences between the patient groups and the control on all GHQ-28 subscales. Significant differences were also identified between the patient groups in the following coping strategies: seeking emotional behaviour support; suppression of competing activities; restraint coping; focusing on and venting of emotion; and mental and behavioural disengagement. Controlling for bypass surgery, previous mental health difficulties, angioplasty, heart failure and angina, MANCOVA results did not change the overall results of the GHQ-28 but changed the results of coping, in that seeking emotional social support and behavioural disengagement stopped being significant. Coping was a partial mediator between different levels of post-MI PTSD and co-morbidity. Depending on the severity of PTSD symptoms, co-morbidity and coping strategies can vary among older patients. Older patients with full PTSD tend to use both maladaptive coping strategies as well as problem-focused coping. (RH). |
| Accession Number | CPA-080409216 A |
| Classmark | ENP: QNH: CQH: DR: 49 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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