Comorbidity of PTSD and depression following myocardial infarction.


BACKGROUND:This study examines comorbidity of posttraumatic stress disorder (PTSD) and depression following myocardial infarction (MI). It has two aims: (a) to examine whether this comorbidity is predicted by the objective severity of the MI and the patients' initial appraisal and stress responses; and (b) to determine whether this comorbidity is associated with PTSD symptomatology, depression, physiological adjustment, and psychosocial adjustment seven months post-MI. METHOD:116 MI patients were examined twice. At Time 1, within a week of the MI, initial appraisal, stress responses, and depressive reactions were assessed, and medical measures were obtained from patients' hospital records. At Time 2, seven months later, PTSD, depression, psychosocial functioning, and physical adjustment were assessed. RESULTS:Seven months post-MI, 16% of the patients were identified with PTSD; 8% with comorbid PTSD and depression; and 14% with high levels of depression without full PTSD. Initial level of depression was associated with comorbidity of PTSD and depression. While initial stress reactions did not predict comorbidity, they did predict depression, with or without comorbid PTSD. Comorbidity of PTSD and depression was associated with higher levels of adjustment difficulties. DISCUSSION:Comorbidity of PTSD and depression has some clinical significance. While initial level of depression predicts subsequent comorbidity of PTSD and depression, early stress reactions do not differentiate between MI patients who suffer from depression, with or without comorbid PTSD.


J Affect Disord


Ginzburg K




Has Abstract


2006-08-01 00:00:00














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    pub_type: 杂志文章,评审


    authors: Bodden DHM,Stikkelbroek Y,Dirksen CD

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    更新日期:2010-04-01 00:00:00

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    authors: Vieta E,Bauer M,Montgomery S,McIntyre RS,Szamosi J,Earley WR,Eriksson H

    更新日期:2013-09-05 00:00:00

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    更新日期:2013-09-25 00:00:00

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    authors: Benazzi F,Akiskal HS

    更新日期:2005-02-01 00:00:00

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    abstract:BACKGROUND:Findings of urban-rural differences in the prevalence of depression have been controversial, and few reports have directly compared the related factors of depression between urban and rural areas. The present study aimed to investigate differences between urban and rural areas in Japan with regards to the pr...

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    authors: Akiskal KK,Savino M,Akiskal HS

    更新日期:2005-03-01 00:00:00

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    abstract:BACKGROUND:Studies investigating how suicide attempting refugees and non-refugee migrants differ from Swedish-born individuals in terms of re-attempts and suicide are missing. It remains unknown how mental disorders and labour market marginalization (LMM) impact on these associations. METHODS:This longitudinal cohort ...

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    authors: Niederkrotenthaler T,Mittendorfer-Rutz E,Mehlum L,Qin P,Björkenstam E

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    authors: Lee HC,Lin HC,Tsai SY,Li CY,Chen CC,Huang CC

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    abstract:BACKGROUND:Previous epidemiological and clinical studies have reported gender differences in prevalence and clinical features of generalized anxiety disorder (GAD). Such gender differences in clinical phenomenology suggest that the underlying neural circuitry of GAD could also be different in males and females. This st...

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    authors: Liao M,Yang F,Zhang Y,He Z,Su L,Li L

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    更新日期:2019-06-01 00:00:00

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    更新日期:2016-03-15 00:00:00

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    更新日期:2012-12-20 00:00:00

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    authors: Tohen M,Zhang F,Keck PE,Feldman PD,Risser RC,Tran PV,Breier A

    更新日期:2001-12-01 00:00:00

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    journal_title:Journal of affective disorders

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    authors: Strauss M,Sander C,Mergl R,Merz C,Schönknecht P,Hegerl U

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    authors: Zimmerman M,Coryell W,Pfohl B,Stangl D

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    abstract:BACKGROUND:Postnatal depression can have a major impact on the lives of women affected and on those around them. While effective treatments are available, it would be preferable to prevent the condition. The aim of this review was to examine the effectiveness of antenatal interventions designed to prevent postnatal dep...

    journal_title:Journal of affective disorders

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    更新日期:2008-04-01 00:00:00

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    pub_type: 杂志文章


    authors: Contreras J,Hare E,Pacheco A,Escamilla M,Raventos H

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    pub_type: 杂志文章


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