Posttraumatic stress and co-morbidity following myocardial infarction among older patients: the role of coping

M.C. Chung, Z. Berger, R. Jones, H. Rudd

Research output: Contribution to journalArticle

Abstract

This study aimed to investigate co-morbidity and coping strategies among older patients who suffer from different levels of posttraumatic stress disorder (PTSD) following myocardial infarction. Ninety-six older myocardial infarction (MI) patients were recruited from two general practices and completed the Posttraumatic Stress Diagnostic Scale (PDS), the General Health Questionnaire-28 (GHQ-28) and the COPE Scale. Ninety-two 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 sub-scales. Significant differences were also identified between the patient groups in the following coping strategies: seeking emotional social support, suppression of competing activities, restraint coping, focusing on and venting of emotion, 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.

Original languageEnglish
Pages (from-to)124-133
Number of pages10
JournalAging and Mental Health
Volume12
Issue number1
DOIs
Publication statusPublished - Jan 2008

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Myocardial Infarction
Post-Traumatic Stress Disorders
Morbidity
Social Support
Health
Angioplasty
General Practice
Mental Health
Emotions
Heart Failure
Control Groups
Surveys and Questionnaires

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Chung, M.C. ; Berger, Z. ; Jones, R. ; Rudd, H. / Posttraumatic stress and co-morbidity following myocardial infarction among older patients : the role of coping. In: Aging and Mental Health. 2008 ; Vol. 12, No. 1. pp. 124-133.
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Posttraumatic stress and co-morbidity following myocardial infarction among older patients : the role of coping. / Chung, M.C.; Berger, Z.; Jones, R.; Rudd, H.

In: Aging and Mental Health, Vol. 12, No. 1, 01.2008, p. 124-133.

Research output: Contribution to journalArticle

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