Treatment rates for PTSD and depression in recently hospitalized cardiac patients

作者: Kevin Sundquist , Bernard P. Chang , Faith Parsons , Nathan Dalrymple , Donald Edmondson

DOI: 10.1016/J.JPSYCHORES.2016.05.007

关键词: MedicineCohort studyInternal medicineIn patientPsychopathologyEmergency departmentAcute coronary syndromeCoping (psychology)PsychiatryPosttraumatic stressAcute care

摘要: Abstract Objective Posttraumatic stress disorder (PTSD) and depression are common after evaluation for suspected acute coronary syndrome (ACS), associated with poor prognosis. However, it is unclear whether patients discharged ACS access treatments subsequent psychological distress. We examined self-reported rates of receiving psychotherapy and/or medication distress in one month a event. Methods A sample 448 adults (age 60.4 ± 12.5; 47.8% female; 52.7% Hispanic, 32.1% Black) presenting to the emergency department were recruited REactions Acute Care Hospitalization (REACH) study, an ongoing cohort study medical outcomes evaluation. Socio-demographics depressive symptoms assessed in-hospital, PTSD related event queried via phone enrollment. Participants also indicated they received either or counseling deal their emotions coping heart problem. Results Approximately 15% ( n  = 68) reported some form treatment. Treatment rate did not differ significantly as function demographics, status, insurance coverage, p s > 0.1. Over quarter participants (25.3%) who screened positive had higher treatment (47.6%) vs. those only (12.8%) (30%) no psychopathology (10.3%). Conclusion Findings suggest that 1 4 first

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