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Association of social support during emergency department evaluation for acute coronary syndrome with subsequent posttraumatic stress symptoms
Authors:Kirsten Homma  Bernard Chang  Jonathan Shaffer  Barvina Toledo  Brooke Hefele  Nathan Dalrymple  Donald Edmondson
Affiliation:1.Center for Behavioral Cardiovascular Health,Columbia University Medical Center,New York,USA;2.Department of Emergency Medicine,Columbia University Medical Center,New York,USA;3.Department of Psychology,University of Colorado,Denver,USA
Abstract:
We examined the associations of different aspects of social support during emergency department (ED) evaluation for an acute cardiac event with perceptions of threat in the ED and subsequent posttraumatic stress symptoms (PSS) in 484 patients. Participants were enrolled in the ED where they reported on their perceptions of threat in the ED. Social support in the ED and PSS were assessed at inpatient bedside or by telephone a median of 3 days later. Positive aspects of social support were not associated with subsequent PSS. Anxiety-provoking social support was significantly associated with increased PSS at follow-up. Greater ED threat perception partially mediated that relationship.
Keywords:
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