Symptoms of Traumatic Stress after Coronary Artery Bypass Grafting |
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Authors: | Email author" target="_blank">Efharis?PanagopoulouEmail author Stan?Maes Elias?Tyrodimos Alexis?Benos |
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Institution: | (1) Department of Medicine, Aristotle University Thessaloniki, Thessaloniki, Greece;(2) Department of Clinical & Health Psychology, Leiden University, Leiden, The Netherlands;(3) Lab of Hygiene Medical School Aristotle University Thessaloniki, 54124 Thessaloniki, Greece |
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Abstract: | Background: Traumatic stress symptoms have only recently been studied in association with medical treatment procedures. Purpose: The study examined associations of physical and psychological functioning during hospitalization to symptoms of traumatic
stress after cardiac surgery. Methods: One hundred thirteen patients admitted for coronary artery bypass grafting participated in the study. Symptoms of traumatic
stress were assessed one and six months after surgery, with the Impact of Event Scale. Preoperative stress and ruminative
thinking, length of preoperative waiting, duration of surgery, and postoperative recovery indices (length of stay in the intensive
care unit, cognitive functioning during intensive care, length of stay in the hospital) were examined. Results: Ten percent of the patients reported severe (> 19) symptoms of avoidance, and five percent reported severe symptoms of intrusion
in both follow-ups. Hierarchical regression analyses showed that preoperative stress was positively associated to avoidance
symptoms in both follow-ups (p < .01). Preoperative stress and ruminative thinking was positively associated to intrusion
symptoms one month after surgery (p < .01). Disease related factors were not related to symptoms of traumatic stress during
the postoperative period. Conclusion: This study highlights the role of preoperative surgery-related stress as a risk factor for traumatic stress in the postoperative
period. |
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Keywords: | CABG traumatic stress |
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