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Association of social support during emergency department evaluation for acute coronary syndrome with subsequent posttraumatic stress symptoms

Homma, Kirsten E.; Chang, Bernard; Shaffer, Jonathan A.; Toledo, Barvina; Hefele, Brooke; Dalrymple, Nathan; Edmondson, Donald E.

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.

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Also Published In

Title
Journal of Behavioral Medicine
DOI
https://doi.org/10.1007/s10865-016-9748-4

More About This Work

Academic Units
Center for Behavioral Cardiovascular Health
Medicine
Published Here
January 18, 2018