Posttraumatic Stress Disorder Symptoms in Patients with acute myocardial infarction

Year 2015, , 47 - 53, 01.01.2015

Murat Semiz Fatma Erdem Alim Erdem Taha Can Tuman Meral Oran Demir Nefise Kayka Osman Yıldırım

https://doi.org/10.5505/abantmedj.2015.78942

Abstract

OBJECTIVE: The aim of this study is investigate depression,anxiety and post traumatic stres disorder PTSD symptoms in patients with acute myocardial infarction AMI . In our study psychiatric symptoms was also examined in relation with clinical findings.METHODS: In this study 50 patients who came to the cardiology policlinic after spending a month after AMI were taken. Sociodemographic form, Hospital Ankiyet-Depression HAD and Post Traumatic Stress Disorder Checklist Civilian Version PTSD-CL were asked to complete questionnaires. After AMI patients who expreriencing physical or mental events can lead PTSD symptoms were excluded from the study.RESULTS: The average score of the patients anxiety scale was 8.7±4.3. Anxiety scale, when evaluated according to the cut-off point, 26% of patients were shown to be of the anxiety disorder. Depression scale, the average score was 7.2 ± 3.6 and according to the cut off point scale depressive disorder could be detected.in 36% of patients n = 18 . PCL-C scale, the average score was 22.1 ± 5.1. 24% of patients had a value above according to the cut-off scores on the PCL-C scale and the possibility of PTSD was considered in these patients.CONCLUSION: In this study, AMI patients were identified with high rates of PTSD symptoms. The duration of hospitalization and angina symptoms after discharge were associated with symptoms of PTSD. In AMI patients PTSD symptoms as well as depressive symptoms must be considered.

Keywords

PTSD, AMI, Anxiety

Akut Miyokard İnfarktüs Geçiren Hastalarda Travma Sonrası Stres Bozukluğu Belirtileri

Abstract

AMAÇ: Bu çalışmanın amacı akut miyokard infarktüs AMİ geçiren hastalarda depresyon, anksiyete ve travma sonrası stres bozukluğu TSSB belirtilerini araştırmaktır. Çalışmamızda ruhsal belirtilerin klinik bulgular ile ilişkisi de incelenmiştir.YÖNTEMLER: Bu çalışmaya AMİ geçirdikten bir ay sonra kardiyoloji polikliniğine kontrol amaçlı gelen 50 hasta alınmıştır. Hastalara sosyodemografik form, Hastane Ankiyete-Depresyon HAD ve Travma Sonrası Stres Bozukluğu Kontrol Listesi Sivil Sürümü PTSB-CL ölçekleri doldurtulmuştur. AMİ sonrası TSSB belirtilerine yol açabilecek bedensel, fiziksel veya ruhsal olay yaşayan hastalar çalışmaya alınmamıştır.BULGULAR: Hastaların anksiyete ölçeğinin ortalama puanı 8.7±4.3 olarak bulundu. Anksiyete ölçeğinin kesme puanına göre değerlendirme yapıldığında; hastaların % 26’sının anksiyete bozukluğu olabileceği gösterildi. Depresyon ölçeğinin ortalama puanı 7.2±3.6 idi ve ölçeğin kesme puanına göre hastaların % 36’sında n=18 depresif bozukluk olabileceği saptandı. PCL-C ölçeğinin ortalama puanı 22.1±5.1 idi. Hastaların % 24’ü PCL-C ölçeğine göre kesme puanının üzerinde bir değerdeydi ve bu hastalarda TSSB olasılığı düşünüldü.SONUÇ: Bu çalışmada AMİ geçiren hastalarda yüksek oranda TSSB belirtileri saptanmıştır. Hastanede yatış süresi ve taburculuk sonrası anjina şikayetleri TSSB belirtileri ile ilişkili bulunmuştur. AMİ geçiren hastalarda depresif bulguların yanı sıra TSSB belirtilerine de dikkat edilmesi gerektiğini düşünmekteyiz.

Keywords

PTSB, AMI, Anksiyete

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