Symptoms of posttraumatic stress disorder in patients who have had a myocardial infarction

Eyal Shemesh, Maya Koren-Michowitz, Rachel Yehuda, Olga Milo-Cotter, Elmer Murdock, Zvi Vered, Benjamin L. Shneider, Jack M. Gorman, Gad Cotter

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

Symptoms of posttraumatic stress disorder (PTSD) and risk factors for recurrent ischemia were evaluated in 65 survivors of a myocardial infarction (MI) at baseline and 6 months afterward. PTSD patients had more uncontrolled cardiovascular risk factors at baseline. Patients with PTSD (N = 14) were offered trauma-focused cognitive-behavior treatment (CBT) plus a nonspecific intervention to improve adherence to medical recommendations. Adherence to aspirin improved in recipients of the nonspecific intervention (N = 8); PTSD symptoms and cardiovascular risk improved in patients who received CBT (N = 6). PTSD may be a treatable risk factor for poor post-Mi outcome. Further research is needed to evaluate treatment options.

Original languageEnglish
Pages (from-to)231-239
Number of pages9
JournalPsychosomatics
Volume47
Issue number3
DOIs
StatePublished - 2006

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