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Comparative Study
. 2006 May-Jun;47(3):231-9.
doi: 10.1176/appi.psy.47.3.231.

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

Eyal Shemesh  1 , Maya Koren-Michowitz, Rachel Yehuda, Olga Milo-Cotter, Elmer Murdock, Zvi Vered, Benjamin L Shneider, Jack M Gorman, Gad Cotter
Affiliations
Comparative Study

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

Eyal Shemesh et al. Psychosomatics. 2006 May-Jun.

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.

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