首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Repressive coping style, acute stress disorder, and posttraumatic stress disorder after myocardial infarction.
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Repressive coping style, acute stress disorder, and posttraumatic stress disorder after myocardial infarction.

机译:心肌梗塞后的压抑应对方式,急性应激障碍和创伤后应激障碍。

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OBJECTIVE: The study examined the associations between repressive coping style, acute stress disorder (ASD) and subsequent posttraumatic stress disorder (PTSD) after myocardial infarction (MI) to ascertain the efficacy of repressive coping style in immediate and long-term adjustment to stress. METHODS: A total of 116 MI patients were examined twice: within a week of their MI (time 1) and 7 months later (time 2). At time 1, repressive coping style, perceived threat, and ASD were measured by self-report questionnaires. In addition, medical measures indicative of the severity of the MI were obtained from patients' hospital records. At time 2, PTSD was assessed. The distribution of the repressive coping style was compared with that of 72 matched control subjects. RESULTS: Findings revealed the adaptiveness of repressive coping style both in the immediate and longer-term aftermath of MI: repressors endorsed less ASD and PTSD than nonrepressors. In addition, the contribution of repressive coping style to PTSD was unique and beyond the implications of severity of MI, perceived threat, and immediate ASD. CONCLUSIONS: The findings support the role of repressive coping style as a stress-buffer; several mechanisms that explain this role are suggested.
机译:目的:本研究检查了压迫应对方式,急性应激障碍(ASD)与心肌梗死(MI)后随后的创伤后应激障碍(PTSD)之间的关联,以确定压抑应对方式在即时和长期调整压力中的功效。方法:总共116名MI患者接受了两次检查:MI一周内(时间1)和7个月后(时间2)。在时间1,通过自我报告调查问卷测量压抑应对方式,感知到的威胁和ASD。此外,可从患者的医院记录中获得指示MI严重程度的医学措施。在时间2,评估了PTSD。比较了压力应对方式的分布与72名匹配对照受试者的分布。结果:研究发现,在MI的近期和长期后果中,压抑应对方式具有适应性:压抑者比非压抑者认可的ASD和PTSD少。此外,压抑应对方式对PTSD的贡献是独特的,并且超出了MI严重程度,感知到的威胁和即时ASD的影响。结论:研究结果支持了压抑应对方式作为压力缓冲的作用。建议了几种解释此作用的机制。

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