The impact of personality factors on delay in seeking treatment of acute myocardial infarction
Tóm tắt
Early hospital arrival and rapid intervention for acute myocardial infarction is essential for a successful outcome. Several studies have been unable to identify explanatory factors that slowed decision time. The present study examines whether personality, psychosocial factors, and coping strategies might explain differences in time delay from onset of symptoms of acute myocardial infarction to arrival at a hospital emergency room. Questionnaires on coping strategies, personality dimensions, and depression were completed by 323 patients ages 26 to 70 who had suffered an acute myocardial infarction. Tests measuring stress adaptation were completed by 180 of them. The patients were then categorised into three groups, based on time from onset of symptoms until arrival at hospital, and compared using logistic regression analysis and general linear models. No correlation could be established between personality factors (i.e., extraversion, neuroticism, openness, agreeableness, conscientiousness) or depressive symptoms and time between onset of symptoms and arrival at hospital. Nor was there any significant relationship between self-reported patient coping strategies and time delay. We found no significant relationship between personality factors, coping strategies, or depression and time delays in seeking hospital after an acute myocardial infraction.
Tài liệu tham khảo
O'Carroll RE, Smith KB, Grubb NR, Fox KA, Masterton G: Psychological factors associated with delay in attending hospital following a myocardial infarction. J Psychosom Res. 2001, 51 (4): 611-614. 10.1016/S0022-3999(01)00265-3.
Zegrean M, Fox-Wasylyshyn SM, El-Masri MM: Alternative coping strategies and decision delay in seeking care for acute myocardial infarction. J Cardiovasc Nurs. 2009, 24 (2): 151-155.
Moser DK, Kimble LP, Alberts MJ, Alonzo A, Croft JB, Dracup K, Evenson KR, Go AS, Hand MM, Kothari RU, Mensah GA, Morris DL, Pancioli AM, Riegel B, Zerwic JJ: Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council. Circulation. 2006, 114 (2): 168-182. 10.1161/CIRCULATIONAHA.106.176040.
Foraker RE, Rose KM, McGinn AP, Suchindran CM, Goff DC, Whitsel EA, Wood JL, Rosamond WD: Neighborhood income, health insurance, and prehospital delay for myocardial infarction: the atherosclerosis risk in communities study. Arch Intern Med. 2008, 168 (17): 1874-1879. 10.1001/archinte.168.17.1874.
Patel H, Rosengren A, Ekman I: Symptoms in acute coronary syndromes: does sex make a difference?. Am Heart J. 2004, 148 (1): 27-33. 10.1016/j.ahj.2004.03.005.
Rozanski A, Blumenthal JA, Davidson KW, Saab PG, Kubzansky L: The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral cardiology. J Am Coll Cardiol. 2005, 45 (5): 637-651. 10.1016/j.jacc.2004.12.005.
Wulsin LR, Singal BM: Do depressive symptoms increase the risk for the onset of coronary disease? A systematic quantitative review. Psychosom Med. 2003, 65 (2): 201-210. 10.1097/01.PSY.0000058371.50240.E3.
Frasure-Smith N, Lesperance F, Talajic M: Depression and 18-month prognosis after myocardial infarction. Circulation. 1995, 91 (4): 999-1005.
Denollet J, Van Heck GL: Psychological risk factors in heart disease: what Type D personality is (not) about. J Psychosom Res. 2001, 51 (3): 465-468. 10.1016/S0022-3999(01)00230-6.
Moser DK: "The rust of life": impact of anxiety on cardiac patients. Am J Crit Care. 2007, 16 (4): 361-369.
Miller TQ, Smith TW, Turner CW, Guijarro ML, Hallet AJ: A meta-analytic review of research on hostility and physical health. Psychol Bull. 1996, 119 (2): 322-348.
Andre-Petersson L, Hagberg B, Hedblad B, Janzon L, Steen G: Incidence of cardiac events in hypertensive men related to adaptive behavior in stressful encounters. Int J Behav Med. 1999, 6 (4): 331-355. 10.1207/s15327558ijbm0604_3.
Andre-Petersson L, Hagberg B, Janzon L, Steen G: Adaptive behavior in stressful situations in relation to postinfarction mortality results from prospective cohort study "Men Born in 1914" in Malmö, Sweden. Int J Behav Med. 2003, 10 (1): 79-92. 10.1207/S15327558IJBM1001_07.
Sullivan MD, Ciechanowski PS, Russo JE, Soine LA, Jordan-Keith K, Ting HH, Caldwell JH: Understanding why patients delay seeking care for acute coronary syndromes. Circ Cardiovasc Qual Outcomes. 2009, 2 (3): 148-154. 10.1161/CIRCOUTCOMES.108.825471.
Lefler LL, Bondy KN: Women's delay in seeking treatment with myocardial infarction: a meta-synthesis. J Cardiovasc Nurs. 2004, 19 (4): 251-268.
Smolderen KG, Spertus JA, Nallamothu BK, Krumholz HM, Tang F, Ross JS, Ting HH, Alexander KP, Rathore SS, Chan PS: Health care insurance, financial concerns in accessing care, and delays to hospital presentation in acute myocardial infarction. JAMA. 2010, 303 (14): 1392-400. 10.1001/jama.2010.409.
Francone M, Bucciarelli-Ducci C, Carbone I, Canali E, Scardala R, Calabrese FA, Sardella G, Mancone M, Catalano C, Fedele F, Passariello R, Bogaert J, Agati L: Impact of primary coronary angioplasty delay on myocardial salvage, infarct size, and microvascular damage in patients with ST-segment elevation myocardial infarction: insight from cardiovascular magnetic resonance. J Am Coll Cardiol. 2009, 54 (23): 2145-2153. 10.1016/j.jacc.2009.08.024.
Dracup K, McKinley S, Riegel B, Moser DK, Meischke H, Doering LV, Davidson P, Paul SM, Baker H, Pelter M: A randomized clinical trial to reduce patient prehospital delay to treatment in acute coronary syndrome. Circ Cardiovasc Qual Outcomes. 2009, 2 (6): 524-532. 10.1161/CIRCOUTCOMES.109.852608.
Luepker RV, Raczynski JM, Osganian S, Goldberg RJ, Finnegan JR, Hedges JR, Goff DC, Eisenberg MS, Zapka JG, Feldman HA, Labarethe DR, McGovern PG, Cornell CE, Proschan MA, Simons-Morton DG: Effect of a community intervention on patient delay and emergency medical service use in acute coronary heart disease: the Rapid Early Action for Coronary Treatment (REACT) Trial. JAMA. 2000, 284 (1): 60-67. 10.1001/jama.284.1.60.
Fu Y, Goodman S, Chang WC, Van De Werf F, Granger CB, Armstrong PW: Time to treatment influences the impact of ST-segment resolution on one-year prognosis: insights from the assessment of the safety and efficacy of a new thrombolytic (ASSENT-2) trial. Circulation. 2001, 104 (22): 2653-2659. 10.1161/hc4701.099731.
Johansson I, Stromberg A, Swahn E: Factors related to delay times in patients with suspected acute myocardial infarction. Heart Lung. 2004, 33 (5): 291-300. 10.1016/j.hrtlng.2004.04.002.
Van de Werf F, Ardissino D, Betriu A, Cokkinos DV, Falk E, Fox KA, Julian D, Lengyel M, Neumann FJ, Ruzyllo W, Thygesen C, Underwood SR, Vahania A, Verheugt FW, Winj W: Management of acute myocardial infarction in patients presenting with ST-segment elevation. The Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology. Eur Heart J. 2003, 24 (1): 28-66. 10.1016/S0195-668X(02)00618-8.
Smith GJW, Nyman G E, Hentschel U: Manual till CVT-Serialt färgordtest. 1986, Stockholm: Psykologiförlaget
Rubino IA, Grasso S, Pezzarossa B: Microgenetic patterns of adaptation on the Stroop task by patients with bronchial asthma and duodenal peptic ulcer. Percept Mot Skills. 1990, 71 (1): 19-31.
Kragh U, Smith GJW: The Developmental Paradigm of Percepition-Personlity. 1970, Lund: Gleerups
Andre-Petersson L, Engstrom G, Hedblad B, Janzon L, Steen G, Tyden P: Prognostic significance of ventricular arrhythmia modified by ability to adapt to stressful situations. Eur J Cardiovasc Prev Rehabil. 2004, 11 (1): 25-32. 10.1097/01.hjr.0000116826.84388.30.
Andre-Petersson L, Hedblad B, Janzon L, Ostergren PO: Social support and behavior in a stressful situation in relation to myocardial infarction and mortality: who is at risk? Results from prospective cohort study "Men born in 1914", Malmö, Sweden. Int J Behav Med. 2006, 13 (4): 340-347. 10.1207/s15327558ijbm1304_9.
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J: An inventory for measuring depression. Arch Gen Psychiatry. 1961, 4: 561-571.
de Jonge P, Ormel J, van den Brink RH, van Melle JP, Spijkerman TA, Kuijper A, van Veldhuisen DJ, van den Berg MP, Honig A, Crijns HJ, Schene AH: Symptom dimensions of depression following myocardial infarction and their relationship with somatic health status and cardiovascular prognosis. Am J Psychiatry. 2006, 163 (1): 138-144. 10.1176/appi.ajp.163.1.138.
Wong CK, Tang EW, Herbison P, Birmingham B, Barclay L, Fu SY: Pre-existent depression in the 2 weeks before an acute coronary syndrome can be associated with delayed presentation of the heart attack. QJM. 2008, 101 (2): 137-144. 10.1093/qjmed/hcm153.
Folkman S, Lazarus RS: An analysis of coping in a middle-aged community sample. J Health Soc Behav. 1980, 21 (3): 219-239. 10.2307/2136617.
Costa JP, Mccare RR: The NEO Personallity Inventory. Manual Form S and Form R. Edited by: Odessa FL. 1985, Psychological Assessment Resources
Shipley BA, Weiss A, Der G, Taylor MD, Deary IJ: Neuroticism, extraversion, and mortality in the UK Health and Lifestyle Survey: a 21-year prospective cohort study. Psychosom Med. 2007, 69 (9): 923-931. 10.1097/PSY.0b013e31815abf83.
Rosengren A, Hawken S, Ounpuu S, Sliwa K, Zubaid M, Almahmeed WA, Blackett KN, Sitthi-amorn C, Sato H, Yusuf S: Association of psychosocial risk factors with risk of acute myocardial infarction in 11,119 cases and 13,648 controls from 52 countries (the INTERHEART study): case-control study. Lancet. 2004, 364 (9438): 953-962. 10.1016/S0140-6736(04)17019-0.
Goodwin R, Engstrom G: Personality and the perception of health in the general population. Psychol Med. 2002, 32 (2): 325-332.
Parakh K, Thombs BD, Fauerbach JA, Bush DE, Ziegelstein RC: Effect of depression on late (8 years) mortality after myocardial infarction. Am J Cardiol. 2008, 101 (5): 602-606. 10.1016/j.amjcard.2007.10.021.
Tyden P: Myocardial infarction in an urban population: studies on patterns of disease in terms of time, place and person. PhD thesis. 2002, Lund University, Department of Community Medicine
Schmaltz HN, Southern D, Ghali WA, Jelinski SE, Parsons GA, King KM, Maxwell CJ: Living alone, patient sex and mortality after acute myocardial infarction. J Gen Intern Med. 2007, 22 (5): 572-578. 10.1007/s11606-007-0106-7.
The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2261/11/21/prepub