Posttraumatic stress disorder predicts poor health-related quality of life in cardiac patients in Palestine
| العنوان: | Posttraumatic stress disorder predicts poor health-related quality of life in cardiac patients in Palestine |
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| المؤلفون: | Shaden Hasan, Abdulsalam Alkaiyat, Alaa Assadi, Salim Haj-Yahia, Christian Schindler, Liana Allabadi, Nicole Probst-Hensch, Marek Kwiatkowski, Aya Ghanayim, Dalia Abu Al Haj, Tamer Zahdeh, Hala Allabadi, Elisabeth Zemp |
| المصدر: | PLoS ONE PLoS ONE, Vol 16, Iss 7, p e0255077 (2021) |
| بيانات النشر: | Public Library of Science, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Emotions, Psychological intervention, Social Sciences, Disease, 030204 cardiovascular system & hematology, Anxiety, Cardiovascular Medicine, Severity of Illness Index, Cohort Studies, Stress Disorders, Post-Traumatic, 0302 clinical medicine, Medical Conditions, Surveys and Questionnaires, Medicine and Health Sciences, Medicine, Psychology, Public and Occupational Health, 030212 general & internal medicine, Depression (differential diagnoses), Aged, 80 and over, education.field_of_study, Multidisciplinary, Depression, Post-Traumatic Stress Disorder, Middle Aged, Anxiety Disorders, Cardiovascular Diseases, Female, medicine.symptom, Cohort study, Clinical psychology, Research Article, Adult, Heart Diseases, Science, Population, Cardiology, Neuropsychiatric Disorders, Neuroses, 03 medical and health sciences, Quality of life (healthcare), Mental Health and Psychiatry, Humans, education, Life Style, Aged, business.industry, Mood Disorders, Biology and Life Sciences, Physical Activity, Mental health, Health Care, Quality of Life, business, Follow-Up Studies |
| الوصف: | Background The longitudinal association of posttraumatic stress disorder (PTSD) with health-related quality of life (HRQL) in cardiac patients’ remains poorly studied, particularly in conflict-affected settings. Materials and methods For this cohort study, we used baseline and one-year follow-up data collected from patients 30 to 80 years old consecutively admitted with a cardiac diagnosis to four major hospitals in Nablus, Palestine. All subjects were screened for PTSD and HRQL using the PTSD Checklist Specific and the HeartQoL questionnaire. We used a generalized structural equation model (GSEM) to examine the independent predictive association of PTSD at baseline with HRQL at follow-up. We also examined the mediating roles of depression, anxiety, and stress at baseline. Results The prevalence of moderate-to-high PTSD symptoms among 1022 patients at baseline was 27∙0%. Patients with PTSD symptoms reported an approximate 20∙0% lower HRQL at follow-up. The PTSD and HRQL relationship was largely mediated by depressive and anxiety symptoms. It was not materially altered by adjustment for socio-demographic, clinical, and lifestyle factors. Discussion Our findings suggest that individuals with a combination of PTSD and depression, or anxiety are potentially faced with poor HRQL as a longer-term outcome of their cardiac disease. In Palestine, psychological disorders are often stigmatized; however, integration of mental health care with cardiac care may offer an entry door for addressing psychological problems in the population. Further studies need to assess the effective mental health interventions for improving quality of life in cardiac patients. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1932-6203 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::78b687f7329e14d63cd8d61228ca2623 http://europepmc.org/articles/PMC8315523 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....78b687f7329e14d63cd8d61228ca2623 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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