Understanding Traumatic Stress Following Myocardial Infarction: A Systematic Review
Date
2020
Authors
Low, Gregory Low Wei
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Thesis
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Abstract
More than one million Australians have some form of heart disease, with around half of those
experiencing a myocardial infarction (MI) during their lifetime. The purpose of this
systematic review is to summarise the literature on traumatic stress post-MI. This study aims
to identify the different ways in which traumatic stress symptomatology is assessed and
classified post-MI, and the implications this has for translation from research to policy and
practice. A comprehensive search protocol, developed in collaboration with clinicians and a
research librarian, was applied to six databases. This resulted in 3273 records identified for
screening. The online tool Covidence was used for managing the study selection process,
using predefined inclusion/exclusion criteria. A second reviewer independently screened a
subset of the studies to assess the reliability of the inclusion/exclusion criteria. Following
removal of duplicate records and further screening, 13 studies were identified and included in
the review. Results suggest there is increasing evidence for the occurrence of traumatic stress
post-MI. Detection of this condition is influenced by methodological differences, with
clinical interviews measures identifying lower figures than self-report. Post-MI traumatic
stress symptomatology presents atypical characteristics and chronicity, which poses
important consequences for researchers, practitioners, and patients. While MI mortality rates
are falling steadily, the increase in the number of survivors with traumatic stress requires
timely translation of research to policy and practice, to promote the ongoing wellbeing of this
patient group.
School/Discipline
School of Psychology
Dissertation Note
Thesis (M.Psych(Health)) -- University of Adelaide, School of Psychology, 2020
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