Association of Acute Coronary Syndrome-Induced Posttraumatic Stress Disorder Symptoms with Self-Reported Sleep
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Symptoms of posttraumatic stress disorder (PTSD) after acute coronary syndrome (ACS) are associated with recurrent ACS events and mortality. Poor sleep may be a mechanism, but the association between PTSD and sleep after ACS is unknown.
This study aims to estimate the association between ACS-induced PTSD symptoms and self-reported sleep.
ACS-induced PTSD symptoms were assessed 1-month post-ACS in 188 adults using the Impact of Events Scale-Revised. Sleep was assessed using the Pittsburgh Sleep Quality Index. Linear and logistic regression models were used to determine whether PTSD symptoms were associated with self-reported sleep, independent of sociodemographic and clinical covariates.
In adjusted models, ACS-induced PTSD symptoms were associated with worse overall sleep (β = 0.22, p = 0.003) and greater impairment in six of seven components of sleep (all p values <0.05).
ACS-induced PTSD symptoms may be associated with poor sleep, which may explain why PTSD confers increased cardiovascular risk after ACS.
- Association of Acute Coronary Syndrome-Induced Posttraumatic Stress Disorder Symptoms with Self-Reported Sleep
Annals of Behavioral Medicine
Volume 46, Issue 3 , pp 349-357
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- Print ISSN
- Online ISSN
- Springer US
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- Posttraumatic stress disorder
- Acute coronary syndrome
- Industry Sectors
- Author Affiliations
- 1. Center for Behavioral Cardiovascular Health, Columbia University Medical Center, 622 West 168th Street, PH9-318, New York, NY, 10032, USA
- 2. Department of Internal Medicine, Yale University, New Haven, CT, USA
- 3. Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, University of Medicine and Dentistry, New Brunswick, NJ, USA