» Articles » PMID: 35169973

The Impact of Resilience, Alexithymia and Subjectively Perceived Helplessness of Myocardial Infarction on the Risk of Posttraumatic Stress

Overview
Publisher Springer
Specialty Psychology
Date 2022 Feb 16
PMID 35169973
Authors
Affiliations
Soon will be listed here.
Abstract

The aim of this study was to investigate the impact of resilience, alexithymia and the subjectively perceived severity (fear of death, pain intensity, helplessness) of myocardial infarction (MI) on posttraumatic symptom severity (PTSS) after MI. Patients were assessed with the Posttraumatic Diagnostic Scale (PDS), Resilience Scale (RS-11) and Toronto Alexithymia Scale (TAS-20). Subjectively perceived severity of MI was measured with three items on a 10-point Likert scale. To test our hypothesis, we applied Pearson correlations as well as multiple hierarchical linear regression analyses. A higher resilience score was significantly associated with lower (r =  - .39, p < .001) PTSS. Higher scores of alexithymia (r = .38, p < .01) and subjectively perceived helplessness (r = .42, p < .001) were associated with higher PTSS. Multiple hierarchical linear regression analyses revealed that resilience, the TAS-20 subscale difficulty identifying feelings (DIF) and especially subjectively perceived helplessness were independent significant predictors for the PTSS, adjusted R = .29, F(5, 102) = 9.57, p < .001. Our results suggest that resilience reduces the PTSS whereas alexithymia and subjectively perceived helplessness increase the risk. Especially the subjectively perceived helplessness explains a high degree of variance of PTSS and should be assessed to hindering further mental health burden.

Citing Articles

Resilience and its influencing factors after emergency percutaneous coronary intervention in young and middle-aged patients with first acute myocardial infarction.

Wang J, Wu Y, Zhou J, Li S, She L Sci Rep. 2024; 14(1):9507.

PMID: 38664486 PMC: 11045793. DOI: 10.1038/s41598-024-59885-9.


The Psychology of Atopic Dermatitis.

Courtney A, Su J J Clin Med. 2024; 13(6).

PMID: 38541828 PMC: 10970750. DOI: 10.3390/jcm13061602.


Alexithymia and negative emotions among nursing students: a moderated mediation model.

Sun F, Wang F, Hu X, Xue J, Zheng S, Su J BMC Nurs. 2024; 23(1):167.

PMID: 38459516 PMC: 10921665. DOI: 10.1186/s12912-024-01832-0.


Positive psychosocial factors and the development of symptoms of depression and posttraumatic stress symptoms following acute myocardial infarction.

Zuccarella-Hackl C, Jimenez-Gonzalo L, von Kanel R, Princip M, Jellestad L, Langraf-Meister R Front Psychol. 2023; 14:1302699.

PMID: 38111867 PMC: 10725949. DOI: 10.3389/fpsyg.2023.1302699.


Alexithymia and asthma: a systematic review.

Silvestro O, Ricciardi L, Catalano A, Vicario C, Tomaiuolo F, Pioggia G Front Psychol. 2023; 14:1221648.

PMID: 37609491 PMC: 10441120. DOI: 10.3389/fpsyg.2023.1221648.


References
1.
Groarke A, Curtis R, Skelton J, Groarke J . Quality of life and adjustment in men with prostate cancer: Interplay of stress, threat and resilience. PLoS One. 2020; 15(9):e0239469. PMC: 7498057. DOI: 10.1371/journal.pone.0239469. View

2.
Cameron K, Ogrodniczuk J, Hadjipavlou G . Changes in alexithymia following psychological intervention: a review. Harv Rev Psychiatry. 2014; 22(3):162-78. DOI: 10.1097/HRP.0000000000000036. View

3.
Luminet O, Nielson K, Ridout N . Having no words for feelings: alexithymia as a fundamental personality dimension at the interface of cognition and emotion. Cogn Emot. 2021; 35(3):435-448. DOI: 10.1080/02699931.2021.1916442. View

4.
Albarqouni L, von Eisenhart Rothe A, Ronel J, Meinertz T, Ladwig K . Frequency and covariates of fear of death during myocardial infarction and its impact on prehospital delay: findings from the multicentre MEDEA Study. Clin Res Cardiol. 2015; 105(2):135-44. DOI: 10.1007/s00392-015-0895-3. View

5.
Preti A, Sancassiani F, Cadoni F, Carta M . Alexithymia affects pre-hospital delay of patients with acute myocardial infarction: meta-analysis of existing studies. Clin Pract Epidemiol Ment Health. 2013; 9:69-73. PMC: 3715755. DOI: 10.2174/1745017901309010069. View