title: Association of social support during emergency department evaluation for acute coronary syndrome with subsequent posttraumatic stress symptoms.
abstract: We examined the associations of different aspects of social support during emergency department (ED) evaluation for an acute cardiac event with perceptions of threat in the ED and subsequent posttraumatic stress symptoms (PSS) in 484 patients. Participants were enrolled in the ED where they reported on their perceptions of threat in the ED. Social support in the ED and PSS were assessed at inpatient bedside or by telephone a median of 3 days later. Positive aspects of social support were not associated with subsequent PSS. Anxiety-provoking social support was significantly associated with increased PSS at follow-up. Greater ED threat perception partially mediated that relationship.
authors.affiliation: Center for Behavioral Cardiovascular Health, Columbia University Medical Center, 622 West 168 Street, PH9-317, New York, NY, 10032, USA.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Homma
authors.affiliation: Department of Emergency Medicine, Columbia University Medical Center, New York, NY, USA.
authors.forename: Bernard
authors.initials: B
authors.lastname: Chang
authors.affiliation: Department of Psychology, University of Colorado, Denver, CO, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Shaffer
authors.affiliation: Center for Behavioral Cardiovascular Health, Columbia University Medical Center, 622 West 168 Street, PH9-317, New York, NY, 10032, USA.
authors.forename: Barvina
authors.initials: B
authors.lastname: Toledo
authors.affiliation: Center for Behavioral Cardiovascular Health, Columbia University Medical Center, 622 West 168 Street, PH9-317, New York, NY, 10032, USA.
authors.forename: Brooke
authors.initials: B
authors.lastname: Hefele
authors.affiliation: Center for Behavioral Cardiovascular Health, Columbia University Medical Center, 622 West 168 Street, PH9-317, New York, NY, 10032, USA.
authors.forename: Nathan
authors.initials: N
authors.lastname: Dalrymple
authors.affiliation: Center for Behavioral Cardiovascular Health, Columbia University Medical Center, 622 West 168 Street, PH9-317, New York, NY, 10032, USA. dee2109@cumc.columbia.edu.
authors.forename: Donald
authors.initials: D
authors.lastname: Edmondson
mesh_terms: D054058:Acute Coronary Syndrome / Q000523:psychology* / Q000628:therapy; D000368:Aged; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000523:psychology*
keywords: Acute coronary syndrome; Clinical health psychology; Emergency department; Social support