Long-term mental health of women after a first acute myocardial infarction11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

Drory, Yaacov; Kravetz, Shlomo; Hirschberger, Gilad

doi:10.1016/s0003-9993(03)00316-2

Cited by 28 publications

(1 citation statement)

References 43 publications

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“…Prior research has shown that women experience more intense PTSD symptoms following an AMI and have less improvement in symptoms over time, compared with men (3, 12). Even 5 years after an AMI, women report lower psychological well-being and higher psychological distress than men (13). As women and men have different cardiovascular reactions to mental stress (e.g., increased platelet aggregation in women versus more elevated blood pressure in men) (14), it is important to understand sex differences in perceived stress after AMI, which may shed light on potentially different recovery paths of women and men.…”

Section: Introductionmentioning

confidence: 99%

Perceived Stress After Acute Myocardial Infarction: A Comparison Between Young and Middle-Aged Women Versus Men

Bao

Strait

et al. 2017

Psychosom Med

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Objective To examine how psychological stress changes over time in young and middle-aged patients after experiencing an acute myocardial infarction (AMI) and whether these changes over time differ between men and women. Methods We analyzed data obtained from 2,358 women and 1,151 men aged 18–55 years hospitalized for an AMI. Psychological stress was measured using the 14-item Perceived Stress Scale (PSS-14) at initial hospitalization and at 1 and 12 months after AMI. We used linear mixed effects models to examine changes in PSS-14 scores over time and sex differences in these changes, while adjusting for patient characteristics and accounting for correlation among repeated observations within patients. Results Overall, patients’ perceived stress decreased over time, especially during the first month after AMI. Women had higher levels of perceived stress than men throughout the 12-month period (difference in PSS-14 score = 3.63, 95% confidence interval [CI] = 3.08 to 4.18, p<.001), but they did not differ in how stress changed over time. Adjustment for patient characteristics did not alter the overall pattern of sex difference in changes of perceived stress over time other than attenuating the magnitude of sex difference in PSS-14 score (difference between women and men = 1.74, 95% CI: 1.32 to 2.16, p<.001). The magnitude of sex differences in perceived stress was similar in patients with versus without post-AMI angina, even though patients with angina experienced less improvement in PSS-14 score than those without angina. Conclusions In young and middle-aged patients with AMI, women reported higher levels of perceived stress than men throughout the first 12 months of recovery. However, women and men had a similar pattern in how perceived stress changed over time.

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