Author:
Preti Antonio,Sancassiani Federica,Cadoni Federica,Carta Mauro Giovanni
Abstract
Background:
The time between the onset of symptoms and reperfusion is a critical determinant of the clinical course of patients with acute myocardial infarction (AMI). Any delay in seeking help will affect patient’s outcome. Alexithymia can influence the information processing but also the skills to detect the signal of an ongoing AMI.
Method:
Systematic review and meta-analysis of studies investigating the role of alexithymia in pre-hospital delay after AMI. Pubmed/Medline and PsychINFO/Ovid search from 1990 until 2012.
Results:
Out of 29 studies investigating the role of psychological factors in pre-hospital delay after AMI, 3 studies specifically assessed alexithymia, involving 258 patients. All studies used the Toronto Alexithymia Scale to group patients into clusters by time to presentation after AMI. Meta-analysis of data showed that the patients with higher emotional awareness (i.e., low alexithymia) had shorter time to presentation after AMI.
Conclusions:
Preliminary evidence indicates that alexithymia may have a role in seeking help delay after AMI. Further studies are necessary to better appreciate how alexithymia influence help-seeking in patients with an evolving AMI and in what extent their ineffective behavior can be changed.
Publisher
Bentham Science Publishers Ltd.
Subject
Psychiatry and Mental health,Epidemiology
Reference24 articles.
1. Boersma E, Maas AC, Deckers JW, Simoons ML.
Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour
Lancet
1996;
21
: 771-5.
2. De Von HA, Hogan N, Ochs AL, Shapiro M.
Time to treatment for acute coronary syndromes: the cost of indecision
J Cardiovasc Nurs
2010;
25
(2)
: 106-4.
3. Kenyon LW, Ketterer MW, Preisman RC.
Psychological factors relevant to the prehospital and in-hospital phases of acute myocardial infarction
Henry Ford Hosp Med J
1991;
39
(3-4)
: 176-83.
4. Khraim FM, Scherer YK, Dorn JM, Carey MG.
Predictors of decision delay to seeking health care among Jordanians with acute myocardial infarction
J Nurs Scholarsh
2009;
41
(3)
: 260-7.
5. Moser DK, Kimble LP, Alberts MJ, et al.
Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council
Circulation
2006;
(2):
168-82.
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