What is it about?
The temporal changes and sex differences in post-traumatic stress disorder (PTSD) after natural disasters remain unclear. Therefore, we examined the prevalence, prognostic impacts and determinant factors of PTSD after the Great East Japan Earthquake (GEJE) of March 11, 2011, in cardiovascular patients registered in the Chronic Heart Failure Analysis and Registry in the Tohoku District (CHART)-2 Study (N=10,219), with a special reference to sex.
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Why is it important?
The present study confirmed our preliminary observation that PTSD developed after the GEJE was associated with adverse prognosis in CVD patients,8 with an extended follow-up period. The present study of the GEJE demonstrated that there were marked sex differences in the prevalence, prognostic impacts and determinant factors of PTSD and temporal changes in determinant factors. First of all, our findings are clinically important because there are few reports to show the prognostic impacts of PTSD after natural disasters. Furthermore, we believe this study has great significance since we were able to examined sex difference in the prognostic impacts of PTSD in the same cohort, which has never been examined regardless of the causes of PTSD.
Perspectives
We would like to propose that, in cardiovascular patients after a disaster, ceaseless mental stress care considering sex differences of related factors of PTSD is needed for early detection and therapeutic intervention for mental stress, by which the prognosis of the patients with PTSD may improve.
Yasuhiko Sakata
Tohoku Daigaku
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This page is a summary of: OUP accepted manuscript, European Heart Journal - Quality of Care and Clinical Outcomes, January 2017, Oxford University Press (OUP),
DOI: 10.1093/ehjqcco/qcx009.
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