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Der Nervenarzt
Erschienen in: Der Nervenarzt 3/2017

17.10.2016 | Posttraumatische Belastungsstörung | Übersichten

Posttraumatische Belastungsstörung

Auslöser und Folgeerscheinung vaskulärer Erkrankungen

verfasst von: J. Schöner, G. Kronenberg, A. Heinz, M. Endres, K. Gertz

Erschienen in: Der Nervenarzt | Ausgabe 3/2017

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Zusammenfassung

Die posttraumatische Belastungsstörung (PTBS) wurde bisher hauptsächlich mit Kriegstraumata, sexueller oder physischer Gewalteinwirkung in Verbindung gebracht. Tatsächlich kommt die PTBS jedoch auch häufig nach lebensbedrohlichen körperlichen Erkrankungen wie Herzinfarkt und Schlaganfall vor. Eine PTBS wird in der klinischen Praxis in diesem Kontext viel zu selten diagnostiziert, obwohl ein erheblicher Einfluss auf das klinische Outcome und die Mortalität nach vaskulären Ereignissen besteht. Zudem bildet die PTBS einen wichtigen Risikofaktor für die Entwicklung vaskulärer Erkrankungen. Diese Übersichtsarbeit erläutert den bidirektionalen Zusammenhang zwischen PTBS und vaskulären Ereignissen und fasst die bisherigen Forschungsergebnisse bezüglich Klinik, Prävalenz und Pathophysiologie zusammen.
Literatur
1.
Arroll B, Elley CR, Fishman T, Goodyear-Smith FA, Kenealy T, Blashki G et al (2009) Antidepressants versus placebo for depression in primary care. Cochrane Database Syst Rev(3):CD007954. doi:10.​1002/​14651858.​cd007954 PubMed
2.
Ayers S, Copland C, Dunmore E (2009) A preliminary study of negative appraisals and dysfunctional coping associated with post-traumatic stress disorder symptoms following myocardial infarction. Br J Health Psychol 14(Pt 3):459–471CrossRefPubMed
3.
Balkaya M, Prinz V, Custodis F, Gertz K, Kronenberg G, Kroeber J et al (2011) Stress worsens endothelial function and ischemic stroke via glucocorticoids. Stroke 42(11):3258–3264CrossRefPubMed
4.
5.
Bennett P, Brooke S (1999) Intrusive memories, post-traumatic stress disorder and myocardial infarction. Br J Clin Psychol 38(Pt 4):411–416CrossRefPubMed
6.
Bennett P, Conway M, Clatworthy J, Brooke S, Owen R (2001) Predicting post-traumatic symptoms in cardiac patients. Heart Lung 30(6):458–465CrossRefPubMed
7.
Beristianos MH, Yaffe K, Cohen B, Byers AL (2016) PTSD and risk of incident cardiovascular disease in aging veterans. Am J Geriatr Psychiatry 24(3):192–200CrossRefPubMed
8.
Bernardy NC, Friedman MJ (2015) Psychopharmacological strategies in the management of posttraumatic stress disorder (PTSD): what have we learned? Curr Psychiatry Rep 17(4):564CrossRefPubMed
9.
10.
Boscarino JA (2004) Posttraumatic stress disorder and physical illness: results from clinical and epidemiologic studies. Ann N Y Acad Sci 1032:141–153CrossRefPubMed
11.
Boscarino JA (2008) A prospective study of PTSD and early-age heart disease mortality among Vietnam veterans: implications for surveillance and prevention. Psychosom Med 70(6):668–676CrossRefPubMedCentralPubMed
12.
Bruggimann L, Annoni JM, Staub F, von SN, van der Linden M, Bogousslavsky J (2006) Chronic posttraumatic stress symptoms after nonsevere stroke. Neurology 66(4):513–516CrossRefPubMed
13.
Buckley PF, Miller BJ, Lehrer DS, Castle DJ (2009) Psychiatric comorbidities and schizophrenia. Schizophr Bull 35(2):383–402CrossRefPubMed
14.
Campbell DG, Felker BL, Liu CF, Yano EM, Kirchner JE, Chan D et al (2007) Prevalence of depression-PTSD comorbidity: implications for clinical practice guidelines and primary care-based interventions. J Gen Intern Med 22(6):711–718CrossRefPubMedCentralPubMed
15.
Chen MH, Pan TL, Li CT, Lin WC, Chen YS, Lee YC et al (2015) Risk of stroke among patients with post-traumatic stress disorder: nationwide longitudinal study. Br J Psychiatry 206(4):302–307CrossRefPubMed
16.
Chung MC, Berger Z, Rudd H (2007) Comorbidity and personality traits in patients with different levels of posttraumatic stress disorder following myocardial infarction. Psychiatry Res 152(2-3):243–252CrossRefPubMed
17.
Custodis F, Gertz K, Balkaya M, Prinz V, Mathar I, Stamm C et al (2011) Heart rate contributes to the vascular effects of chronic mental stress: effects on endothelial function and ischemic brain injury in mice. Stroke 42(6):1742–1749CrossRefPubMed
18.
Dirkzwager AJ, van der Velden PG, Grievink L, Yzermans CJ (2007) Disaster-related posttraumatic stress disorder and physical health. Psychosom Med 69(5):435–440CrossRefPubMed
19.
Doerfler LA, Paraskos JA, Piniarski L (2005) Relationship of quality of life and perceived control with posttraumatic stress disorder symptoms 3 to 6 months after myocardial infarction. J Cardiopulm Rehabil 25(3):166–172CrossRefPubMed
20.
Doerfler LA, Pbert L, de Cosimo D (1994) Symptoms of posttraumatic stress disorder following myocardial infarction and coronary artery bypass surgery. Gen Hosp Psychiatry 16(3):193–199CrossRefPubMed
21.
Edmondson D (2014) An enduring somatic threat model of posttraumatic stress disorder due to acute life-threatening medical events. Soc Personal Psychol Compass 8(3):118–134CrossRefPubMedCentralPubMed
22.
Edmondson D, Richardson S, Falzon L, Davidson KW, Mills MA, Neria Y (2012) Posttraumatic stress disorder prevalence and risk of recurrence in acute coronary syndrome patients: a meta-analytic review. PLOS ONE 7(6):e38915CrossRefPubMedCentralPubMed
23.
Edmondson D, Richardson S, Fausett JK, Falzon L, Howard VJ, Kronish IM (2013) Prevalence of PTSD in survivors of stroke and transient Ischemic attack: a meta-analytic review. PLOS ONE 8(6):e66435CrossRefPubMedCentralPubMed
24.
Edmondson D, Rieckmann N, Shaffer JA, Schwartz JE, Burg MM, Davidson KW et al (2011) Posttraumatic stress due to an acute coronary syndrome increases risk of 42-month major adverse cardiac events and all-cause mortality. J Psychiatr Res 45(12):1621–1626CrossRefPubMedCentralPubMed
25.
Emdin CA, Odutayo A, Wong CX, Tran J, Hsiao AJ, Hunn BH (2016) Meta-analysis of anxiety as a risk factor for cardiovascular disease. Am J Cardiol 118(4):511–519CrossRefPubMed
26.
Favrole P, Jehel L, Levy P, Descombes S, Muresan IP, Manifacier MJ et al (2013) Frequency and predictors of post-traumatic stress disorder after stroke: a pilot study. J Neurol Sci 327(1-2):35–40CrossRefPubMed
27.
Field EL, Norman P, Barton J (2008) Cross-sectional and prospective associations between cognitive appraisals and posttraumatic stress disorder symptoms following stroke. Behav Res Ther 46(1):62–70CrossRefPubMed
28.
Flatten G, Gast U, Hofmann A, Knaevelsrud Ch, Lampe A, Liebermann P et al (2011) S3-Leitlinie Posttraumatische Belastungsstörung. Trauma Gewalt 3:202–210
29.
Ginzburg K, Ein-Dor T (2011) Posttraumatic stress syndromes and health-related quality of life following myocardial infarction: 8‑year follow-up. Gen Hosp Psychiatry 33(6):565–571CrossRefPubMed
30.
Ginzburg K, Solomon Z, Koifman B, Keren G, Roth A, Kriwisky M et al (2003) Trajectories of posttraumatic stress disorder following myocardial infarction: a prospective study. J Clin Psychiatry 64(10):1217–1223CrossRefPubMed
31.
Goldfinger JZ, Edmondson D, Kronish IM, Fei K, Balakrishnan R, Tuhrim S et al (2014) Correlates of post-traumatic stress disorder in stroke survivors. J Stroke Cerebrovasc Dis 23(5):1099–1105CrossRefPubMed
32.
Gradus JL, Farkas DK, Svensson E, Ehrenstein V, Lash TL, Milstein A et al (2015) Associations between stress disorders and cardiovascular disease events in the Danish population. BMJ Open 5(12):e009334CrossRefPubMedCentralPubMed
33.
Guler E, Schmid JP, Wiedemar L, Saner H, Schnyder U, von Känel KR (2009) Clinical diagnosis of posttraumatic stress disorder after myocardial infarction. Clin Cardiol 32(3):125–129CrossRefPubMed
34.
35.
Hapke U, Schumann A, Rumpf HJ, John U, Konerding U, Meyer C (2005) Association of smoking and nicotine dependence with trauma and posttraumatic stress disorder in a general population sample. J Nerv Ment Dis 193(12):843–846CrossRefPubMed
36.
Heinz A, Hermann D, Smolka MN, Rieks M, Graf KJ, Pohlau D et al (2003) Effects of acute psychological stress on adhesion molecules, interleukins and sex hormones: implications for coronary heart disease. Psychopharmacology (Berl) 165(2):111–117CrossRef
37.
Hellmann J, Heuser I, Kronenberg G (2011) Targeted prevention of posttraumatic stress disorder. Nervenarzt 82(7):834–841CrossRefPubMed
38.
Jordan HT, Miller-Archie SA, Cone JE, Morabia A, Stellman SD (2011) Heart disease among adults exposed to the September 11, 2001 World Trade Center disaster: results from the World Trade Center Health Registry. Prev Med 53(6):370–376CrossRefPubMed
39.
Jordan HT, Stellman SD, Morabia A, Miller-Archie SA, Alper H, Laskaris Z et al (2013) Cardiovascular disease hospitalizations in relation to exposure to the September 11, 2001 World Trade Center disaster and posttraumatic stress disorder. J Am Heart Assoc 2(5):e000431CrossRefPubMedCentralPubMed
40.
Kang HK, Bullman TA, Taylor JW (2006) Risk of selected cardiovascular diseases and posttraumatic stress disorder among former World War II prisoners of war. Ann Epidemiol 16(5):381–386CrossRefPubMed
41.
Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB (1995) Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry 52(12):1048–1060CrossRefPubMed
42.
Kilpatrick DG, Resnick HS, Milanak ME, Miller MW, Keyes KM, Friedman MJ (2013) National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. J Trauma Stress 26(5):537–547CrossRefPubMedCentralPubMed
43.
Kiphuth IC, Utz KS, Noble AJ, Kohrmann M, Schenk T (2014) Increased prevalence of posttraumatic stress disorder in patients after transient ischemic attack. Stroke 45(11):3360–3366CrossRefPubMed
44.
Kronish IM, Edmondson D, Goldfinger JZ, Fei K, Horowitz CR (2012) Posttraumatic stress disorder and adherence to medications in survivors of strokes and transient ischemic attacks. Stroke 43(8):2192–2197CrossRefPubMedCentralPubMed
45.
Kubzansky LD, Koenen KC, Jones C, Eaton WW (2009) A prospective study of posttraumatic stress disorder symptoms and coronary heart disease in women. Health Psychol 28(1):125–130CrossRefPubMedCentralPubMed
46.
Kubzansky LD, Koenen KC, Spiro A III, Vokonas PS, Sparrow D (2007) Prospective study of posttraumatic stress disorder symptoms and coronary heart disease in the normative aging study. Arch Gen Psychiatry 64(1):109–116CrossRefPubMed
47.
Kutz I, Shabtai H, Solomon Z, Neumann M, David D (1994) Post-traumatic stress disorder in myocardial infarction patients: prevalence study. Isr J Psychiatry Relat Sci 31(1):48–56
48.
Letamendia C, Leblanc NJ, Pariente J, Simon NM, Thomas CL, Chabrol H et al (2012) Peritraumatic distress predicts acute posttraumatic stress disorder symptoms after a first stroke. Gen Hosp Psychiatry 34(5):e11–e13CrossRefPubMed
49.
Maercker A, Forstmeier S, Wagner B, Glaesmer H, Brahler E (2008) Post-traumatic stress disorder in Germany. Results of a nationwide epidemiological study. Nervenarzt 79(5):577–586CrossRefPubMed
50.
Merriman C, Norman P, Barton J (2007) Psychological correlates of PTSD symptoms following stroke. Psychol Health Med 12(5):592–602CrossRefPubMed
51.
Mitte K (2005) Meta-analysis of cognitive-behavioral treatments for generalized anxiety disorder: a comparison with pharmacotherapy. Psychol Bull 131(5):785–795CrossRefPubMed
52.
Nemeroff CB, Heim CM, Thase ME, Klein DN, Rush AJ, Schatzberg AF et al (2003) Differential responses to psychotherapy versus pharmacotherapy in patients with chronic forms of major depression and childhood trauma. Proc Natl Acad Sci USA 100(24):14293–14296CrossRefPubMedCentralPubMed
53.
Noble AJ, Baisch S, Mendelow AD, Allen L, Kane P, Schenk T (2008) Posttraumatic stress disorder explains reduced quality of life in subarachnoid hemorrhage patients in both the short and long term. Neurosurgery 63(6):1095–1104CrossRefPubMed
54.
O’Donnell MJ, Xavier D, Liu L, Zhang H, Chin SL, Rao-Melacini P et al (2010) Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet 376(9735):112–123CrossRefPubMed
55.
O’Reilly SM, Grubb N, O’Carroll RE (2004) Long-term emotional consequences of in-hospital cardiac arrest and myocardial infarction. Br J Clin Psychol 43(Pt 1):83–95CrossRefPubMed
56.
Pedersen JM, Lund R, Andersen I, Clark AJ, Prescott E, Rod NH (2016) Psychosocial risk factors for the metabolic syndrome: a prospective cohort study. Int J Cardiol 215:41–46CrossRefPubMed
57.
Pedersen SS, Middel B, Larsen ML (2003) Posttraumatic stress disorder in first-time myocardial infarction patients. Heart Lung 32(5):300–307CrossRefPubMed
58.
59.
Pitman RK, Sanders KM, Zusman RM, Healy AR, Cheema F, Lasko NB et al (2002) Pilot study of secondary prevention of posttraumatic stress disorder with propranolol. Biol Psychiatry 51(2):189–192CrossRefPubMed
60.
Roberge MA, Dupuis G, Marchand A (2010) Post-traumatic stress disorder following myocardial infarction: prevalence and risk factors. Can J Cardiol 26(5):e170–e175CrossRefPubMedCentralPubMed
61.
Rocha LP, Peterson JC, Meyers B, Boutin-Foster C, Charlson ME, Jayasinghe N et al (2008) Incidence of posttraumatic stress disorder (PTSD) after myocardial infarction (MI) and predictors of ptsd symptoms post-MI--a brief report. Int J Psychiatry Med 38(3):297–306CrossRefPubMed
62.
Roest AM, Martens EJ, Denollet J, de Jonge P (2010) Prognostic association of anxiety post myocardial infarction with mortality and new cardiac events: a meta-analysis. Psychosom Med 72(6):563–569CrossRefPubMed
63.
Rosenbaum S, Vancampfort D, Steel Z, Newby J, Ward PB, Stubbs B (2015) Physical activity in the treatment of post-traumatic stress disorder: a systematic review and meta-analysis. Psychiatry Res 230(2):130–136CrossRefPubMed
64.
Roy SS, Foraker RE, Girton RA, Mansfield AJ (2015) Posttraumatic stress disorder and incident heart failure among a community-based sample of US veterans. Am J Public Health 105(4):757–763CrossRefPubMed
65.
Rozanski A, Blumenthal JA, Kaplan J (1999) Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation 99(16):2192–2217CrossRefPubMed
66.
Sagen U, Vik TG, Moum T, Morland T, Finset A, Dammen T (2009) Screening for anxiety and depression after stroke: comparison of the hospital anxiety and depression scale and the Montgomery and Asberg depression rating scale. J Psychosom Res 67(4):325–332CrossRefPubMed
67.
Scherrer JF, Chrusciel T, Zeringue A, Garfield LD, Hauptman PJ, Lustman PJ et al (2010) Anxiety disorders increase risk for incident myocardial infarction in depressed and nondepressed Veterans Administration patients. Am Heart J 159(5):772–779CrossRefPubMed
68.
Sembi S, Tarrier N, O’Neill P, Burns A, Faragher B (1998) Does post-traumatic stress disorder occur after stroke: a preliminary study. Int J Geriatr Psychiatry 13(5):315–322CrossRefPubMed
69.
Sheldrick R, Tarrier N, Berry E, Kincey J (2006) Post-traumatic stress disorder and illness perceptions over time following myocardial infarction and subarachnoid haemorrhage. Br J Health Psychol 11(Pt 3):387–400CrossRefPubMed
70.
Shemesh E, Koren-Michowitz M, Yehuda R, Milo-Cotter O, Murdock E, Vered Z et al (2006) Symptoms of posttraumatic stress disorder in patients who have had a myocardial infarction. Psychosomatics 47(3):231–239CrossRefPubMed
71.
Shemesh E, Rudnick A, Kaluski E, Milovanov O, Salah A, Alon D et al (2001) A prospective study of posttraumatic stress symptoms and nonadherence in survivors of a myocardial infarction (MI). Gen Hosp Psychiatry 23(4):215–222CrossRefPubMed
72.
Shemesh E, Yehuda R, Milo O, Dinur I, Rudnick A, Vered Z et al (2004) Posttraumatic stress, nonadherence, and adverse outcome in survivors of a myocardial infarction. Psychosom Med 66(4):521–526CrossRefPubMed
73.
Spitzer C, Barnow S, Volzke H, John U, Freyberger HJ, Grabe HJ (2009) Trauma, posttraumatic stress disorder, and physical illness: findings from the general population. Psychosom Med 71(9):1012–1017CrossRefPubMed
74.
75.
Sullivan TP, Cavanaugh CE, Buckner JD, Edmondson D (2009) Testing posttraumatic stress as a mediator of physical, sexual, and psychological intimate partner violence and substance problems among women. J Trauma Stress 22(6):575–584PubMedCentralPubMed
76.
Sumner JA, Kubzansky LD, Elkind MS, Roberts AL, Agnew-Blais J, Chen Q et al (2015) Trauma exposure and posttraumatic stress disorder symptoms predict onset of cardiovascular events in women. Circulation 132(4):251–259CrossRefPubMedCentralPubMed
77.
Vaccarino V, Goldberg J, Rooks C, Shah AJ, Veledar E, Faber TL et al (2013) Post-traumatic stress disorder and incidence of coronary heart disease: a twin study. J Am Coll Cardiol 62(11):970–978CrossRefPubMed
78.
Violanti JM, Burchfiel CM, Miller DB, Andrew ME, Dorn J, Wactawski-Wende J et al (2006) The Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) pilot study: methods and participant characteristics. Ann Epidemiol 16(2):148–156CrossRefPubMed
79.
Violanti JM, Fekedulegn D, Hartley TA, Andrew ME, Charles LE, Mnatsakanova A et al (2006) Police trauma and cardiovascular disease: association between PTSD symptoms and metabolic syndrome. Int J Emerg Ment Health 8(4):227–237PubMed
80.
von Kanel R, Abbas CC, Begre S, Saner H, Gander ML, Schmid JP (2010) Posttraumatic stress disorder and soluble cellular adhesion molecules at rest and in response to a trauma-specific interview in patients after myocardial infarction. Psychiatry Res 179(3):312–317CrossRef
81.
von Kanel R, Hari R, Schmid JP, Wiedemar L, Guler E, Barth J et al (2011) Non-fatal cardiovascular outcome in patients with posttraumatic stress symptoms caused by myocardial infarction. J Cardiol 58(1):61–68CrossRef
82.
von Kanel R, Hepp U, Kraemer B, Traber R, Keel M, Mica L et al (2007) Evidence for low-grade systemic proinflammatory activity in patients with posttraumatic stress disorder. J Psychiatr Res 41(9):744–752CrossRef
83.
Wang X, Chung MC, Hyland ME, Bahkeit M (2011) Posttraumatic stress disorder and psychiatric co-morbidity following stroke: the role of alexithymia. Psychiatry Res 188(1):51–57CrossRefPubMed
84.
Watson D (2009) Differentiating the mood and anxiety disorders: a quadripartite model. Annu Rev Clin Psychol 5:221–247CrossRefPubMed
85.
Wentworth BA, Stein MB, Redwine LS, Xue Y, Taub PR, Clopton P et al (2013) Post-traumatic stress disorder: a fast track to premature cardiovascular disease? Cardiol Rev 21(1):16–22CrossRefPubMed
86.
Wetherell JL, Petkus AJ, Thorp SR, Stein MB, Chavira DA, Campbell-Sills L et al (2013) Age differences in treatment response to a collaborative care intervention for anxiety disorders. Br J Psychiatry 203(1):65–72CrossRefPubMedCentralPubMed
87.
Wikman A, Bhattacharyya M, Perkins-Porras L, Steptoe A (2008) Persistence of posttraumatic stress symptoms 12 and 36 months after acute coronary syndrome. Psychosom Med 70(7):764–772CrossRefPubMed
88.
Yehuda R (2006) Advances in understanding neuroendocrine alterations in PTSD and their therapeutic implications. Ann N Y Acad Sci 1071:137–166CrossRefPubMed
89.
Yehuda R, Southwick S, Giller EL, Ma X, Mason JW (1992) Urinary catecholamine excretion and severity of PTSD symptoms in Vietnam combat veterans. J Nerv Ment Dis 180(5):321–325CrossRefPubMed
Metadaten
Titel
Posttraumatische Belastungsstörung
Auslöser und Folgeerscheinung vaskulärer Erkrankungen
verfasst von
J. Schöner
G. Kronenberg
A. Heinz
M. Endres
K. Gertz
Publikationsdatum
17.10.2016
Verlag
Springer Medizin
Erschienen in
Der Nervenarzt / Ausgabe 3/2017
Print ISSN: 0028-2804
Elektronische ISSN: 1433-0407
DOI
https://doi.org/10.1007/s00115-016-0231-9

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