Authors: Kevin Kirchner; Hartmut Brauer; Sandra Van der Auwera; Hans Jörgen Grabe · Research
How Do Personality Traits and Emotional Responses Affect PTSD Risk After Heart Attack?
New research reveals how resilience, emotional awareness, and feelings of helplessness influence post-heart attack trauma
Source: Kirchner, K., Brauer, H., Van der Auwera, S., & Grabe, H. J. (2022). The Impact of Resilience, Alexithymia and Subjectively Perceived Helplessness of Myocardial Infarction on the Risk of Posttraumatic Stress. Journal of Clinical Psychology in Medical Settings, 29, 954-962. https://doi.org/10.1007/s10880-022-09857-w
What you need to know
- Feeling helpless during a heart attack is strongly linked to developing post-traumatic stress symptoms afterward
- People who are more resilient tend to experience fewer trauma symptoms following a heart attack
- Difficulty identifying and expressing emotions can increase risk of post-heart attack trauma
The Hidden Emotional Impact of Heart Attacks
Having a heart attack is not just physically traumatic - it can also leave deep emotional scars. While we often focus on the medical recovery, many survivors struggle with post-traumatic stress symptoms in the aftermath. Understanding what factors influence this psychological impact is crucial for both prevention and treatment.
The Role of Personality Traits
Two key personality traits emerge as important factors: resilience and alexithymia. Resilience refers to our ability to bounce back from difficult experiences. Think of it like emotional shock absorbers - the more resilient you are, the better you can absorb and recover from traumatic events. People with higher resilience scores showed significantly fewer post-traumatic symptoms after their heart attacks.
Alexithymia, on the other hand, describes difficulty identifying and expressing emotions. Imagine trying to navigate an unfamiliar city without being able to read the street signs - that’s similar to how someone with alexithymia experiences emotions. This trait was linked to increased risk of trauma symptoms, particularly when people had trouble identifying their feelings.
The Power of Perceived Helplessness
Perhaps the most striking finding was how strongly feelings of helplessness during the heart attack influenced later trauma. This makes intuitive sense - few experiences are more frightening than feeling powerless while your life is in danger. The research showed that feeling helpless was actually a stronger predictor of post-traumatic stress than either resilience or alexithymia.
Breaking the Pattern
The good news is that understanding these risk factors opens up opportunities for intervention. While we can’t prevent heart attacks from being scary, we can work to reduce feelings of helplessness through better patient communication and support during the event. For those who struggle with emotional awareness, therapy techniques can help develop better emotional recognition and expression skills.
What This Means for You
If you or a loved one has experienced a heart attack, be aware that psychological support may be just as important as physical rehabilitation. Here are some practical steps:
- Work with mental health professionals to build resilience skills
- Learn techniques for identifying and expressing emotions
- Don’t minimize or dismiss feelings of helplessness - they’re a normal response that deserves attention
- Consider joining a support group to connect with others who understand the experience
- Be patient with the emotional recovery process - healing takes time
Conclusions
- The psychological impact of heart attacks goes beyond immediate fear and anxiety
- Both personality traits and the experience itself influence risk of trauma
- Feeling helpless during the event is a major risk factor that deserves attention
- Early intervention and support can help reduce long-term psychological effects