Domains of quality of life and symptoms in male veterans treated for Posttraumatic stress disorder
Domains of quality of life and symptoms in male veterans treated for Posttraumatic stress disorder
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DOI：
10.1002/jts.20269
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发表时间：
2007-12-01
影响因子：
3.3
通讯作者：
Schnurr, Paula P.
中科院分区：
文献类型：
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作者：
Lunney, Carole A.;Schnurr, Paula P.
本研究探讨了生活质量和创伤后应激障碍（PTSD）症状的319名男性退伍军人在一个随机试验的团体心理治疗领域之间的关系。验证性因素分析表明，四因素模型的生活质量（成就，自我表达，关系，和环境）适合比一维模型。有临床意义的症状变化与所有生活质量领域的更大变化相关。在治疗前，麻木症状唯一预测所有的生活质量领域。回避和过度觉醒的变化可以唯一预测成就的变化。重新体验自我表达中独特的预测变化的变化。麻木的变化唯一地预测了关系的变化。检查PTSD症状和生活质量领域的变化可能为治疗计划和评估提供重要信息。
This study examined the relationship between domains of quality of life and posttraumatic stress disorder (PTSD) symptoms in 319 male veterans in a randomized trial of group psychotherapy. Confirmatory factor analyses suggested a 4-factor model of quality of life (achievement, self-expression, relationships, and surroundings) fit better than a unidimensional model. Clinically meaningful symptom change was associated with greater change in all quality of life domains. At pretreatment, numbing symptoms uniquely predicted all quality of life domains. Change in avoidance and hyperarousal uniquely predicted change in achievement. Change in reexperiencing uniquely predicted change in self-expression. Change in numbing uniquely predicted change in relationships. Examining change in PTSD symptoms and quality of life domains may provide important information for treatment planning and evaluation.