The predictive value of post-traumatic stress disorder symptoms for quality of life: a longitudinal study of physically injured victims of non-domestic violence.
The predictive value of post-traumatic stress disorder symptoms for quality of life: a longitudinal study of physically injured victims of non-domestic violence.
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DOI：
10.1186/1477-7525-5-26
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发表时间：
2007-05-21
影响因子：
3.6
通讯作者：
Hanestad BR
中科院分区：
文献类型：
--
作者：
Johansen VA;Wahl AK;Eilertsen DE;Weisaeth L;Hanestad BR
创伤后应激障碍（PTSD）和暴露于暴力后的生活质量（QoL）之间的纵向关联知之甚少。本研究的目的是检查生活质量（QoL）和创伤后应激障碍（PTSD）的QoL在非家庭暴力的受害者在一段时间内12个月的预测价值。采用单组（n = 70）纵向设计，在12个月内重复测量3次。创伤后心理症状的评估使用的影响事件量表，一个15个项目的自评问卷，包括两个分量表（侵入和回避）作为筛选工具的PTSD。使用WHOQOL-Bref问卷评估QoL。WHOQOL-BREF工具包括26个项目，测量以下广泛领域：身体健康，心理健康，社会关系和环境。通过拟合结构方程模型（SEM）总结分析结果。对于每一类PTSD（可能病例、风险水平病例和无病例），WHOQOL-Bref分量表（四个领域和两个单项）的平均水平在评估期间保持稳定。个人得分为可能的PTSD或风险水平的情况下，有显着较低的得分的生活质量领域，如身体健康，心理健康，社会关系和环境比那些没有PTSD症状。此外，WHOQOL中的总体生活质量感知和总体健康感知两个项目根据PTSD症状（如QoL领域）显示出相同的结果。PTSD症状预测较低的生活质量在所有三个评估。类似地，T1时的PTSD症状预测T2时较低的QoL，T2时的PTSD症状预测T3时较低的QoL。PTSD症状的存在预测较低的生活质量，无论是从急性和长期的角度来看，在非家庭暴力的受害者。除了疾病之外，关注个体对其生活质量的感知可能会增加治疗优先级和努力。
Little is known about longitudinal associations between post-traumatic stress disorder (PTSD) and quality of life (QoL) after exposure to violence. The aims of the current study were to examine quality of life (QoL) and the predictive value of post-traumatic stress disorder (PTSD) for QoL in victims of non-domestic violence over a period of 12 months. A single-group (n = 70) longitudinal design with three repeated measures over a period of 12 months were used. Posttraumatic psychological symptoms were assessed by using the Impact of Event Scale, a 15-item self-rating questionnaire comprising two subscales (intrusion and avoidance) as a screening instrument for PTSD. The questionnaire WHOQOL-Bref was used to assess QoL. The WHOQOL-BREF instrument comprises 26 items, which measure the following broad domains: physical health, psychological health, social relationships, and environment. Results of the analysis were summarized by fitting Structural Equation Modelling (SEM). For each category of PTSD (probable cases, risk level cases and no cases), the mean levels of the WHOQOL-Bref subscales (the four domains and the two single items) were stable across time of assessment. Individuals who scored as probable PTSD or as risk level cases had significantly lower scores on the QoL domains such as physical health, psychological health, social relationships and environmental than those without PTSD symptoms. In addition, the two items examining perception of overall quality of life and perception of overall health in WHOQOL showed the same results according to PTSD symptoms such as QoL domains. PTSD symptoms predicted lower QoL at all three assessments. Similarly PTSD symptoms at T1 predicted lower QoL at T2 and PTSD symptoms at T2 predicted lower QoL at T3. The presence of PTSD symptoms predicted lower QoL, both from an acute and prolonged perspective, in victims of non-domestic violence. Focusing on the individual's perception of his/her QoL in addition to the illness may increase the treatment priorities and efforts.
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影响因子：
2.8
作者：
Hansson, L
通讯作者：
Hansson, L
影响因子：
6.9
作者：
Harper, A;Power, M
通讯作者：
Power, M
影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
4.4
作者：
Howgego IM;Owen C;Meldrum L;Yellowlees P;Dark F;Parslow R
通讯作者：
Parslow R
影响因子：
4.6
作者：
Marshall, GN;Schell, TL
通讯作者：
Schell, TL