Lunney Carole A, Schnurr Paula P
VA National Center for PTSD, White River Junction, VT 05009, USA.
J Trauma Stress. 2007 Dec;20(6):955-64. doi: 10.1002/jts.20269.
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.
在一项团体心理治疗随机试验中，本研究调查了319名男性退伍军人生活质量领域与创伤后应激障碍（PTSD）症状之间的关系。验证性因素分析表明，生活质量的四因素模型（成就、自我表达、人际关系和环境）比单维模型拟合得更好。具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，麻木症状独特地预测了所有生活质量领域。回避和过度警觉的变化独特地预测了成就方面的变化。重新体验的变化独特地预测了自我表达方面的变化。麻木的变化独特地预测了人际关系方面的变化。研究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。
