Speicher Sarah M, Walter Kristen H, Chard Kathleen M
Sarah M. Speicher, MOT, OTR, is Occupational Therapist, Trauma Recovery Center, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH.
Kristen H. Walter, PhD, is Clinical Psychologist and Independent Clinical Evaluator, Veterans Medical Research Foundation and Veterans Affairs San Diego Healthcare System, San Diego, CA.
Am J Occup Ther. 2014 Jul-Aug;68(4):412-21. doi: 10.5014/ajot.2014.011304.
OBJECTIVE. This study examined outcomes of an 8-wk residential treatment program for veterans with posttraumatic stress disorder (PTSD) and a history of traumatic brain injury (TBI). METHOD. Twenty-six veterans completed the Canadian Occupational Performance Measure, Clinician-Administered PTSD Scale, Beck Depression Inventory-2nd Edition, and PTSD Checklist before and after treatment. RESULTS. Veterans demonstrated significant improvements in occupational performance and satisfaction with their performance, as well as in PTSD and depression symptom severity after residential PTSD/TBI treatment. Additionally, improvements in occupational performance and satisfaction were associated with decreases in depression symptom severity. CONCLUSION. Although preliminary, results suggest that veterans with PTSD and a history of TBI experienced significant decreases in PTSD and depression symptom severity and improvement in self-perception of performance and satisfaction in problematic occupational areas. Changes in occupational areas and depression symptom severity were related, highlighting the importance of interdisciplinary treatment.
目的。本研究考察了一项针对患有创伤后应激障碍（PTSD）且有创伤性脑损伤（TBI）病史的退伍军人的为期8周的住院治疗项目的效果。方法。26名退伍军人在治疗前后完成了《加拿大职业表现测量表》、《临床医生管理的PTSD量表》、《贝克抑郁量表第二版》和《PTSD检查表》。结果。退伍军人在住院PTSD/TBI治疗后，职业表现和对自身表现的满意度以及PTSD和抑郁症状严重程度均有显著改善。此外，职业表现和满意度的改善与抑郁症状严重程度的降低相关。结论。尽管是初步结果，但表明患有PTSD且有TBI病史的退伍军人的PTSD和抑郁症状严重程度显著降低，在有问题的职业领域的表现自我认知和满意度有所改善。职业领域的变化与抑郁症状严重程度相关，凸显了跨学科治疗的重要性。
