Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System.
Texas A&M University Health Science Center, College of Medicine.
J Clin Psychol. 2018 Jul;74(7):1272-1280. doi: 10.1002/jclp.22596. Epub 2018 Feb 28.
Posttraumatic stress disorder (PTSD) strongly predicts greater disability and lower quality of life (QOL). Mindfulness-based and other third-wave behavior therapy interventions improve well-being by enhancing mindfulness, self-compassion, and psychological flexibility. We hypothesized that these mechanisms of therapeutic change would comprise a single latent factor that would predict disability and QOL after accounting for PTSD symptom severity.
Iraq and Afghanistan war veterans (N = 117) completed a study of predictors of successful reintegration. Principal axis factor analysis tested whether mindfulness, self-compassion, and psychological flexibility comprised a single latent factor. Hierarchical regression tested whether this factor predicted disability and QOL 1 year later.
Mindfulness, self-compassion, and psychological flexibility comprised a single factor that predicted disability and QOL after accounting for PTSD symptom severity. PTSD symptoms remained a significant predictor of disability but not QOL.
Targeting these mechanisms may help veterans achieve functional recovery, even in the presence of PTSD symptoms.
创伤后应激障碍（PTSD）强烈预示着更大的残疾和更低的生活质量（QOL）。基于正念和其他第三波行为疗法干预措施通过增强正念、自我同情和心理灵活性来改善幸福感。我们假设，在考虑 PTSD 症状严重程度后，这些治疗变化的机制将构成一个单一的潜在因素，该因素将预测残疾和 QOL。
伊拉克和阿富汗战争退伍军人（N=117）完成了一项成功再融入预测因素的研究。主成分因子分析测试了正念、自我同情和心理灵活性是否构成单一的潜在因素。层次回归测试了该因素是否在 1 年后预测残疾和 QOL。
正念、自我同情和心理灵活性构成了一个单一的因素，该因素在考虑 PTSD 症状严重程度后可以预测残疾和 QOL。PTSD 症状仍然是残疾的重要预测因素，但不是 QOL。
针对这些机制可能有助于退伍军人实现功能恢复，即使存在 PTSD 症状。
