Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Building 7, 67 Thomas Street, Ultimo, NSW, 2007, Australia.
School of Psychiatry, UNSW, Sydney, Australia.
BMC Psychol. 2018 Mar 2;6(1):7. doi: 10.1186/s40359-018-0219-2.
It remains unclear to what extent treatment-related gains in posttraumatic stress disorder (PTSD) symptoms translate to improvements in broader domains of personal wellbeing, such as community connectedness, life achievement and security. We sought to determine whether: 1. personal wellbeing improves during the course of a treatment program and 2. changes in core symptom domains (PTSD, anxiety and depression) were associated with improvements in overall personal wellbeing.
Participants (N = 124) completed the PTSD Checklist, the Depression and Anxiety Stress Scales and the Personal Wellbeing Index at the start and end of a 4-week Trauma Focused CBT residential program, as well as 3- and 9-months post-treatment.
Personal wellbeing improved significantly across the 9-months of the study. Generalised estimating equations analyses indicated that (older) age and improvements in PTSD and depressive symptoms were independent predictors of personal wellbeing across time.
Although personal wellbeing improved in tandem with PTSD symptoms, the magnitude of improvement was small. These findings highlight a need to better understand how improvements in personal wellbeing can be optimised following PTSD treatment.
目前尚不清楚创伤后应激障碍（PTSD）症状的治疗相关改善在社区联系、生活成就和安全等更广泛的个人幸福感领域能在多大程度上得到改善。我们试图确定：1. 在治疗计划过程中个人幸福感是否会提高；2. 核心症状领域（PTSD、焦虑和抑郁）的变化是否与整体个人幸福感的提高有关。
参与者（N=124）在创伤聚焦认知行为疗法住院治疗计划的开始和结束时以及治疗后 3 个月和 9 个月时完成了 PTSD 检查表、抑郁和焦虑压力量表以及个人幸福感指数。
在研究的 9 个月中，个人幸福感显著提高。广义估计方程分析表明，年龄（较大）和 PTSD 和抑郁症状的改善是个人幸福感随时间变化的独立预测因素。
尽管个人幸福感与 PTSD 症状同步改善，但改善幅度较小。这些发现强调了需要更好地理解如何在 PTSD 治疗后优化个人幸福感的改善。
