Dissemination and Training Division, National Center for PTSD.
San Francisco Veterans Affairs Medical Center.
Rehabil Psychol. 2019 Aug;64(3):377-382. doi: 10.1037/rep0000271. Epub 2019 Apr 15.
This study aimed to identify modifiable factors associated with perceived functioning among veterans with high symptoms of posttraumatic stress disorder (PTSD).
Two hundred fifty-one post-9/11 veterans completed a survey of psychosocial symptoms and functioning; a subset participated in a follow-up survey (n = 109). Latent profile analysis (LPA) at baseline identified groups that differed by level of functioning (high/low). Items utilized in the LPA analysis were derived from the World Health Organization Quality of Life-Bref self-report measure. Veterans with high PTSD symptoms in both groups were compared and logistic regression was utilized to predict group membership.
Veterans with high functioning/high symptoms (n = 45) had significantly lower alcohol use and sleep problems, and higher postdeployment social support, posttraumatic growth, and optimism than veterans with low functioning/high symptoms (n = 100). Fewer sleep difficulties and higher postdeployment social support and optimism were associated with membership in the high functioning/high symptom group.
These findings support the importance of identifying factors that can facilitate higher social, occupational, and general functional capacity for those with high levels of PTSD symptomatology. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
本研究旨在确定与 PTSD 症状较高的退伍军人感知功能相关的可改变因素。
251 名 9/11 后退伍军人完成了一项心理社会症状和功能的调查；其中一部分人参加了后续调查（n=109）。基线时的潜在剖面分析（LPA）根据功能水平（高/低）确定了不同的群体。LPA 分析中使用的项目源自世界卫生组织生活质量简表自我报告量表。比较了两组中 PTSD 症状较高的退伍军人，并利用逻辑回归预测组别的归属。
功能较高/症状较高的退伍军人（n=45）的饮酒和睡眠问题明显较少，而退役后社会支持、创伤后成长和乐观程度较高，与功能较低/症状较高的退伍军人（n=100）相比。睡眠困难较少，退役后社会支持和乐观程度较高与高功能/高症状组的成员资格相关。
这些发现支持了确定可促进具有较高 PTSD 症状水平的人获得更高的社会、职业和一般功能能力的因素的重要性。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
