Symptoms and subjective quality of life in post-traumatic stress disorder: a longitudinal study.

<h4>Background</h4>Evidence suggests that post-traumatic stress disorder (PTSD) is associated with substantially reduced subjective quality of life (SQOL). This study aimed to explore whether and how changes in the levels of PTSD symptom clusters of intrusion, avoidance and hyperarousal...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Domenico Giacco, Aleksandra Matanov, Stefan Priebe
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2013
Materias:
R
Q
Acceso en línea:https://doaj.org/article/9c59ab45ebb24c9fb8ab029772d841c4
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:9c59ab45ebb24c9fb8ab029772d841c4
record_format dspace
spelling oai:doaj.org-article:9c59ab45ebb24c9fb8ab029772d841c42021-11-18T07:50:04ZSymptoms and subjective quality of life in post-traumatic stress disorder: a longitudinal study.1932-620310.1371/journal.pone.0060991https://doaj.org/article/9c59ab45ebb24c9fb8ab029772d841c42013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23585868/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Evidence suggests that post-traumatic stress disorder (PTSD) is associated with substantially reduced subjective quality of life (SQOL). This study aimed to explore whether and how changes in the levels of PTSD symptom clusters of intrusion, avoidance and hyperarousal are associated with changes in SQOL.<h4>Methods</h4>Two samples with PTSD following the war in former Yugoslavia were studied, i.e. a representative sample of 530 people in five Balkan countries and a non-representative sample of 215 refugees in three Western European countries. They were assessed on average eight years after the war and re-interviewed one year later. PTSD symptoms were assessed on the Impact of Event Scale - Revised and SQOL on the Manchester Short Assessment of Quality of Life. Linear regression and a two-wave cross lagged panel analysis were used to explore the association between PTSD symptom clusters and SQOL.<h4>Results</h4>The findings in the two samples were consistent. Symptom reduction over time was associated with improved SQOL. In multivariable analyses adjusted for the influence of all three clusters, gender and time since war exposure, only changes in hyperarousal symptoms were significantly associated with changes in SQOL. The two-wave cross-lagged panel analysis suggested that the link between hyperarousal symptoms and SQOL is bidirectional.<h4>Conclusions</h4>Low SQOL of patients with war-related PTSD is particularly associated with hyperarousal symptoms. The findings suggest a bidirectional influence: a reduction in hyperarousal symptoms may result in improved SQOL, and improvements in SQOL may lead to reduced hyperarousal symptoms.Domenico GiaccoAleksandra MatanovStefan PriebePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 4, p e60991 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Domenico Giacco
Aleksandra Matanov
Stefan Priebe
Symptoms and subjective quality of life in post-traumatic stress disorder: a longitudinal study.
description <h4>Background</h4>Evidence suggests that post-traumatic stress disorder (PTSD) is associated with substantially reduced subjective quality of life (SQOL). This study aimed to explore whether and how changes in the levels of PTSD symptom clusters of intrusion, avoidance and hyperarousal are associated with changes in SQOL.<h4>Methods</h4>Two samples with PTSD following the war in former Yugoslavia were studied, i.e. a representative sample of 530 people in five Balkan countries and a non-representative sample of 215 refugees in three Western European countries. They were assessed on average eight years after the war and re-interviewed one year later. PTSD symptoms were assessed on the Impact of Event Scale - Revised and SQOL on the Manchester Short Assessment of Quality of Life. Linear regression and a two-wave cross lagged panel analysis were used to explore the association between PTSD symptom clusters and SQOL.<h4>Results</h4>The findings in the two samples were consistent. Symptom reduction over time was associated with improved SQOL. In multivariable analyses adjusted for the influence of all three clusters, gender and time since war exposure, only changes in hyperarousal symptoms were significantly associated with changes in SQOL. The two-wave cross-lagged panel analysis suggested that the link between hyperarousal symptoms and SQOL is bidirectional.<h4>Conclusions</h4>Low SQOL of patients with war-related PTSD is particularly associated with hyperarousal symptoms. The findings suggest a bidirectional influence: a reduction in hyperarousal symptoms may result in improved SQOL, and improvements in SQOL may lead to reduced hyperarousal symptoms.
format article
author Domenico Giacco
Aleksandra Matanov
Stefan Priebe
author_facet Domenico Giacco
Aleksandra Matanov
Stefan Priebe
author_sort Domenico Giacco
title Symptoms and subjective quality of life in post-traumatic stress disorder: a longitudinal study.
title_short Symptoms and subjective quality of life in post-traumatic stress disorder: a longitudinal study.
title_full Symptoms and subjective quality of life in post-traumatic stress disorder: a longitudinal study.
title_fullStr Symptoms and subjective quality of life in post-traumatic stress disorder: a longitudinal study.
title_full_unstemmed Symptoms and subjective quality of life in post-traumatic stress disorder: a longitudinal study.
title_sort symptoms and subjective quality of life in post-traumatic stress disorder: a longitudinal study.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/9c59ab45ebb24c9fb8ab029772d841c4
work_keys_str_mv AT domenicogiacco symptomsandsubjectivequalityoflifeinposttraumaticstressdisorderalongitudinalstudy
AT aleksandramatanov symptomsandsubjectivequalityoflifeinposttraumaticstressdisorderalongitudinalstudy
AT stefanpriebe symptomsandsubjectivequalityoflifeinposttraumaticstressdisorderalongitudinalstudy
_version_ 1718422928576479232