Benchmarking quality of life to posttraumatic stress disorder symptom changes in cognitive processing therapy |
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| Affiliation: | 1. Bruce W. Carter VAMC, 1201 NW 16th Street, Miami, FL 33125, USA;2. Clement J. Zablocki VAMC, 5000 W National Avenue, Milwaukee, WI 53295, USA;3. Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA;4. VA Northeast Program Evaluation Center, 950 Campbell Avenue, West Haven, CT 06516, USA;5. Department of Psychiatry, Geisel School of Medicine at Dartmouth, 1 Hope Ferry Road, Hanover, NH 03755, USA;6. National Center for PTSD (Evaluation Division), 950 Campbell Avenue, West Haven, CT 06516, USA;7. Clement J. Zablocki VAMC, Research Division, 5000 W National Avenue, Milwaukee, WI 53295, USA;8. Duke Psychiatry & Behavioral Sciences, 2400 Pratt Street Room 7001, DUMC Box 102508, Durham, NC 27710, USA;9. National Center for PTSD (Women’s Health Sciences Division), Boston, MA, USA;10. Boston University, One Sibler Way, Boston, MA 02215, USA;1. Skidmore College, Department of Psychology, United States;2. Pennsylvania State University, Department of Psychology, United States;1. The Pennsylvania State University, USA;2. University of Pennsylvania, USA;3. University of Michigan, USA;1. Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA;2. Department of Psychology, University of Delaware, Newark, DE, USA;1. Behavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany;2. Research Group Security and Privacy, Faculty of Computer Science, University of Vienna, Austria;1. Research Institute, Modum Bad Psychiatric Hospital, Postboks 33, N-3370 Vikersund, Norway;2. Department of Psychology, University of Oslo, Forskningsveien 3 A, 0373 Oslo, Norway;3. Department of Psychological Methods, University of Amsterdam, Nieuwe Achtergracht 129-B, 1018 WT Amsterdam, the Netherlands;4. Centre for Urban Mental Health, University of Amsterdam, Amsterdam, the Netherlands;5. University Medical Center Groningen, University of Groningen, Groningen, the Netherlands |
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| Abstract: | Although there is ample evidence that PTSD is effectively treated by first-line therapies such as Cognitive Processing Therapy (CPT), it is less clear to what degree these treatments improve quality of life (QOL), a common presenting concern of treatment-seeking individuals (Rosen et al., 2013). Only two studies, both conducted in military veteran samples, have examined the magnitude of PTSD symptom change needed in order to achieve corresponding changes in QOL during treatment. The current study aimed to replicate and extend these two previous studies by benchmarking multi-faceted QOL in a civilian sample of primarily female interpersonal violence survivors (N = 115) treated with CPT. We grouped participants into categories of increasingly greater PTSD symptom change: no response, response, loss of diagnosis, and remission. Outcomes were clinically meaningful change and good endpoint across five measures of QOL. Some QOL measures showed clinically meaningful change and/or good endpoint after a response to treatment or loss of diagnosis, but only remission from PTSD was associated with both clinically meaningful change and a good endpoint across all QOL indicators. These findings add to the emerging literature showing that treating PTSD to remission may maximize the likelihood of improvements in quality of life. |
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| Keywords: | Posttraumatic stress Cognitive behavior therapy Quality of life |
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