Personal wellbeing in posttraumatic stress disorder (PTSD): association with PTSD symptoms during and following treatment

BMC Psychol. 2018 Mar 2;6(1):7. doi: 10.1186/s40359-018-0219-2.

Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

Keywords: Inpatient; PTSD; Posttraumatic stress disorder; Quality of life; Trauma; Treatment; Wellbeing.

Publication types

  • Clinical Trial

MeSH terms

  • Anxiety / etiology
  • Anxiety / therapy
  • Depression / etiology
  • Depression / therapy
  • Female
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Psychotherapy*
  • Stress Disorders, Post-Traumatic / psychology*
  • Stress Disorders, Post-Traumatic / therapy*
  • Treatment Outcome