The Lingering Impact of Resolved PTSD on Subsequent Functioning.

Focus (American Psychiatric Publishing) Pub Date : 2023-07-01 Epub Date: 2023-06-28 DOI:10.1176/appi.focus.23021016

Richard A Bryant, Alexander C McFarlane, Derrick Silove, Meaghan L O'Donnell, David Forbes, Mark Creamer

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Abstract

This study investigated whether impairment persists after posttraumatic stress disorder (PTSD) has resolved. Traumatically injured patients (N = 1,035) were assessed during hospital admission and at 3 (85%) and 12 months (73%). Quality of life prior to traumatic injury was measured with the World Health Organization Quality of Life-BREF during hospitalization and at each subsequent assessment. PTSD was assessed using the Clinician-Administered PTSD Scale at 3 and 12 months. After controlling for preinjury functioning, current pain, and comorbid depression, patients whose PTSD symptoms had resolved by 12 months were more likely to have poorer quality of life in psychological (OR = 3.51), physical (OR = 10.17), social (OR = 4.54), and environmental (OR = 8.83) domains than those who never developed PTSD. These data provide initial evidence that PTSD can result in lingering effects on functional capacity even after remission of symptoms. Reprinted from Clin Psychol Sci 2016; 4:493-498, with permission from Sage. Copyright © 2016.

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已解决的创伤后应激障碍对后续功能的持续影响。

本研究调查了创伤后应激障碍（PTSD）缓解后，损伤是否会持续存在。在入院期间、3 个月（85%）和 12 个月（73%）时，对外伤患者（1,035 人）进行了评估。在住院期间和随后的每次评估中，使用世界卫生组织的生活质量-BREF对创伤前的生活质量进行了测量。创伤后应激障碍在 3 个月和 12 个月时使用临床医师管理的创伤后应激障碍量表进行评估。在控制了受伤前的功能、目前的疼痛和合并抑郁症之后，与从未患过创伤后应激障碍的患者相比，创伤后应激障碍症状在12个月内缓解的患者在心理（OR = 3.51）、身体（OR = 10.17）、社交（OR = 4.54）和环境（OR = 8.83）方面的生活质量更差。这些数据初步证明，创伤后应激障碍即使在症状缓解后也会对功能能力造成持续影响。经 Sage 授权，转载自 Clin Psychol Sci 2016; 4:493-498。版权所有 © 2016。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Focus (American Psychiatric Publishing)

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