Top

Quality of Life Research

Gepubliceerd in:

01-02-2012 | Brief Communication

Post-traumatic stress disorder, depression, and health-related quality of life in OEF/OIF veterans

Auteurs: James O. E. Pittman, Abigail A. Goldsmith, Jennifer A. Lemmer, Michael T. Kilmer, Dewleen G. Baker

Gepubliceerd in: Quality of Life Research | Uitgave 1/2012

Abstract

Purpose

Comorbid post-traumatic stress disorder (PTSD) and depression are often associated with negative physical and mental health outcomes in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) combat veterans. The current study examines the individual contributions of these two disorders on health-related quality of life (HRQoL) in an OEF/OIF cohort. The study hypothesizes that PTSD and depression will each significantly predict lower physical and mental HRQoL even when controlling for overlapping symptoms: anhedonia, concentration, and insomnia.

Method

Participants were 220 OEF/OIF combat veterans who completed an interview and self-report questionnaires examining study variables. All study hypotheses were tested with multiple regression analyses.

Results

PTSD and depression significantly contributed to mental and physical HRQoL, even after controlling for overlapping symptoms. However, while independent main effects of PTSD and depression, with and without overlapping symptoms, emerged for predicting mental HRQoL, no significant independent main effects emerged for predicting physical HRQoL.

Conclusion

Findings suggest PTSD and depression contribute uniquely to the negative relationship with HRQoL, adding to the growing literature on distinctive and common effects of these disorders in OEF/OIF veterans. Results highlight the need to better understand the implications for assessment and treatment.

vorige artikel Determinants of social participation of visually impaired older adults

volgende artikel Benefits on quality of life concomitant to metabolic improvement in intervention program for prevention of diabetes mellitus

Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351(1), 13–22.PubMedCrossRef

Seal, K. H., Bertenthal, D., Miner, C. R., Sen, S., & Marmar, C. (2007). Bringing the war back home: Mental health disorders among 103, 788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities. Archives of Internal Medicine, 167, 476–482.PubMedCrossRef

Tanielian, T., & Jaycox, L. H. (Eds.). (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: Rand.

Grieger, T. A., Cozza, S. J., Ursano, R. J., Hoge, C., Martinez, P. E., Engel, C. C., et al. (2006). Posttraumatic stress disorder and depression in battle-injured soldiers. American Journal of Psychiatry, 163(10), 1777–1783.PubMedCrossRef

Lapierre, C. B., Schwegler, A. F., & LaBauve, B. J. (2007). Posttraumatic stress and depression symptoms in soldiers returning from combat operations in Iraq and Afghanistan. Journal of Traumatic Stress, 20(6), 933–943.PubMedCrossRef

Campbell, D. G., Felker, B. L., Liu, C., Yano, E. M., Kirchner, J. E., Chan, D., et al. (2007). Prevalence of depression–PTSD comorbidity: Implications for clinical practice guidelines and primary care-based interventions. Journal of General Internal Medicine, 22(6), 711–718.PubMedCrossRef

Kaplan, R. M. (2003). The significance of quality of life in health care. Quality of Life Research, 12(Suppl. 1), 3–16.PubMedCrossRef

Rapaport, M. H., Clary, C., Fayyad, R., & Endicott, J. (2005). Quality-of-life impairment in depressive and anxiety disorders. American Journal of Psychiatry, 162(6), 1171–1178.PubMedCrossRef

Chen, Y., Chen, M., Chou, F. H., Sun, F., Chen, P., Tsai, K., et al. (2007). The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan. Quality of Life Research, 16, 1289–1297.PubMedCrossRef

10.

Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30, 473–483.PubMedCrossRef

11.

Ikin, J. F., Creamer, J. C., Sim, M. R., & McKenzie, D. P. (2010). Comorbidity of PTSD and depression in Korean War veterans: Prevalence, predictors, and impairment. Journal of Affective Disorders, 125, 279–286.PubMedCrossRef

12.

Erbes, C., Westermeyer, J., Engdahl, B., & Johnsen, E. (2007). Post-traumatic stress disorder and service utilization in a sample of service members from Iraq and Afghanistan. Military Medicine, 172(4), 359–363.PubMed

13.

Gudmundsdottir, B., Beck, J. G., Coffey, S. F., Miller, L., & Palyo, S. A. (2004). Quality of life and post trauma symptomology in motor vehicle accident survivors: The mediating effects of depression and anxiety. Depression and Anxiety, 20, 187–189.PubMedCrossRef

14.

Franklin, C. L., & Zimmerman, M. (2001). Posttraumatic stress disorder and major depressive disorder: Investigating the role of overlapping symptoms in diagnostic comorbidity. The Journal of Nervous and Mental Disease, 189, 548–551.PubMedCrossRef

15.

Schnurr, P. P., Lunney, C. A., Bovin, M. J., & Marx, B. P. (2009). Posttraumatic stress disorder and quality of life: Extension of findings to veterans of the wars in Iraq and Afghanistan. Clinical Psychology Review, 29, 727–735.PubMedCrossRef

16.

Keane, T. M., Fairbank, J. A., Caddell, J. M., Zimering, R. T., Taylor, K. L., & Mora, C. A. (1989). Clinical evaluation of a measure to assess combat exposure. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 53–55.CrossRef

17.

Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., et al. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8, 75–90.PubMedCrossRef

18.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for beck depression inventory II (BDI-II). San Antonio, TX: Psychological Corporation.

19.

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage Publications.

20.

Huppert, J. D., Moser, J. S., Gershuny, B. S., Riggs, D. S., Spokas, M., Filip, J., et al. (2005). The relationship between obsessive-compulsive and posttraumatic stress symptoms in clinical and non-clinical samples. Journal of Anxiety Disorders, 19, 127–136.PubMedCrossRef

21.

Noll, J. G., Trickett, P. K., Susman, E. J., & Putnam, F. W. (2006). Sleep disturbances and childhood sexual abuse. Journal of Pediatric Psychology, 31, 469–480.PubMedCrossRef

22.

Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

23.

Jakupcak, M., Luterek, J., Hunt, S., Conybeare, D., & McFall, M. (2008). Posttraumatic stress and its relationship to physical health functioning in a sample of Iraq and Afghanistan war veterans seeking postdeployment VA health care. Journal of Nervous and Mental Disease, 196, 425–428.PubMedCrossRef

24.

Vasterling, J. J., Schumm, J., Proctor, S. P., Gentry, E., King, D. W., & King, L. A. (2008). Posttraumatic stress disorder and health functioning in a non-treatment-seeking sample of Iraq war veterans: A prospective analysis. Journal of Rehabilitation Research and Development, 45, 347–358.PubMedCrossRef

25.

Ouimette, P., Coolhart, D., Sugarman, D., Funderburk, J. S., Zelman, R. H., & Dornau, C. (2008). A pilot study of posttraumatic stress and associated functioning of Army National Guard following exposure to Iraq warzone trauma. Traumatology, 14, 51–56.CrossRef

26.

Krupnick, J. L., Green, B. L., Stockton, P., Miranda, J., Krause, E., & Mete, J. (2008). Group interpersonal psychotherapy for low-income women with posttraumatic stress disorder. Psychotherapy Research, 18(5), 497–507.PubMedCrossRef

27.

Resick, P. A., & Schnicke, M. K. (1996). Cognitive processing therapy for rape victims: A treatment manual. Newbury Park, CA: Sage Publications.

28.

Green, B. L., Krupnick, J. L., Chung, J., Siddique, J., Krause, E. D., Revicki, D., et al. (2006). Impact of PTSD comorbidity on one-year outcomes in a depression trial. Journal of Clinical Psychology, 62(7), 815–835.PubMedCrossRef

Titel: Post-traumatic stress disorder, depression, and health-related quality of life in OEF/OIF veterans
Auteurs: James O. E. Pittman
Abigail A. Goldsmith
Jennifer A. Lemmer
Michael T. Kilmer
Dewleen G. Baker
Publicatiedatum: 01-02-2012
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 1/2012
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-011-9918-3

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Method

Results

Conclusion

Log in om toegang te krijgen

Andere artikelen Uitgave 1/2012

Neighborhood foreclosures and self-rated health among breast cancer survivors

Determinants of social participation of visually impaired older adults

Erratum to: Using latent trajectory analysis of residuals to detect response shift in general health among patients with multiple sclerosis

Rasch analysis of the Patient and Observer Scar Assessment Scale (POSAS) in burn scars

The WHO quality of life (WHOQOL) questionnaire: Spanish development and validation studies

The influence of neighborhood factors on the quality of life of older adults attending New York City senior centers: results from the Health Indicators Project