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2011年3月30日 星期三

Symptoms of PTSD and how they affect the quality of life

In the case of post-traumatic stress disorder symptoms, are not all created equal.

In an effort to better treat PTSD, is a study published in the journal psychiatric services 1 March the first to examine the problems associated with PTSD actually correspond to lower quality of life, as indicated by the patient's willingness to die earlier or risk their life-threatening treatment to relieve symptoms.


PTSD is more expensive than any other anxiety disorder. As many as 300,000 veterans returning from Iraq and Afghanistan currently have PTSD, for their concern with costs estimated at $ 4 to $ 6.2 billion over the next two years.


"To our knowledge, this is the first study actual patients with PTSD questions about their health preferences," said lead author Jason Doctor, Associate Professor of pharmaceutical economics and policy at the USC School of pharmacy. "These findings identify targets for treatment that can improve the quality of life among people with PTSD."


The researchers found that, of four significant symptoms associated with PTSD, not all associated with a patient's immediate quality of life were, even though those who treat PTSD significant overall declines in mental health care.


Painful memories of a traumatic event and the avoidance of certain activities and thoughts-conceived both as dysfunctional behavior-often had little correlation to a patient reported feeling of well-being, according to the study.


Symptoms associated with increased arousal, such as sleep problems, irritability and vigilance-were associated with lower quality of life in patients of PTSD. Anxiety and depression were also associated with lower quality of life.


"We suspect that while avoiding an important aspect of PTSD, the impact on the quality of life may be limited because it is a coping strategy. Avoidance can be a dysfunction which, in the short term, subjective well-being, "explained doctor – the faculty examination of Schaeffer Center for health policy and Economics at USC.


The researchers found that, on average, a patient with PTSD was ready to give to live by the symptoms of the disorder unequivocally 13.6 years of his or her life.


On average, those with PTSD were prepared to accept sponsorship from a treatment with up to a 13 percent chance of immediate death to full exemption of PTSD symptoms.


Lori Zoellner of the University of Washington, Seattle and Norah widened from Case Western Reserve University were co-authors of the study.


The researchers interviewed 184 persons seeking treatment for PTSD treatment on two sites in different regions of the United States. The research was funded by the National Institute of Mental Health.


Comments:


Arts et. already, "predictors of health-related quality-of-life Utilities under people with post-traumatic Stress Disorder." Psychiatric services: March 2011.


Source:
Suzanne Wu
University of Southern California

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