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Symptoms and Subjective Quality of Life in Post-Traumatic Stress Disorder: A Longitudinal Study

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  • Domenico Giacco
  • Aleksandra Matanov
  • Stefan Priebe

Abstract

Background: Evidence suggests that post-traumatic stress disorder (PTSD) is associated with substantially reduced subjective quality of life (SQOL). This study aimed to explore whether and how changes in the levels of PTSD symptom clusters of intrusion, avoidance and hyperarousal are associated with changes in SQOL. Methods: Two samples with PTSD following the war in former Yugoslavia were studied, i.e. a representative sample of 530 people in five Balkan countries and a non-representative sample of 215 refugees in three Western European countries. They were assessed on average eight years after the war and re-interviewed one year later. PTSD symptoms were assessed on the Impact of Event Scale - Revised and SQOL on the Manchester Short Assessment of Quality of Life. Linear regression and a two-wave cross lagged panel analysis were used to explore the association between PTSD symptom clusters and SQOL. Results: The findings in the two samples were consistent. Symptom reduction over time was associated with improved SQOL. In multivariable analyses adjusted for the influence of all three clusters, gender and time since war exposure, only changes in hyperarousal symptoms were significantly associated with changes in SQOL. The two-wave cross-lagged panel analysis suggested that the link between hyperarousal symptoms and SQOL is bidirectional. Conclusions: Low SQOL of patients with war-related PTSD is particularly associated with hyperarousal symptoms. The findings suggest a bidirectional influence: a reduction in hyperarousal symptoms may result in improved SQOL, and improvements in SQOL may lead to reduced hyperarousal symptoms.

Suggested Citation

  • Domenico Giacco & Aleksandra Matanov & Stefan Priebe, 2013. "Symptoms and Subjective Quality of Life in Post-Traumatic Stress Disorder: A Longitudinal Study," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-7, April.
    • Handle: RePEc:plo:pone00:0060991
    DOI: 10.1371/journal.pone.0060991
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    References listed on IDEAS

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    1. S. Priebe & P. Huxley & S. Knight & S. Evans, 1999. "Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)," International Journal of Social Psychiatry, , vol. 45(1), pages 7-12, March.
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    1. Ewa Małgorzata Szepietowska & Ewa Zawadzka & Sara Filipiak, 2022. "Symptoms of Post-Traumatic Stress Disorder and the Sense of Gains and Losses during the COVID-19 Pandemic: An International Study," IJERPH, MDPI, vol. 19(6), pages 1-19, March.
    2. Vitor Crestani Calegaro & Pedro Henrique Canova Mosele & Bianca Lorenzi Negretto & Cleonice Zatti & Angelo Batista Miralha da Cunha & Lucia Helena Machado Freitas, 2019. "The role of personality in posttraumatic stress disorder, trait resilience, and quality of life in people exposed to the Kiss nightclub fire," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-17, July.

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