A quality of life in chronic combat related posttraumatic stress disorder - a study on Croatian War veterans [Kvaliteta života u kroničnom ratnom postraumatskom stresnom poremećaju: studija na hrvatskim ratnim veteranima]

Braš, Marijana and Milunović, Vibor and Boban, Maja and Mićković, Vlatko and Lončar, Zoran and Gregurek, Rudolf and Laco, Miro (2011) A quality of life in chronic combat related posttraumatic stress disorder - a study on Croatian War veterans [Kvaliteta života u kroničnom ratnom postraumatskom stresnom poremećaju: studija na hrvatskim ratnim veteranima]. Collegium Antropologicum, 35 (3). pp. 681-686. ISSN 0350-6134

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Abstract

The main objective of this study was to examine an association of various symptoms in chronic combat-related post traumatic stress disorder (PTSD) and the quality of life in this population. 248 Croatian male war veterans all diagnosed with chronic PTSD were consecutively enrolled in this study as they showed up at the routine check-up. They were given self report questionnaires Trauma Symptom Inventory (TSI-A) evaluating different PTSD symptoms and WHO Quality of Life-BREF assessing four different domains of the quality of life. After independent sample t- test was performed, the presence of each symptom defined by Trauma Symptom Inventory indicated the impairment of all four quality of life domains in a group of subject suffering from it, except of intrusive experience not being associated with the lesser quality in social domain. All quality of life domains were significantly correlated with various PTSD symptoms; however Pearson correlation factors ranged from small to medium value. As expected, PTSD symptoms are associated with lesser quality of life in the affected population. The further research is needed to show possible causal relationship between PTSD and, especially, physical health of these patients.

Abstract in Croatian

Glavni cilj ovog rada jest bio pokazati povezanost pojedinačnih simptoma posttraumatskog stresnog poremećaja (PTSP) i kvalitete života i ocijeniti njihov međuodnos. U studiji je sudjelovalo ukupno 248 ratnih veterana koji imaju diagnozu PTSP-a. Uključivani su uzastopno u studiju pri rutinskoj kontroli. PTSP je bio određen pomoću multidimenzionalne samoocjenske skale »Trauma Symptom Inventory-A«, a razina kvalitete života pomoću samoocjenske skale »WHO Quality of Life-BREF« koja određuje četiri različite domene kvalitete života. Nakon upotrebe t-testa za neovisne uzorke, pokazano da je kvaliteta života u sve četiri domene statistički značajno smanjenja s obzirom na prisutnost pojedinog simptoma PTSP-a. Statistički značajnom se jedino nije pokazala prisutnost intruzivnih doživljaja s obzirom na socijalnu domenu. Sve domene kvalitete života su bile značajno povezane s pojedinačnim simptomima PTSP-a, iako su vrijednosti Pearsonovih korelacijskih faktora imale malu do umjerenu vrijednost. Kao što je bilo očekivano, simptomi postraumatskog stresnog poremećaja su povezani sa smanjenom kvalitetom života u populaciji ratnih veterena. Buduće studije bi trebale pokazati kauzalnu povezanost između PTSP i kvalitete života, pogotovo poremećenog fizičkog stanja ratnih veterana.

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