Domains of quality of life and symptoms in male veterans treated for posttraumatic stress disorder


  • This research was supported by grant CSP #420 to the second author from the U.S. Department of Veterans Affairs Cooperative Studies Program. We would like to thank Brett Litz and Tim Dalgleish for commenting on an earlier draft of the manuscript


This study examined the relationship between domains of quality of life and posttraumatic stress disorder (PTSD) symptoms in 319 male veterans in a randomized trial of group psychotherapy. Confirmatory factor analyses suggested a 4-factor model of quality of life (achievement, self-expression, relationships, and surroundings) fit better than a unidimensional model. Clinically meaningful symptom change was associated with greater change in all quality of life domains. At pretreatment, numbing symptoms uniquely predicted all quality of life domains. Change in avoidance and hyperarousal uniquely predicted change in achievement. Change in reexperiencing uniquely predicted change in self-expression. Change in numbing uniquely predicted change in relationships. Examining change in PTSD symptoms and quality of life domains may provide important information for treatment planning and evaluation.