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Sensitivity of the SF-36 to PTSD symptom change in veterans

Authors

  • Brian Shiner,

    Corresponding author
    1. White River Junction VA Medical Center, VA-New England Healthcare Engineering Partnership Field Office, VA National Center for PTSD, Dartmouth Medical School, and The Dartmouth Institute for Health Policy and Clinical Practice
    Current affiliation:
    1. Brian Shiner, White River Junction VA Medical Center, VA-New England Healthcare Engineering Partnership Field Office, VA National Center for PTSD, Department of Psychiatry, Dartmouth Medical School, The Dartmouth Institute for Health Policy and Clinical Practice
    • White River Junction VA Medical Center (11Q), 215 North Main Street, White River Junction, VT 05009.
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  • Bradley V. Watts,

    1. White River Junction VA Medical Center, VA-New England Healthcare Engineering Partnership Field Office, Dartmouth Medical School, and VA National Center for Patient Safety Field Office
    Current affiliation:
    1. White River Junction VA Medical Center, VA-New England Healthcare Engineering Partnership Field Office, Department of Psychiatry, Dartmouth Medical School, VA National Center for Patient Safety Field Office
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  • Andrew Pomerantz,

    1. White River Junction VA Medical Center and Dartmouth Medical School
    Current affiliation:
    1. White River Junction VA Medical Center, Department of Psychiatry, Dartmouth Medical School
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  • Yinong Young-Xu,

    1. Dartmouth Medical School and VA National Center for Patient Safety Field Office
    Current affiliation:
    1. Department of Psychiatry, Dartmouth Medical School, VA National Center for Patient Safety Field Office
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  • Paula P. Schnurr

    1. VA National Center for PTSD and Dartmouth Medical School
    Current affiliation:
    1. VA National Center for PTSD, Department of Psychiatry, Dartmouth Medical School
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Abstract

The authors examined the relationship between changes in symptoms of posttraumatic stress disorder (PTSD) and functioning as measured by the Medical Outcomes Study Short Form-36 (SF-36) among 167 veterans in a primary care clinic. Those who reported at least moderate baseline symptoms were categorized as better, unchanged, or worse at reassessment. The SF-36 was used to examine concordance between change in functioning and symptoms. Veterans with reliable changes in symptoms of PTSD showed corresponding statistically significant changes in functioning across health domains. Moreover, these changes in functioning were clinically significant on several SF-36 subscales and on one summary scale.

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