| Using archival data obtained from two larger, randomized controlled noninferiority studies (i.e., Veterans Telemedicine Outreach for Post Traumatic Stress Disorder Services [VTOPS], Telemedicine for Improved Delivery of Psychosocial Treatments for Post Traumatic Stress Disorder/San Diego Telemedicine Exposure Project [STEP]), this study investigated relationships among PTSD symptomology, perceived quality of life, and treatment goals for veterans with PTSD (N = 318). PTSD symptom cluster scores were evaluated using the emotional numbing PTSD model developed by King, Leskin, King, and Weathers (1998), conceptualizing PTSD by four symptom clusters: re-experiencing, avoidance, emotional numbing, and hyperarousal. Results demonstrated a significant, negative correlation between overall PTSD severity and quality of life. Regression models indicated that increases in the severity of re-experiencing symptoms significantly predicted deficits in physical quality of life, whereas emotional numbing and hyperarousal symptoms were associated with impairments in mental health quality of life. Veterans with PTSD primarily identified goals related to coping with specific problems and symptoms associated with PTSD, followed by goals addressing interpersonal issues, personal growth, and general well-being and functioning, respectively. However, treatment goal types typically did not have a significant association with PTSD symptom cluster severity, except that increased re-experiencing symptoms appeared to result in veterans with PTSD having difficulties identifying treatment goals. Comparisons of treatment goals for individuals with anxiety, depression, and veterans in the current study suggest PTSD is uniquely different from anxiety and depressive disorders. Clinically, treatments focusing on symptom relief appear to address the primary needs and preferences of veterans with PTSD, although quality of life remains an important area to consider when treating PTSD. |
