title: Quality-adjusted health status in veterans with posttraumatic stress disorder.
abstract: This study evaluated the quality-adjusted health status in veterans with posttraumatic stress disorder (PTSD). In a cross-sectional study veterans diagnosed with PTSD completed a quality-adjusted health status measure (Quality of Well-Being Self-Administered [QWB-SA] scale), PTSD symptom severity measures (Mississippi Scale for Combat-Related PTSD and Clinician-Administered PTSD Scale), and a depression severity measure (Beck Depression Inventory). Significant inverse relationships were identified between the QWB-SA and PTSD severity measures as well as between the QWB-SA and depression severity measures in this sample. Demonstration of these relationships suggests that greater symptom severity is associated with lower quality-adjusted health status in veterans with PTSD. More importantly, the QWB-SA was designed for use in cost-effectiveness analyses and may be useful in assessing the relative value of PTSD interventions compared with other mental and physical health interventions.
authors.affiliation: Department of Psychiatry, Central Arkansas Veterans Healthcare System, and the Division of Health Services Research, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Mancino
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Pyne
authors.forename: Shanti
authors.initials: S
authors.lastname: Tripathi
authors.forename: Joseph
authors.initials: J
authors.lastname: Constans
authors.forename: Vince
authors.initials: V
authors.lastname: Roca
authors.forename: Thomas
authors.initials: T
authors.lastname: Freeman
mesh_terms: D003130:Combat Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory / Q000706:statistics & numerical data; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011594:Psychometrics; D011788:Quality of Life; D019057:Quality-Adjusted Life Years; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data