title: Interdisciplinary residential treatment of posttraumatic stress disorder and traumatic brain injury: effects on symptom severity and occupational performance and satisfaction.
abstract: OBJECTIVE. This study examined outcomes of an 8-wk residential treatment program for veterans with posttraumatic stress disorder (PTSD) and a history of traumatic brain injury (TBI). METHOD. Twenty-six veterans completed the Canadian Occupational Performance Measure, Clinician-Administered PTSD Scale, Beck Depression Inventory-2nd Edition, and PTSD Checklist before and after treatment. RESULTS. Veterans demonstrated significant improvements in occupational performance and satisfaction with their performance, as well as in PTSD and depression symptom severity after residential PTSD/TBI treatment. Additionally, improvements in occupational performance and satisfaction were associated with decreases in depression symptom severity. CONCLUSION. Although preliminary, results suggest that veterans with PTSD and a history of TBI experienced significant decreases in PTSD and depression symptom severity and improvement in self-perception of performance and satisfaction in problematic occupational areas. Changes in occupational areas and depression symptom severity were related, highlighting the importance of interdisciplinary treatment.
authors.affiliation: Sarah M. Speicher, MOT, OTR, is Occupational Therapist, Trauma Recovery Center, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Speicher
authors.affiliation: Kristen H. Walter, PhD, is Clinical Psychologist and Independent Clinical Evaluator, Veterans Medical Research Foundation and Veterans Affairs San Diego Healthcare System, San Diego, CA.
authors.forename: Kristen H
authors.initials: KH
authors.lastname: Walter
authors.affiliation: Kathleen M. Chard, PhD, is Director, Trauma Recovery Center, Cincinnati Veterans Affairs Medical Center, 1000 South Fort Thomas Avenue, Fort Thomas, KY 41075, and Professor of Psychiatry and Behavioral Neuroscience, Department of Psychiatry, University of Cincinnati Medical School, Cincinnati, OH; Kathleen.Chard@va.gov.
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Chard
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D004651:Employment; D006801:Humans; D033183:Interdisciplinary Communication; D010348:Patient Care Team; D010549:Personal Satisfaction; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000534:rehabilitation*; D014728:Veterans / Q000523:psychology*