“It made me feel more alive”: A qualitative analysis of quality of life improvements following completion of trauma‐focused therapy for posttraumatic stress disorder

Author:

Kehle‐Forbes Shannon M.123ORCID,Baier Allison L.14ORCID,Ackland Princess E.23,Spoont Michele23,Polusny Melissa A.25,Schnurr Paula P.67,Galovski Tara14ORCID,Meis Laura123

Affiliation:

1. National Center for PTSD Women's Health Sciences Division at VA Boston Healthcare System Boston Massachusetts USA

2. Center for Care Delivery & Outcomes Research Minneapolis VA Healthcare System Minneapolis Minnesota USA

3. Department of Medicine University of Minnesota Minneapolis Minnesota USA

4. Department of Psychiatry Boston University Chobanian & Avedisian School of Medicine Boston Massachusetts USA

5. Department of Psychiatry and Behavioral Sciences University of Minnesota Minneapolis Minnesota USA

6. National Center for PTSD Executive Division White River Junction Vermont USA

7. Department of Psychiatry, Geisel School of Medicine Dartmouth College Hanover New Hampshire USA

Abstract

AbstractPosttraumatic stress disorder (PTSD) is associated with poor quality of life. Although randomized clinical trial data show improvements in quality of life following trauma‐focused therapies (TFTs), including prolonged exposure therapy (PE) and cognitive processing therapy (CPT), less is known about how these improvements are experienced from the trauma survivor's perspective. A national sample of 60 veterans who recently completed TFT as part of routine care at U.S. Department of Veterans Affairs facilities participated in semistructured qualitative interviews during which the impact of treatment on quality of life was explored. Following a mixed deductive/inductive approach, six interrelated themes describing changes in quality of life emerged: full participation in social activities, greater emotional intimacy in relationships, improvements in parenting, expanded engagement in hobbies and community, increased occupational commitment and confidence, and more joy in life. The data highlight the positive impact of treatment on quality of life and provide depth to quantitative findings demonstrating improvements in quality of life following TFT.

Funder

U.S. Department of Veterans Affairs

Publisher

Wiley

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