Sarah M. Speicher, Kristen H. Walter, Kathleen M. Chard; Interdisciplinary Residential Treatment of Posttraumatic Stress Disorder and Traumatic Brain Injury: Effects on Symptom Severity and Occupational Performance and Satisfaction. Am J Occup Ther 2014;68(4):412-421. doi: 10.5014/ajot.2014.011304.
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© 2019 American Occupational Therapy Association
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.
Supported engagement in meaningful yet problematic occupational areas, such as health management, relaxation, and social participation, promotes performance and satisfaction in these areas.
Change in self-reported depression symptom severity is associated with increases in occupational performance and satisfaction.
Change in self-reported PTSD symptom severity is associated with improvement in occupational satisfaction.
Occupational therapy practitioners should consider symptoms associated with MDD, PTSD, and history of TBI when assessing, planning intervention, providing care, and making recommendations or referrals for veterans with these conditions.
Findings provide additional support for use of the COPM to assess veterans’ self-identified occupational problem areas, create individualized occupational goals, plan treatment, develop programming, and measure progress.
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