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Type: Journal article
Title: The impact of post-traumatic stress disorder symptomatology on quality of life: the sentinel experience of anger, hypervigilance and restricted affect
Author: Forbes, D.
Nickerson, A.
Bryant, R.
Creamer, M.
Silove, D.
McFarlane, A.
Van Hooff, M.
Phelps, A.
Felmingham, K.
Malhi, G.
Steel, Z.
Fredrickson, J.
Alkemade, N.
O'Donnell, M.
Citation: The Australian and New Zealand Journal of Psychiatry, 2019; 53(4):336-349
Publisher: SAGE Publications
Issue Date: 2019
ISSN: 0004-8674
Statement of
David Forbes, Angela Nickerson, Richard A Bryant, Mark Creamer, Derrick Silove, Alexander C McFarlane, Miranda Van Hooff, Andrea Phelps, Kim L Felmingham, Gin S Malhi, Zachary Steel, Julia Fredrickson, Nathan Alkemade and Meaghan O'Donnell
Abstract: Background: It is unclear which specific symptoms of post-traumatic stress disorder are related to poor perceived quality of life. Objective: To investigate the influence of post-traumatic stress disorder symptomatology on quality of life in traumatic injury survivors. Method: Traumatic injury survivors completed questionnaires on post-traumatic stress disorder symptomatology and quality of life at 3 months (n = 987), 12 months (n = 862), 24 months (n = 830) and 6 years (n = 613) post trauma. Results: Low quality of life was reported by 14.5% of injury survivors at 3 months and 8% at 6 years post event. The post-traumatic stress disorder symptom clusters that contributed most to poor perceived quality of life were numbing and arousal, the individual symptoms that contributed most were anger, hypervigilance and restricted affect. Conclusions: There was variability in the quality of life of traumatic injury survivors in the 6 years following trauma and a consistent proportion reported low quality of life. Early intervention to reduce anger, hypervigilance and restricted affect symptoms may provide a means to improving the quality of life of traumatic injury survivors.
Keywords: PTSD; quality of life, anger; hypervigilance; detachment
Rights: © The Royal Australian and New Zealand College of Psychiatrists 2018 Reprints and permissions:;
RMID: 0030086842
DOI: 10.1177/0004867418772917
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Appears in Collections:Medicine publications

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