Although the importance of well-being in mental health is widely acknowledged, well-being as a predictor of and outcome in the treatment for posttraumatic stress disorder (PTSD) has received little attention. This naturalistic study aimed to investigate well-being in the context of care-as-usual treatment for PTSD. Patients with PTSD attending a community mental health center (N = 318) completed measures of well-being and PTSD symptoms before and after symptom-focused treatment. Following treatment, well-being increased among patients with PTSD, with emotional, d = −0.25, and psychological well-being, d = -0.24, showing the largest improvements relative to social well-being, d = −0.15. Although levels of well-being improved overall within the sample, participant scores on measures of well-being remained low compared with the general population. Well-being predicted treatment efficiency such that participants with more severe PTSD symptoms benefitted more from care-as-usual treatment when they reported relatively high levels of well-being at the start of treatment. The findings suggest a benefit to including well-being as a pretreatment and outcome variable when evaluating PTSD treatments.

中文翻译：

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检查创伤后应激障碍治疗中的幸福感：一项探索性研究

尽管幸福感在心理健康中的重要性已广为人知，但幸福感作为创伤后应激障碍 (PTSD) 治疗的预测指标和结果却很少受到关注。这项自然主义研究旨在调查 PTSD 照常治疗背景下的幸福感。参加社区心理健康中心的 PTSD 患者 ( N = 318) 在针对症状的治疗前后完成了幸福感和 PTSD 症状的测量。治疗后，PTSD 患者的幸福感增加，情绪d = -0.25 和心理幸福感d = -0.24，相对于社会幸福感d显示出最大的改善= -0.15。尽管样本中的幸福感水平总体有所提高，但与一般人群相比，参与者在幸福感方面的得分仍然较低。幸福感可预测治疗效率，因此当患有更严重 PTSD 症状的参与者在治疗开始时报告相对较高的幸福感时，他们会从常规治疗中获益更多。研究结果表明，在评估 PTSD 治疗时，将幸福感作为预处理和结果变量包括在内是有益的。