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Examination of the World Health Organization Disability Assessment System as a Measure of Disability Severity Among Veterans Receiving Cognitive Processing Therapy
- Source :
- Journal of Traumatic Stress. 30:704-709
- Publication Year :
- 2017
- Publisher :
- Wiley, 2017.
-
Abstract
- Cognitive processing therapy (CPT) is effective for reducing posttraumatic stress disorder (PTSD) and depression among military veterans. However, studies have not examined whether CPT is associated with reductions in disability severity. The current study examines the association between disability severity and PTSD and depression among U.S. veterans who are receiving CPT. Veterans completed measures at pre- and posttreatment and received CPT through a Veterans Affairs PTSD outpatient (n = 155) or residential (n = 177) program. The World Health Organization Disability Assessment Schedule (WHODAS) 2.0 was used to assess disability severity. The WHODAS 2.0 scores were positively correlated with clinician- and veteran-rated PTSD and veteran-rated depression at pre- and posttreatment (r = .22 to. 60). Compared with outpatients, veterans in residential treatment had worse scores on the WHODAS Mobility scale (ηp2 = .03), but on no other WHODAS 2.0 scales. Pre- to posttreatment reductions were found on all WHODAS 2.0 subscales (ηp2 = .03 to .15). Reductions in PTSD and depression were positively associated with improvements on the WHODAS 2.0 Summary scale and most subscales (r = .22 to. 52). Findings suggest that the WHODAS 2.0 is a promising disability severity measure for veterans in PTSD treatment. Findings also suggest that CPT may help veterans to achieve reductions in disability severity.
- Subjects :
- 050103 clinical psychology
medicine.medical_specialty
business.industry
medicine.medical_treatment
05 social sciences
humanities
World health
030227 psychiatry
Disability assessment
Cognitive behavioral therapy
03 medical and health sciences
Psychiatry and Mental health
Clinical Psychology
Posttraumatic stress
0302 clinical medicine
medicine
Cognitive processing therapy
0501 psychology and cognitive sciences
Psychiatry
business
Veterans Affairs
health care economics and organizations
Depression (differential diagnoses)
Cohort study
Subjects
Details
- ISSN :
- 08949867
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Journal of Traumatic Stress
- Accession number :
- edsair.doi...........cab0e035bfc061d82bb5727eb2e48b3e