The association of trauma severity with quality of life and health costs among outpatients diagnosed with a personality disorder

Individuals diagnosed with a personality disorder (PD) are often confronted with a low quality of life (QoL) and high health costs, both important outcome variables among cost-effectiveness studies. Several factors have been identified that are associated with a low QoL and high health costs in individuals diagnosed with a PD. The influence of trauma is unknown. It has been found that PDs are associated with both past trauma experiences and symptoms of posttraumatic stress disorder (PTSD) in their daily life. While several studies suggested that individuals with a Borderline PD (BPD) and comorbid PTSD suffer from a more impaired QoL compared to individuals with a single disorder, less is known about the effect of PTSD on PDs other than BPD and the relation between trauma severity and health costs. The current study investigates the effect of both childhood trauma and current PTSD symptoms on QoL and health costs in individuals diagnosed with a PD and the possible mediating role of...Show moreIndividuals diagnosed with a personality disorder (PD) are often confronted with a low quality of life (QoL) and high health costs, both important outcome variables among cost-effectiveness studies. Several factors have been identified that are associated with a low QoL and high health costs in individuals diagnosed with a PD. The influence of trauma is unknown. It has been found that PDs are associated with both past trauma experiences and symptoms of posttraumatic stress disorder (PTSD) in their daily life. While several studies suggested that individuals with a Borderline PD (BPD) and comorbid PTSD suffer from a more impaired QoL compared to individuals with a single disorder, less is known about the effect of PTSD on PDs other than BPD and the relation between trauma severity and health costs. The current study investigates the effect of both childhood trauma and current PTSD symptoms on QoL and health costs in individuals diagnosed with a PD and the possible mediating role of QoL on the relationship between trauma and health costs. The sample consisted of 65 individuals, with a mean age of 38 (SD = 12.3), diagnosed with one or more PDs. Data was collected with several questionnaires (Childhood Trauma Questionnaire-Short Form, Posttraumatic Stress Disorder Checklist for DSM-5, Treatment Inventory of Costs in Patients with psychiatric disorders, and the Mental Health Quality of Life questionnaire). The results show that severity of current PTSD symptoms (t(58) = -4.19, p < .001) but not childhood trauma was related to a decreased QoL in individuals diagnosed with a PD. Both current PTSD symptoms and childhood trauma were not significantly related to health costs. QoL did not perform a mediating role on the relationship between trauma and health costs. To conclude, severe PTSD symptoms represent an additional deprivation for QoL among personality-disordered individuals in this sample. This conclusion is based on a relatively small sample, thus should be further investigated with a larger sample.Show less

Leiden University Student Repository

Documents

In Collections

The association of trauma severity with quality of life and health costs among outpatients diagnosed with a personality disorder