ARTICLE INFO

Article Type

Descriptive & Survey Study

Authors

Eskafi Noghani   M. (1)
Nateghian   S. (*)
Shirinzadeh Dastgiri   S. (2)
Mohammadazadeh   A. (3)
Najafi   M. (4)






(*) Psychology Department, Educational Sciences & Psychology Faculty, Ferdowsi University of Mashhad, Mashhad, Iran
(1) Social Sciences Department, Human Sciences Faculty, Gonabad Branch, Islamic Azad University, Gonabad, Iran
(2) Psychology Department, Educational Sciences & Psychology Faculty, Shahid Chamran University of Ahvaz, Ahvaz, Iran
(3) Psychology Department, Human Sciences Faculty, Payam-e-Noor University, Tehran, Iran
(4) Clinical Psychology Department, Educational Sciences & Psychology Faculty, Semnan University, Semnan, Iran

Correspondence

Address: Faculty of Education & Psychology, Ferdowsi University of Mashhad, Azadi Square, Mashhad, Iran. P.O. Box: 9177948974
Phone: +982177222235
Fax: +982177263800
sama.ntgh@gmail.com

Article History

Received:  May  25, 2015
Accepted:  September 16, 2015
ePublished:  April 3, 2016

BRIEF TEXT


Stress is one of most obvious threatening factors of mental health.

… [1-11]. The results of the study, which studied the amount of social support and issues related to health and the quality of their marital relations in 708 wives and 332 individuals of soldiers' parents who suffered from stress disorder after impact showed that the wives of these individuals in comparison with wives of soldiers who did not suffer from stress disorder after impact reported less sleep problems, more physical problems and less social support, and they described their marital relations worst and more unfavorable, while such a difference was not seen in parents of these two groups [12-14]. … [15-19]. Social support on behalf of friends, families and other individuals results in decrease of mental stress in individuals and has effect on their mental health [20]. … [21-27]. In happiness, evaluation of individual from himself and his life can include recognition aspects like judging about life happiness or emotional aspects like mood or excitations in reaction to life events [28]. … [29-30].

The current study was conducted with the aim of studying the relationship between the severity of stress disorder after impact and the amount of perceived social support with mental happiness and the life quality of veteran's wives who suffered from stress disorder after impact.

This study was descriptive- correlation.

This study was conducted on 302 individuals of veteran's wives who suffered from stress disorder after impact and who were located in Mashhad.

302 of male veterans who suffered from stress disorder after impact and were under treatment in different hospitals were chosen with convenience sampling and with using the cutoff point of 44 in stress disorder after impact list scale and their wives were evaluated with the study scales.

The used device includes four questionnaires as following: 1) Questionnaire of Stress Disorder List after Impact: this questionnaire includes 17 items in which 5 of them are related to the syndromes of re-experiencing the concussive event, 7 items related to syndromes of mental numbness and avoidance and 5 items related to syndromes of severe establishment. The syndromes of this list which are based on DSM-IV criteria (diagnostic and statistical manual of mental disorders- fourth edition) was set for stress disorder after impact and is a self-report list. The cutoff point 44 was determined for this list. Its sensitivity and property were reported respectively 0.77 and 0.86 that its result is performance recognition which equals 0.90. Also the internal consistency coefficient of the scale was reported 0.93, the items of criterion B 0.93, the items of criterion C 0.82 and items of criterion D 0.83 [31]. 2) Oxford Happiness Criterion: This criterion has 29 items that include 5 factors of satisfaction, positive mood, health, effectiveness and self-esteem. The answers were put in a four point scale from zero (never) to 3 (very). In different studies, the Cronbach' Alpha coefficient was reported 0.87 to 0.92 and the retest coefficient 0.53 to 0.91 in different intervals. Its reliability was estimated in two times correlation 0.64 and 0.49. Its reliability coefficient through the Cronbach' Alpha, split-half and retest respectively was equals to 0.93, 0.92 and 0.79 in Iran [32]. 3) Life quality Questionnaire: this questionnaire gathers information in 8 settings. These 8 settings study the life quality in two parts of physically and mentally. This questionnaire was used in different studies in Iran in which its scientific reliability and validity has been measured. In a study, the correlation coefficient of this questionnaire was reported as 0.82 [33]. 4) The Multidimensional Scale of Perceived Social Support: this scale which was provided for measuring the perceived social support from family, friends and important people in life of individual, has 12 items and the respondent determines his idea in a 7 options scale from the score one for totally disagree to 7 for totally agree [34]. The inner reliability of this device was reported in sample of 788 young individuals of high school using Cronbach' Alpha 0.86 to 0.90 for subscales of this device and 0.86 for the whole scale [35]. The Cronbach' Alpha coefficient mentioned the three dimensions of perceived social support from family, friends and important people in life of individuals respectively as 0.89, 0.86 and 0.82[36]. It is worth mentioning that in the current study the total score of perceived social support was considered. The SPSS 21 software was used to evaluate the data. Mean, standard deviation, Pearson correlation coefficient (to study the relationship between perceived social support, the severity of stress disorder after impact, life quality, happiness and age), Spearman correlation (between job status and education). Eta squared correlation (between job, the economic situation and quantitative variables) and stepwise regression analysis ( to study happiness and life quality as criterion variables and perceived social support, the severity of stress disorder after impact, education, economic situation and job status as Predictor variables) were used.

The mean age of veterans was 54.2±6.5 years, and the mean age of their wives were 44.7±5.3. 107 persons of veterans' wives (35.4%) were under diploma, 127 persons (42.1%) diploma and associate degree and 68 persons (22.5%) upper than associate degree. 171 of veterans (56.6%) reported their economic condition as weak, 83 persons (27.5%) medium and 48 persons (15.9%) good. About job status, 128 persons of veterans (42.4%) were jobless and 174 persons (57.6%) with job. There was a meaningful relationship between perceived social support with mental happiness and life quality (p<0.001). There was a meaningful and reverse relationship between the severity of stress disorder after impact of veterans and mental happiness and life quality of wives (p<0.001; Table 1). The three variables of perceived social support, the severity of stress disorder after impact of wife and economic condition of family explained in total 64% of variance of life quality that 58% of it was related to perceived social support, 3% was related to stress disorder after impact and 3% was related to economic condition. In addition, the perceived social support variables, the severity of stress disorder after impact and educational condition explained 75% variance of wife's mental happiness that the share of perceived social support variable was 58%, educational level of wife variable 11% and stress disorder after impact of veteran 6%.

The findings of current study has been directly or indirectly similar to gained results from different studies in the field of secondary injury with focus on wives of persons who suffered from stress disorder after impact [9-14, 17, 18, 22, 24, 30]. The gained data of this study matches with other studies that introduces economic condition as one of the determined factors of marital satisfaction and decrease of secondary injury of wives [1]. … [37-42].

It is recommended to future researchers to study other positive thinking psychological variables, use non- patient control group in similar study, investigate the variables of this study between veterans without diagnostic of stress disorder after impact and patients suffer from other mental disorder, and study the relationship of emotional intelligence and personality characteristics with mental happiness and life quality in patients suffering from stress disorder after impact and other mental patients.

Of limitation of this study, it can refer to usual problems of sampling from scattered community and availability organizational problems to all veterans' society of Mashhad city and convenience sampling, low literacy of some of the participants, conducting research on war veterans and the problem in generalizing the results to other people who suffer from stress after impact.

The increase of perceived social support level and less severity of suffering from stress disorder after impact of veterans increase the amount of happiness and quality life of their wives.

We are thankful to Mashhad Foundation of Martyrs and Veterans authorities and Research Deputy of Gonabad Azad University for their friendly corporation with researchers in conducting the current study.

There is no conflicts of interests.

The questionnaires were conducted with gaining written permission from participants and the confidentiality of the participants` information was regarded.

The financial credit of conducting this study was supplied by Research Deputy of Gonabad Azad University.

TABLES and CHARTS

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CITIATION LINKS

[1]Nateghian S, Mollazadeh J, Goodarzi MA, Rahimi Ch. Forgiveness and marital satisfaction in combat veterans with posttraumatic stress disorder and their wives. Q J Fund Ment Health. 2008;10(37):33-46. [Persian]
[2]Imani S, Atef VahidMK, Asgharnejad FA. Quality of life in war veterans with chronic PTSD with other veterans. Andishe Raftar. 2012;7(25):47-56. [Persian]
[3]Dimauro J, Carter S, Folk JB, Kashdan TB. A historical review of trauma-related diagnoses to reconsider the heterogeneity of PTSD. J Anxiety Disord. 2014;28(8):774-86.
[4]Kashdan TB, Elhai JD, Frueh BC. Anhedonia, emotional numbing, and symptom over reporting in male veterans with PTSD. Pers Individ Dif. 2007;43(4):725-35.
[5]Kashdan T, Kane JQ. Post-traumatic distress and the presence of post-traumatic growth and meaning in life: Experiential avoidance as a moderator. Pers Indiv Dif. 2011;50(1):84-9.
[6]Iverson KM, Resick PA, Suvak MK, Walling S, Taft CT. Intimate partner violence exposure predicts PTSD treatment engagement and outcome in cognitive processing therapy. Behav Ther. 2011;42(2):236-48.
[7]Solomon Z, Waysman M, Levy G, Fried B, Mikulincer M, Benbenishty R, et al. From front line to home front: A study of secondary traumatization. Fam Process. 1992;31(3):289-302.
[8]Solomon Z, Kotler M, Mikulincer M. Combat-related posttraumatic stress disorder among second-generation Holocaust survivors: Preliminary findings. Am J Psychiatry. 1988;145(7):865-8.
[9]Kashdan TB, Breen WE, Julian T. Everyday strivings in war veterans with posttraumatic stress disorder: suffering from a hyper-focus on avoidance and emotion regulation. Behav Ther. 2010;41(3):350-63.
[10]Cano A, Vivian D. Life stressors and husband-to-wife violence. Aggress Violent Behav. 2001;6(5):459-80.
[11]McCullough ME, Root LM, Cohen AD. Writing About the Benefits of an Interpersonal Transgression Facilitates Forgiveness. J Consult Clin Psychol. 2006;74(5):887-897 .
[12]Miller M, Wolf E, Reardon A, Harrington K, Ryabchenko K, Castillo D, et al. PTSD and conflict behavior between veterans and their intimate partners. J Anxi Disord. 2013;27(2):240-51.
[13]Clapp JD, Beck G. Understanding the relationship between PTSD and social support: The role of negative network orientation. Behav Res Ther. 2009;47(3):237-44.
[14]Ferguson M, Carlson D, Zivnuska S, Whitten D. Support at work and home: The path to satisfaction through balance. J Vocat Behav. 2012;80(2):299-307.
[15]Safarzadeh A, Roshan R, al-Shams J. Effectiveness of stress management and relaxation training in reducing the negative affect and in improving the life quality of women with breast cancer. J Res Psychol Health. 2013;6(4):21-35. [Persian]
[16]Parhon H, Moradi AR, Hatami M, Parhon K. Comparison of short-term behavioral activation therapy and cognitive therapy to reduce the severity of symptoms and improve the quality of life in patients with major depression. J Res Psychol Health. 2012;6(4):36-52. [Persian]
[17]St Cyr K, McIntyre-Smith A, Contractor AA, Elhai JD, Richardson JD. Somatic symptoms and health-related quality of life among treatment-seeking Canadian Forces personnel with PTSD. Psychiatry Res. 2014;218(1-2):148-52.
[18]Grills-Taquechel A, Littleton H, Axsom D. Social support, world assumptions, and exposure as predictors of anxiety and quality of life following a mass trauma. J Anxiety Disord. 2011;25(4):498-506.
[19]Ahmadi Tahour Soltani M, Karaminia R, Ahadi H, Moradi AR. Structural relationship between hope with attachment style, life regard, social support, self-efficacy and mastery goal orientation in students. J Res Psychol Health. 2013;7(1):1-10. [Persian]
[20]Basharpoor S, Narimani M, Essazadeghan A. Relation between coping strategies and social support with perceived stress. J Educ Psychol Stud. 2013;9(2):29-47. [Persian]
[21]Lu L, Argyle M. Leisure satisfaction and happiness as a function of leisure activity. Gaoxiong Yi Xue Ke Xue Za Zhi. 1994;10(2):89-96.
[22]Heintzelman SJ, Bacon PL. Relational self-construal moderates the effect of social support on life satisfaction. Pers Individ Dif. 2015;73:72-7.
[23]Dehle C, Landers JE. You can't always get what you want, but can you get what you need? Personality traits and social support in marriage. J Soc Clin Psychol. 2005;24(7):1051-76.
[24]Glozah FN, Pevalin DJ. Social support, stress, health, and academic success in Ghanaian adolescents: A path analysis. J Adolesc. 2014;37(4):451-60.
[25]Strobe W, Zech E, Strobe MS, Abakoumkin G. Does social support help in bereavement?. J Soc Clin Psychol. 2005;24(7):1030-50.
[26]Lau Y, Wong DF, Wang Y, Kwong DH, Wang Y. The roles of social support in helping chinese women with antenatal depressive and anxiety symptoms cope with perceived stress. Arch Psychiatr Nurs. 2014;28(5):305-13.
[27]Hashemian K, Pourshahriari MS, Bani Jamali SS, Golestani Bakht T. study of subjective well-being and happiness based on demographic characters in Tehran Population. J Educ Psychol Stud. 2007;3(3):139-63. [Persian]
[28]Valois RF, Zullig KJ, Huebner ES, Drane JW. Physical activity behaviors and perceived life satisfaction among public high school adolescents. J Sch Health. 2004;74(2):59-65.
[29]Bjørnskov Ch, Dreher A, Fischer J, Schnellenbach J, Gehring K. Inequality and happiness: When perceived social mobility and economic reality do not match. J Econ Behav Organ. 2013;91:75-92.
[30]Yuki M, Sato K, Takemura K, Oishi Sh. Social ecology moderates the association between self-esteem and happiness. J Exp Soc Psychol. 2013;49(4):741-6.
[31]Goodarzi MA. Validity and reliability of the scale of post-traumatic stress disorder, Mississippi (scale). J Psychol. 2003;7(2):153-78. [Persian]
[32]Motalebzadeh A. Assessing the effectiveness of humor on the mental health and happiness between high school students in Shiraz [Dissertation]. Shiraz: Shiraz University; 2004. [Persian]
[33]Parandeh A, Siratinir M, Khaghanizadeh M, Karimi Zarchi AA. Comparison of two methods of conflict resolution and relaxation on the quality of life of patients with posttraumatic stress disorder and major depressive disorder. J Fund Mental Health. 2007;9(33-34):67-78. [Persian]
[34]Zimet GD, Dahlen NW, Zimet SG, Farly GK. The Multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30-41.
[35]Bruwer B, Emsley R, Kidd M, Lochner C, Seedat S. Psychometric properties of the multidimensional scale of perceived social support in youth. Compr Psychiatry. 2008;49(2):195-201.
[36]Salimi AR, Joukar B, Nikpour R. Internet and Communication: Perceived Social Support and Loneliness as Antecedent Variable. Psy Stud. 2009;5(3):81-102. [Persian]
[37]Molazadeh J, Mansoor M, Ejehee J, Kiamanesh AL. Coping styles and marital adjustment in martyr children. J Psy. 2002;6(3):255-75. [Persian]
[38]Mohammadyfar MA, Najafi M. Comparison of personality trait and marital satisfaction in veterans with- and without post-traumatic stress disorder. Iran J War Public Health. 2014;6(3):101-7. [Persian]
[39]Lyubomirsky S, Tkach C, Dimatteo MR. What are the difference between happiness and self-esteem?. Soc Indic Res. 2006;78(3):363-404.
[40]Kashdan TB, Julian T, Merritt K, Uswatte G. Social anxiety and Posttraumatic stress in combat veterans: relations to well- being and character strengths. Behav Res Ther. 2006;44(4):561-83.
[41]Jungbauer J, Wittmund B, Dietrich S, Angermeyer MC. The disregarded caregivers: subjective burden in spouses of schizophrenia patients. Schizophr Bull. 2004;30(3):665-75.
[42]Najafy M, Mohammadyfar M, Dabiri S, Erfani N, Kamary A. The comparison of the quality of life of the war veterans families with/without Post traumatic stress disorder. Iran J War Public Health. 2011;3(3):27-35. [Persian]