@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2019;11(1):23-27
ISSN: 2008-2630 Iranian Journal of War & Public Health 2019;11(1):23-27
Evaluation of Mental Health in the Paraplegic Veterans and Disables; A Case Study of Mazandaran Province
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Tahmasebi H. (1*)Pourhosein S. (1)
Talebi S. (1)
Poorkhiz A. (2)
(1*) Nursing Department, Nursing Midwifery Faculty, Sari Branch, Islamic Azad University, Sari, Iran
(2) Medicine Department, Medicine Faculty, Mazandaran University of Medical Science, Sari, Iran
Correspondence
Address: University Complex of Islamic Azad University, Sari Branch, 7 km of Sea Road, Sari, Iran. Postal code: 4816119318Phone: +98 (11) 33110400
Fax: +98 (11) 33033715
htahmasebi@iausari.ac.ir
Article History
Received: April 26, 2018Accepted: August 4, 2018
ePublished: March 16, 2019
ABSTRACT
Aims
The mental health of any person is affected by disabilities. These effects are not the same in persons with disabilities due to the accidence and in the veterans. The aim of this study was to investigate the mental health in the paraplegic veterans and disables.
Instrument & Methods This descriptive cross-sectional study was conducted in 2016 amoung 29 paraplegic veterans and 106 paraplegic disables having been supported by the Martyrs and Veterans Foundation of Mazandaran Province. The samples were selected by stratified random sampling method. Data was collected by a demographic questionnaire (assessing age and the educational level) and General Health Questionnaire (GHQ) in 28 questions. Data were analyzed by SPSS 21 software using independent T test and Fisher's exact test.
Findings The mean score of mental health was 30.17±12.85 in the veterans and 39.75±12.47 in the disables, which showed a significant difference and the mental health was better in the veterans (t=3.639; p=0.0001). In addition, the mean scores of mental health in the somatic symptoms (p=0.003), social dysfunction (p=0.001), symptoms of anxiety and sleep disorder (p=0.008) and depression symptoms (p=0.001) in the veterans were significantly higher than the disables.
Conclusion The mental health of the paraplegic veterans and disables is unfavorable. In addition, mental health of the non-veteran disabled persons is lower than the veterans.
Instrument & Methods This descriptive cross-sectional study was conducted in 2016 amoung 29 paraplegic veterans and 106 paraplegic disables having been supported by the Martyrs and Veterans Foundation of Mazandaran Province. The samples were selected by stratified random sampling method. Data was collected by a demographic questionnaire (assessing age and the educational level) and General Health Questionnaire (GHQ) in 28 questions. Data were analyzed by SPSS 21 software using independent T test and Fisher's exact test.
Findings The mean score of mental health was 30.17±12.85 in the veterans and 39.75±12.47 in the disables, which showed a significant difference and the mental health was better in the veterans (t=3.639; p=0.0001). In addition, the mean scores of mental health in the somatic symptoms (p=0.003), social dysfunction (p=0.001), symptoms of anxiety and sleep disorder (p=0.008) and depression symptoms (p=0.001) in the veterans were significantly higher than the disables.
Conclusion The mental health of the paraplegic veterans and disables is unfavorable. In addition, mental health of the non-veteran disabled persons is lower than the veterans.
CITATION LINKS
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[13]Arefnasab Z, Ghanei M, Noorbala A, Alipour A, Babamahmoodi A. Correlation of spirometry and health- related quality of life with mental health in respiratory chemical damaged veterans. J Mazandaran Univ Med Sci. 2013;23(107):49-56. [Persian]
[14]Delpisheh A, Mansourian M, Babakhani A, Bahamin Gh, Bidel Z, Behzadifar M, et al. Province comparison of general health between veterans and their spouses in Ilam. Iran J War Public Health. 2013:6(1);27-33. [Persian]
[15]Schweininger S, Forbes D, Creamer M, McFarlane AC, Silove D, Bryant RA, et al. The temporal relationship between mental health and disability after injury. Depress Anxiety. 2015;32(1):64-71.
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[17]Saadat S, Javadi M, Sabet Divshali B, Tavakoli AH, Ghodsi SM, Montazeri A, et al. Health-related quality of life among individuals with long-standing spinal cord injury: A comparative study of veterans and non-veterans.BMC Public Health. 2010;10(6):4-10.
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[22]Delavar A, Koushki SH, Jalali Farahani M. Relationships among psychological wellbeing components with public health in high school students. Psychol Res. 2013;5(19):115-126. [Persian]
[23] Khani H, Zamani N, Ghorbani A, Jahangir AH, Jenaabadi H. Mental health of Iranian amputees veterans living on the Mazandaran province. Iran J War Public Health. 2016;8(3):149-56. [Persian]
[24]Heidari AR, Moshak R, Darvishi H. Comparison of self-efficacy, loneliness, fear of success and life satisfaction between disabled and normal university students. J Soc Psychol. 2010;4(10):7-26. [Persian]
[25]Silver J, Ljungberg L, libin A, Groah S. Barriers for individuals with spinal cord injury returning to the community: A preliminary classification. Disabil Health J. 2012;5(3):190-6.
[26]Medola FO, Busto RM, Marcal AF, Junior AA, Douradoa AC. Sports on quality of life of individuals with spinal cord injury: A case series. Rev Bras Med Esporte. 2011;17(4):254-6.
[27]Tahmasebi H, Abasi E, Zafari M, Darvish khezri H. Comparison of the quality of life of paraplegic veterans and disables; Case study of Mazandaran province, Iran. Iran J War Public Health. 2016;8(3):171-6. [Persian]
[28]Van Koppenhagen CF, Post MW, Van Der Woude LH, De Witte LP, Van Asbeck FW, De Groot S, et al. Changes and determinants of life satisfaction after spinal cord injury: A cohort study in the Netherlands. Arch Phys Med Rehabil. 2008;89(9):1733-40.
[29] Mokhtari F, Ghasemi N. Comparison of Elderlys quality of life and mental health living in nursing homes and members of retiered club of Shiraz city. Salmand. 2011;5(4):53-63. [Persian]
[2]Vincent Y, Chan L, Kadir J, Carruthers B. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: Stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil. 2014;95(5):986-95.
[3]Boals A, Trost Z, Berntsen D, Nowlin L, Wheelis T, Monden KR. Event centrality as a unique predictor of posttraumatic stress symptoms and perceived disability following spinal cord injury. Spinal Cord. 2017;55(11):1023-7.
[4] Brouner LS, Suddarth DS. Brunner and Suddarth's Text Book Medical Surgical Nursing. 10th Edition. Philadelphia: Lippincott Williams&Wilkins; 2014.
[5]Mohamadipoor M, Falahati M. Effectiveness of life skills training on mental health of spouses of veterans with affective disorders. Iran J War Public Health. 2016;8(1):25-32. [Persian]
[6] Khodayarian M, Vaezi A, Jalapour S, Jalalpour T, Haji Hosseini H. The survey of quality of life in spinal cord injured people in Yazd in 2014. Mil Caring Sci. 2015;1(2):88-98. [Persian]
[7] Sepasi H, Nourbakhsh P, Aghaei H. A comparison of sport personality characteristics and mental health dimensions of disabled and non-disabled male athletes. Int J Health, Wellness Soc. 2012;2(3):111-8.
[8] Shokri B, Zarei M, Sahraei O. Comparing the mental health of the athletic and non-athletic sensory-disabled people. Soc Work. 2015;4(3):37-43. [Persian]
[9]Ahmadi M, Bahaadinbeigy K, Noori T. Viewpoints of veterans affected by psychological disorders towards usage of telemental services for war veterans .Iran J War Public Health. 2013:6(21)51-9. [Persian]
[10]Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs C, et al. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med. 2015;45(1):11-27.
[11]Rogers A, Pilgrim D. A sociology of mental health and illness. 5th Edition. New York: Two Penn Plaza; 2014. pp. 10121-2289.
[12]Barnwell SV, Juretic MA, Hoerster KD, Van De Plasch R, Felker BL. VA puget sound telemental health service to rural veterans: A growing program. Psychol Serv. 2012;9(2):209-11.
[13]Arefnasab Z, Ghanei M, Noorbala A, Alipour A, Babamahmoodi A. Correlation of spirometry and health- related quality of life with mental health in respiratory chemical damaged veterans. J Mazandaran Univ Med Sci. 2013;23(107):49-56. [Persian]
[14]Delpisheh A, Mansourian M, Babakhani A, Bahamin Gh, Bidel Z, Behzadifar M, et al. Province comparison of general health between veterans and their spouses in Ilam. Iran J War Public Health. 2013:6(1);27-33. [Persian]
[15]Schweininger S, Forbes D, Creamer M, McFarlane AC, Silove D, Bryant RA, et al. The temporal relationship between mental health and disability after injury. Depress Anxiety. 2015;32(1):64-71.
[16] Kazemi O, Shojaedin SS, Hadadnezhad M. Comparison of internal and external rotator muscles strength in dominant and non-dominant organ and their relationship with shoulder pain of wheelchair basketball players. Iran J War Public Health. 2016;8(2):83-8. [Persian]
[17]Saadat S, Javadi M, Sabet Divshali B, Tavakoli AH, Ghodsi SM, Montazeri A, et al. Health-related quality of life among individuals with long-standing spinal cord injury: A comparative study of veterans and non-veterans.BMC Public Health. 2010;10(6):4-10.
[18]Goldberg D. Manual of the general health questionnaire. 1th Edition. Great Britain: Windsor: NFER; 1978.
[19]Foruzandeh N, Delaram M, Foruzandeh M, Derakhshande S. Study of mental health status of cardiovascular diseases patients and determination of some effective factors on it in the patients hospitalized in CCU and cardiology wards of Hajar Hospital, Shahrekord. J Clin Nurs Midwifery. 2013;4(3):18-25. [Persian]
[20]Delavar A, Koushki SH, Jalali Farahani M. Relationships among psychological wellbeing components with public health in high school students. Psychol Res. 2013;5(19):115-26. [Persian]
[21] Nazifi M, Mokarami HR, Akbaritabar AK, Faraji Kujerdi M, Tabrizi R, Rahi A. Reliability, validity and factor structure of the persian translation of General Health Questionnire (GHQ-28) in hospitals of Kerman University of Medical Sciences. J Fasa Univ Med Sci. 2014;3(4):336-42. [Persian]
[22]Delavar A, Koushki SH, Jalali Farahani M. Relationships among psychological wellbeing components with public health in high school students. Psychol Res. 2013;5(19):115-126. [Persian]
[23] Khani H, Zamani N, Ghorbani A, Jahangir AH, Jenaabadi H. Mental health of Iranian amputees veterans living on the Mazandaran province. Iran J War Public Health. 2016;8(3):149-56. [Persian]
[24]Heidari AR, Moshak R, Darvishi H. Comparison of self-efficacy, loneliness, fear of success and life satisfaction between disabled and normal university students. J Soc Psychol. 2010;4(10):7-26. [Persian]
[25]Silver J, Ljungberg L, libin A, Groah S. Barriers for individuals with spinal cord injury returning to the community: A preliminary classification. Disabil Health J. 2012;5(3):190-6.
[26]Medola FO, Busto RM, Marcal AF, Junior AA, Douradoa AC. Sports on quality of life of individuals with spinal cord injury: A case series. Rev Bras Med Esporte. 2011;17(4):254-6.
[27]Tahmasebi H, Abasi E, Zafari M, Darvish khezri H. Comparison of the quality of life of paraplegic veterans and disables; Case study of Mazandaran province, Iran. Iran J War Public Health. 2016;8(3):171-6. [Persian]
[28]Van Koppenhagen CF, Post MW, Van Der Woude LH, De Witte LP, Van Asbeck FW, De Groot S, et al. Changes and determinants of life satisfaction after spinal cord injury: A cohort study in the Netherlands. Arch Phys Med Rehabil. 2008;89(9):1733-40.
[29] Mokhtari F, Ghasemi N. Comparison of Elderlys quality of life and mental health living in nursing homes and members of retiered club of Shiraz city. Salmand. 2011;5(4):53-63. [Persian]