@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2019;11(2):67-72
ISSN: 2008-2630 Iranian Journal of War & Public Health 2019;11(2):67-72
Effectiveness of Stress Management Training on Reducing Perceived Stress in Veterans with PTSD
ARTICLE INFO
Article Type
Original ResearchAuthors
P Molavi (1)Salvat Ghojehbeiglou H (1)
Nadr Mohammadi M (*1)
Ghalaei S.M (2)
(*1) Psychiatry Department, Medicine Faculty, Ardabil University of Medical Sciences, Ardabil, Iran
(1) Psychiatry Department, Medicine Faculty, Ardabil University of Medical Sciences, Ardabil, Iran
(1) Psychiatry Department, Medicine Faculty, Ardabil University of Medical Sciences, Ardabil, Iran
(2) Psychology Department, Psychology Faculty, Ardabil Branch, Islamic Azad University, Ardabil, Iran
Correspondence
Article History
Received: August 11, 2018Accepted: December 25, 2018
ePublished: May 15, 2019
ABSTRACT
Aims
In Iran, a significant group of warriors and veterans suffer from post-traumatic stress disorder (PTSD). Efforts have been made to evaluate a variety of psychological treatments. This study aimed at determining the effectiveness of stress management training on reducing perceived stress in veterans with PTSD.
Materials & Methods In this semi-experimental study with pre-test and post-test design with control group conducted in 2017-18, 22 veterans with PTSD, who were hospitalized in Issar Psychiatric Hospital of Ardabil, were selected by available sampling method and they were randomly assigned into experimental group (11 veterans) and control group (11 veterans). The data collection tools were Perceived Stress Scale and Mississippi PTSD Scale. Patients in the experimental group received stress management training for 10 sessions. The data were analyzed by SPSS 21 software, using one-variable ANOVA, covariance analysis and multivariate variance.
Findings There was a significant difference between perceived stress scores and PTSD symptoms in post-test stage, and stress management training reduced perceived stress and PTSD symptoms in veterans with PTSD in the experimental group (p=0.001).
Conclusion Stress management training is effective in reducing perceived stress and PTSD symptoms in veterans with PTSD.
Materials & Methods In this semi-experimental study with pre-test and post-test design with control group conducted in 2017-18, 22 veterans with PTSD, who were hospitalized in Issar Psychiatric Hospital of Ardabil, were selected by available sampling method and they were randomly assigned into experimental group (11 veterans) and control group (11 veterans). The data collection tools were Perceived Stress Scale and Mississippi PTSD Scale. Patients in the experimental group received stress management training for 10 sessions. The data were analyzed by SPSS 21 software, using one-variable ANOVA, covariance analysis and multivariate variance.
Findings There was a significant difference between perceived stress scores and PTSD symptoms in post-test stage, and stress management training reduced perceived stress and PTSD symptoms in veterans with PTSD in the experimental group (p=0.001).
Conclusion Stress management training is effective in reducing perceived stress and PTSD symptoms in veterans with PTSD.
Keywords:
Post-Traumatic Stress Disorder,
Stress Management Training ,
CITATION LINKS
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[11]Hojjat SK, Hatami SE, Rezaei M, Noroozi Khalili M, Talebi MR. The efficacy of training of stress-coping strategies on marital satisfaction of spouses of veterans with post-traumatic stress disorder. Electron Physician. 2016;8(4):2232-7.
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[14]Sepehrinasab Z, Hossein Sabet F. Effectiveness of stress management training on hope and interpersonal compatibility of addicts under treatment. J Res Addict. 2015;9(35):69-84. [Persian]
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[16]Moghaddam M, Rashidzadeh S, Shamsalizadeh N, Fallahi B. The impact of stress management training on the copping style and perceived stress in medical students. Scientific J Kurdistan Univ Med Sci. 2014;19(3):52-60. [Persian]
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[23]Rosier JP, Elliott R, Sahakian BJ. Cognitive mechanisms of treatment in depression. Neuropsychopharmacology. 2012;37(1):117-36.
[24]Öst LG, Riise EN, Wergeland GJ, Hansen B, Kvale G. Cognitive behavioral and pharmacological treatments of OCD in children: A systematic review and meta-analysis. J Anxiety Disord. 2016;43:58-69.
[25]Gloster AT, Klotsche J, Gerlach AL, Hamm A, Ströhle A, Gauggel S, et al. Timing matters: change depends on the stage of treatment in cognitive behavioral therapy for panic disorder with agoraphobia. J Consult Clin Psychol. 2014;82(1):141-53.
[26]Dabbaghi P, Bolhari J. The effect of war related PTSD on wife’s marital satisfaction, mental health and children’s behavioral problems. J Army Univ. 2009;7(1):1-7. [Persian]
[27]Habibi M, Ghanbari N, Khodaei E, Ghanbari P. Effectiveness of cognitive-behavioral management of stress on reducing anxiety, stress, and depression in head-families women. J Res Behav Sci. 2013;11(3):166-75. [Persian]
[2]Williams CL, Milanak ME, Judah MR, Berenbaum H. The association between PTSD and facial affect recognition. Psychiatr Res. 2018;265:298-302.
[3]Mohaghegh Motlagh SJ, Momtazi S, Mosavinasab SN, Arab A, Sabouri E, Sabouri A. Post-traumatic stress disorder in male chemical injured war veterans compared to non-chemical war veterans. Med J Mashad Univ Med Sci. 2014;56(6):361-68. [Persian]
[4]Chossegros L, Hours M, Charnay P, Bernard M, Fort E, Boisson D, et al. Predictive factors of chronic post-traumatic stress disorder 6 months after a road traffic accident. Accid Anal Preven. 2011;43(1):471-7.
[5]Kamalmanesh A, Maredpour A. Evaluation of post-traumatic stress disorder among war survivors. Health Res J. 2017;2(2):87-98. [Persian]
[6]Bakhshian F, Abolghasemi A, Narimani M. The comparison of response inhibition and cognitive appraisal in the patients with acute stress disorder in Mazandaran legal medicine center. Scientif J Forensic Med. 2012;18(2 and 3):79-88. [Persian]
[7]Linden DV, Keijsers GPJ, Eling P, Schaijk RV. Work stress and attentional difficulties: An initial study on burnout and cognitive failures. Work Stress. 2005;19(1);23-36.
[8]Sladek MR, Doane LD, Luecken LJ, Eisenberg N. Perceived stress, coping, and cortisol reactivity in daily life: A study of adolescents during the first year of college. Biol Psychol. 2016;117:8-15.
[9]Abniki E, Abolghasemi A, Abbasi M, Moazzez R, Jalali R. The Effect of Group Cognitive-Behavioral Intervention in Stress Management on Improved Hardiness and Self-control in Depressed Women. Clin Psychol Stud. 2015;5(19):99-118. [Persian]
[10]Ramezani Sh, Mohammadi N, Sadri Damirchi E, Rahmani S. Effectiveness of cognitive- behavioral therapy on emotional control and signs of suicide in veterans with PTSD. Iran J War Public Health. 2018;10(1):1-7. [Persian]
[11]Hojjat SK, Hatami SE, Rezaei M, Noroozi Khalili M, Talebi MR. The efficacy of training of stress-coping strategies on marital satisfaction of spouses of veterans with post-traumatic stress disorder. Electron Physician. 2016;8(4):2232-7.
[12]Schweizer S, Samimi Z, Hasani J, Moradi A, Mirdoraghi F, Khaleghi M. Improving cognitive control in adolescents with post-traumatic stress disorder. Behav Res Ther. 2017;93:88-94.
[13]Ahmadzadeh Aghdam A, Ahmadi Kh, Nooranipour, Akhavi Z. The effect of stress inoculation on decrease of PTSD symptoms in veterans. Iran J War Public Health. 2013;5(3):32-40. [Persian]
[14]Sepehrinasab Z, Hossein Sabet F. Effectiveness of stress management training on hope and interpersonal compatibility of addicts under treatment. J Res Addict. 2015;9(35):69-84. [Persian]
[15]Cohen S, Kamarck T, Mermelstein R. Global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
[16]Moghaddam M, Rashidzadeh S, Shamsalizadeh N, Fallahi B. The impact of stress management training on the copping style and perceived stress in medical students. Scientific J Kurdistan Univ Med Sci. 2014;19(3):52-60. [Persian]
[17]Sepahvand T, Gilani B, Zamani R. The relationship between explanatory (attribution) styles with perceived stress and general health. J Psychol Educ. 2009;38(4):27-43. [Persian]
[18]Bastani F, Rahmatnejad L, Jahdi F, Haghani H. Breastfeeding self-efficacy and perceived stress in primiparous mothers. Iran J Nurs. 2008; 21(54):9-24. [Persian]
[19]Kean TM, Caddell JM, Taylor KL. Mississippi scale for combat-related posttraumatic stress disorder: three studies in reliability and validity. J Consult Clin Psychol. 1988;56(1):85-90.
[20]Goodarzi M. Validity and reliability of post-traumatic stress disorder scale. J Psychol. 2003;7(2):153-78. [Persian]
[21]Alden LE, Regambal MJ, Laposa JM. The effects of direct versus witnessed threat on emergency department healthcare workers: implications for PTSD criterion A. J Anxiety Disord. 2008;22(8):1337-46.
[22]Akbari B, Khodadadi N. The effect of stress inoculation training on marital satisfaction and marital conflicts in spouses’ with post-traumatic stress disorder. Scientif J Kurdistan Univ Med Sci. 2013;18(1):94-103. [Persian]
[23]Rosier JP, Elliott R, Sahakian BJ. Cognitive mechanisms of treatment in depression. Neuropsychopharmacology. 2012;37(1):117-36.
[24]Öst LG, Riise EN, Wergeland GJ, Hansen B, Kvale G. Cognitive behavioral and pharmacological treatments of OCD in children: A systematic review and meta-analysis. J Anxiety Disord. 2016;43:58-69.
[25]Gloster AT, Klotsche J, Gerlach AL, Hamm A, Ströhle A, Gauggel S, et al. Timing matters: change depends on the stage of treatment in cognitive behavioral therapy for panic disorder with agoraphobia. J Consult Clin Psychol. 2014;82(1):141-53.
[26]Dabbaghi P, Bolhari J. The effect of war related PTSD on wife’s marital satisfaction, mental health and children’s behavioral problems. J Army Univ. 2009;7(1):1-7. [Persian]
[27]Habibi M, Ghanbari N, Khodaei E, Ghanbari P. Effectiveness of cognitive-behavioral management of stress on reducing anxiety, stress, and depression in head-families women. J Res Behav Sci. 2013;11(3):166-75. [Persian]