@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2020;12(1):35-42
ISSN: 2008-2630 Iranian Journal of War & Public Health 2020;12(1):35-42
Causal Model of Prerequisites for the Quality of Life of Neuropsychiatric Veterans; A Case Study of Kermanshah Province
ARTICLE INFO
Article Type
Original ResearchAuthors
Khaniabad Zh. (1)Amiri H. (*1)
Kakabraee K. (1)
(1) Psychology & Consultation Department, Kermanshah Branch, Azad University, Kermanshah , Iran
Correspondence
Address: Psychology & Consultation Department, Kermanshah Branch, Azad University, Kermanshah, Iran. Postal Code: 6718957961Phone: +98 (83) 37243181
Fax: -
Article History
Received: August 26, 2019Accepted: March 10, 2020
ePublished: March 17, 2020
ABSTRACT
Aims
Identifying the prerequisites for the quality of life of neuropsychiatric veterans in a single model will lead to a better understanding of the quality of life of these individuals and, as a result, better provision of welfare services related to these prerequisites. Therefore, the aim of the present study was to design the causal model of prerequisites for the quality of life of neuropsychiatric veterans.
Materials & Methods This descriptive-correlational study of the structural equation model was conducted during 2017-2018 among 260 neuropsychiatric veterans covered by the Martyrs and Sacrifices Affairs Foundation of Kermanshah province. These people were selected by simple random sampling method and they completed research questionnaires including the short form questionnaire of the World Health Organization Quality of Life (WHOQOL-BREF), short form of marital satisfaction questionnaire, researcher-made questionnaire to assess the satisfaction of Martyr Foundation services, spiritual attitude questionnaire, multidimensional perceived social support scale, and healthy life style scale. Date were analyzed by SPSS 22 software and AMOS 24 software using descriptive and inferential statistics.
Findings The direct coefficients of satisfaction of services on quality of life (β=0.47), perceived social support on quality of life (β=0.44), and behaviors and positive attitudes toward health on quality of life (β= 0.16) were significant. The indirect path coefficients were also significant (p<0.01).
Conclusion Teaching spiritual attitudes and behaviors related to health, as well as increasing the services of the Martyrs Foundation, can increase the quality of life of neuropsychiatric veterans.
Materials & Methods This descriptive-correlational study of the structural equation model was conducted during 2017-2018 among 260 neuropsychiatric veterans covered by the Martyrs and Sacrifices Affairs Foundation of Kermanshah province. These people were selected by simple random sampling method and they completed research questionnaires including the short form questionnaire of the World Health Organization Quality of Life (WHOQOL-BREF), short form of marital satisfaction questionnaire, researcher-made questionnaire to assess the satisfaction of Martyr Foundation services, spiritual attitude questionnaire, multidimensional perceived social support scale, and healthy life style scale. Date were analyzed by SPSS 22 software and AMOS 24 software using descriptive and inferential statistics.
Findings The direct coefficients of satisfaction of services on quality of life (β=0.47), perceived social support on quality of life (β=0.44), and behaviors and positive attitudes toward health on quality of life (β= 0.16) were significant. The indirect path coefficients were also significant (p<0.01).
Conclusion Teaching spiritual attitudes and behaviors related to health, as well as increasing the services of the Martyrs Foundation, can increase the quality of life of neuropsychiatric veterans.
CITATION LINKS
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[17]Sharma V, Marin DB, Koenig HK, Feder A, Iacoviello BM, Southwick SM, et al. Religion, spirituality, and mental health of U.S. military veterans: results from the national health and resilience in veterans study. J Affect Disord. 2017;217:197-204.
[18]Koenig HG, Boucher NA, Oliver RJ, Youssef N, Mooney SR, Currier JM, et al. Rationale for spiritually oriented cognitive processing therapy for moral injury in active duty military and veterans with posttraumatic stress disorder. J Nerv Ment Dis. 2017;205(2):147-53.
[19]Kanani Z, Poorsadooghi A, Nejati S, Adibsereshki N. The relationship between Religious belief and quality of life in veterans amputations. J Milit Psychol. 2015;5(20):5-15. [Persian]
[20]Currier JM, Drescher KD, Holland JM, Lisman R, Foy DW. Spirituality, forgiveness, and quality of life: Testing a mediational model with military veterans with PTSD. Int J Psychol Religion. 2016;26(2):167-79.
[21]Chopra MP, Zhang H, Pless Kaiser A, Moye JA, Llorente MD, Oslin DW, et al. PTSD is a chronic, fluctuating disorder affecting the mental quality of life in older adults. Am J Geriatr Psychiatry. 2014;22(1):86-97.
[22]Abbasi M, Jamali HA, Omidi Oskouei AR. Quality of life of chemically-disabled war veterans involved in pulmonary complications of sulfur mustard gas in Sardasht. Qom Univ Med Sci J. 2012; 5(4):34-9. [Persian]
[23]Wingo AP, Briscione M, Norrholm SD, Jovanovic T, McCullough SA, Skelton K, et al. Psychological resilience is associated with more intact social functioning in veterans with post-traumatic stress disorder and depression. Psychiatry Res. 2017;249:206-11.
[24]Mandani B, Fakhri A. Study of health related quality of life in posttraumatic stress disorder war veterans. Iran J War Public Health. 2013;5(2):18-25. [Persian]
[25]Nejat S, Montazeri A, Holakouei Naeini K, Mohammad K, Majdzadeh SR. The World Health Organization Quality of Life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. J Sch Public Health Inst Public Health Res. 2006;4(4):1-12. [Persian]
[26]Rajabi GR. Factorial structure of marital satisfaction scale in married staff members of Shahid Chamran University. Iran J Psychiatry Clin Psychol. 2010;15(4):351-8. [Persian]
[27]Shahidi S, Farajnia S. Making and validating the questionnaire Assessment of Spiritual Attitude. J Psychol Religion. 2012;5(3):97-115. [Persian]
[28]Zimet G, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30-41
[29]Salimi A, Jokar B, Nikpoor R. Internet communication in life: the role of perceived social support and loneliness in using the Internet. Q J Psychol Stud. 2009;5(3):81-102. [Persian]
[30]Taheri M. Design and evaluation of the Iranian model of psychological components of healthy life style [Dissertation]. Tehran: University of Kharazmi; 2017. [Persian]
[31]Bagheri F, Akbarizadeh F, Hatami H. The relationship between spiritual intelligence and happiness on the nurse staffs of the Fatemeh Zahra Hospital and Bentolhoda Institute of Boushehr City. Iran South Med J. 2011;14(4):256-63. [Persian]
[2]Badour CL, Resnick HS, Kilpatrick DG. Associations between specific negative emotions and DSM-5 PTSD among a national sample of interpersonal trauma survivors. J Interpers Violence. 2017;32(11):1620-41.
[3]Scheiderer E, Carlile JA, Aosved AC, Barlow A. Concurrent dialectical behavior therapy and prolonged exposure reduces symptoms and improves overall quality of life for a veteran with posttraumatic stress disorder and borderline personality disorder. Clin Case Stud. 2017;16(3):216-33.
[4]Vogt D, Smith BN, Fox AB, Amoroso T, Taverna E, Schnurr PP. Consequences of PTSD for the work and family quality of life of female and male US Afghanistan and Iraq War veterans. Soc Psychiatry Psychiatr Epidemiol. 2017;52(3):341-52.
[5]Krystal JH, Pietrzak RH, Rosenheck RA, Cramer JA, Vessicchio J, Jones KM, et al. Sleep disturbance in chronic military-related PTSD: clinical impact and response to adjunctive risperidone in the Veterans Affairs cooperative study #504. J Clin Psychiatry. 2016;77(4):483-91.
[6]Ahmadi K, Nejati V. Evaluation of quality of life in psychiatric veterans of Isfahan. Iran J War Public Health. 2010;2(4):13-17. [Persian]
[7]Mousavi B, Soroush MR, Masoumi M, Ganjparvar Z, Montazeri A. Quality of life in spouses of war related bilateral lower limb amputees. Daneshvar Med. 2009;17(5):11-8. [Persian]
[8]McAlinden NM, Oei TP. Validation of the quality of life inventory for patient with anxiety and depression. Compr Psychiatry. 2006;47(4):307-14.
[9]Adams RE, Urosevich TG, Hoffman SN, Kirchner HL, Hyacinthe JC, Figley CR, et al. Social support, help-seeking, and mental health outcomes among veterans in non-VA facilities: results from the veterans' health study. Milit Behav Health. 2017;5(4):393-405.
[10]Schnurr PP, Lunney CA. Symptom benchmarks of improved quality of life in PTSD. Depress Anxiety. 2016;33(3):247-55.
[11]Ebrahimi A, Bolhari J, Zolfaghari F. Stress Coping Strategies and Social Support in Depressive Veterans with Spinal Cord Injury. Iran J Psychiatry Clin Psychol. 2002;8(2):40-8. [Persian]
[12]Khaghanizadeh M, Sirati M. Influence of individual, familial and socioeconomic factors on severity of psychiatric symptoms in veterans with mental disorders. J Milit Med. 2004;6(1):33-7. [Persian]
[13]Khani H, Joharinia S, Kariminasab MH, Ganji R, Azadmarzabadi E, Shakeri M, et al . Evaluation of quality of life in amputee veterans in Mazandaran. J North Khorasan Univ Med Sci. 2011;3(1):49-56. [Persian]
[14]Latifi GR, Farrokhvandi A. Effective factors on life quality of war-injured of Dezful. Soc Dev Welfare Plann. 2012;3(9):81-122. [Persian]
[15]Bahreinian SA, Borhani H. Mental health in group of war veterans and their spouses in Qom. Res Med. 2003;27(4):305-12. [Persian]
[16]Hashemian SA, Khademi MJ. The survey of veterans’ mental health based on spiritual well-being and life satisfaction. J Milit Med. 2015;16(4):205-9. [Persian]
[17]Sharma V, Marin DB, Koenig HK, Feder A, Iacoviello BM, Southwick SM, et al. Religion, spirituality, and mental health of U.S. military veterans: results from the national health and resilience in veterans study. J Affect Disord. 2017;217:197-204.
[18]Koenig HG, Boucher NA, Oliver RJ, Youssef N, Mooney SR, Currier JM, et al. Rationale for spiritually oriented cognitive processing therapy for moral injury in active duty military and veterans with posttraumatic stress disorder. J Nerv Ment Dis. 2017;205(2):147-53.
[19]Kanani Z, Poorsadooghi A, Nejati S, Adibsereshki N. The relationship between Religious belief and quality of life in veterans amputations. J Milit Psychol. 2015;5(20):5-15. [Persian]
[20]Currier JM, Drescher KD, Holland JM, Lisman R, Foy DW. Spirituality, forgiveness, and quality of life: Testing a mediational model with military veterans with PTSD. Int J Psychol Religion. 2016;26(2):167-79.
[21]Chopra MP, Zhang H, Pless Kaiser A, Moye JA, Llorente MD, Oslin DW, et al. PTSD is a chronic, fluctuating disorder affecting the mental quality of life in older adults. Am J Geriatr Psychiatry. 2014;22(1):86-97.
[22]Abbasi M, Jamali HA, Omidi Oskouei AR. Quality of life of chemically-disabled war veterans involved in pulmonary complications of sulfur mustard gas in Sardasht. Qom Univ Med Sci J. 2012; 5(4):34-9. [Persian]
[23]Wingo AP, Briscione M, Norrholm SD, Jovanovic T, McCullough SA, Skelton K, et al. Psychological resilience is associated with more intact social functioning in veterans with post-traumatic stress disorder and depression. Psychiatry Res. 2017;249:206-11.
[24]Mandani B, Fakhri A. Study of health related quality of life in posttraumatic stress disorder war veterans. Iran J War Public Health. 2013;5(2):18-25. [Persian]
[25]Nejat S, Montazeri A, Holakouei Naeini K, Mohammad K, Majdzadeh SR. The World Health Organization Quality of Life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. J Sch Public Health Inst Public Health Res. 2006;4(4):1-12. [Persian]
[26]Rajabi GR. Factorial structure of marital satisfaction scale in married staff members of Shahid Chamran University. Iran J Psychiatry Clin Psychol. 2010;15(4):351-8. [Persian]
[27]Shahidi S, Farajnia S. Making and validating the questionnaire Assessment of Spiritual Attitude. J Psychol Religion. 2012;5(3):97-115. [Persian]
[28]Zimet G, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30-41
[29]Salimi A, Jokar B, Nikpoor R. Internet communication in life: the role of perceived social support and loneliness in using the Internet. Q J Psychol Stud. 2009;5(3):81-102. [Persian]
[30]Taheri M. Design and evaluation of the Iranian model of psychological components of healthy life style [Dissertation]. Tehran: University of Kharazmi; 2017. [Persian]
[31]Bagheri F, Akbarizadeh F, Hatami H. The relationship between spiritual intelligence and happiness on the nurse staffs of the Fatemeh Zahra Hospital and Bentolhoda Institute of Boushehr City. Iran South Med J. 2011;14(4):256-63. [Persian]