Investigating the Level of Depression, Anxiety and Stress in the Family Members of Martyrs and War Veterans with Panic Attacks and its Relationship with the Incidence of Mental Disorders among Family Members
Investigating the Level of Depression, Anxiety and Stress in the Family Members of Martyrs and War Veterans with Panic Attacks and its Relationship with the Incidence of Mental Disorders among Family Members
Aims: The consequences of war include physical and psychological issues for those involved, putting their families at risk. This study looks at depression, anxiety, and stress in the families of war veterans and martyrs with panic attacks, and how it affects mental health in the family.
Materials & Methods: The study was conducted as part of descriptive-correlation research and utilized a cross-sectional research method. The statistical population for this study was all immediate family members of martyrs and war veterans in Tehran from April to November 2023. A purposive sample of 111 individuals was selected for the study. The research instruments included the Perceived Stress Questionnaire (PSQ), Beck Anxiety Inventory (BAI), Symptom Checklist-90-R (SCL-90-R), and Beck Depression Inventory-II (BDI-II). Data analysis involved Pearson correlation, multiple regression, and software such as SPSS version 27 and SmartPLS version 4.
Findings: The results indicated that Stress (P=0.039), Anxiety (P=0.000), and Depression (P=0.002) were significantly associated with Physical complaints or somatization. Furthermore, Anxiety (P=0.001) and Depression (P=0.002) showed a positive and significant impact on obsessive-compulsive disorder. Stress (P=0.029), Anxiety (P=0.000), and Depression (P=0.034) were found to have a substantial effect on Interpersonal sensitivity.
Conclusion: The research showed that anxiety, depression, and stress in families of veterans/martyrs can lead to various mental disorders. It is important to prioritize the well-being of this group. Thus, there is a need to focus more on the well-being of this particular group.
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References
Ghovati A, Delroba M, Ahovan M, Aghamohammadian Sharbaf HR, Farnoosh M. The Effectiveness of Unified Transdiagnostic Treatment in Anxiety, Rumination and General Health among Children of Martyrs and Sacrifice. Journal of Psychological Studies. 2022 Oct 23;18(3):105-18. 10.22051/psy.2022.36445.2465
Tajik Esmaeili S. The Test Anxiety in High School Students in Tehran and Its Relationship with the Underlying Variables (subject of study; Children of martyr families). Witness the thought. 2022 Aug 23;3(1):265-99. https://www.shahedeandisheh.ir/article_155990.html?lang=fa
Tsai CH, Chen PC, Liu DS, Kuo YY, Hsieh TT, Chiang DL, Lai F, Wu CT. Panic Attack Prediction Using Wearable Devices and Machine Learning: Development and Cohort Study. JMIR Med Inform. 2022 Feb 15;10(2):e33063. doi: 10.2196/33063 .[PubMed: 35166679].
Rzońca P, Podgórski M, Łazarewicz M, Gałązkowski R, Rzońca E, Detsyk O, Włodarczyk D. The prevalence and determinants of PTSD, anxiety, and depression in Ukrainian civilian physicians and paramedics in wartime-An observational cross-sectional study six months after the outbreak. Psychiatry Res. 2024 Apr;334:115836. doi: 10.1016/j.psychres.2024.115836 .[PubMed: 38452498].
Gebreyesus A, Niguse AT, Shishay F, Mamo L, Gebremedhin T, Tsegay K, Gebremariam AG, Kidanu KG, Gidey S, Tesfay F. Prevalence of depression and associated factors among community hosted internally displaced people of Tigray; during war and siege. BMC Psychiatry. 2024 Jan 2;24(1):3. doi: 10.1186/s12888-023-05333-3 .[PubMed: 38166772].
Lim ICZY, Tam WWS, Chudzicka-Czupała A, McIntyre RS, Teopiz KM, Ho RC, Ho CSH. Prevalence of depression, anxiety and post-traumatic stress in war- and conflict-afflicted areas: A meta-analysis. Front Psychiatry. 2022 Sep 16;13:978703. doi: 10.3389/fpsyt.2022.978703 .[PubMed: 36186881].
Mansouri A. The Impact of War on the Emergence of Depression and Posttraumatic Stress Disorder on Iranian Veterans of the Iran-Iraq War. European Journal of Social Science Education and Research. 2019 Aug 30;6(2):87-109. 10.26417/ejser.v11i2.p70-82
Sherman MD, Larsen JL. Family-focused interventions and resources for veterans and their families. Psychological Services. 2018 May;15(2):146.
Maguire AM, Woodbury KA. Involving family members in the care of military personnel and Veterans: A decisional counseling intervention. Journal of Military, Veteran and Family Health. 2024 Apr 1;10(2):173-7. https://doi.org/10.3138/jmvfh-2023-0075
Forrest W, Edwards B, Daraganova G. The intergenerational consequences of war: anxiety, depression, suicidality, and mental health among the children of war veterans. Int J Epidemiol. 2018 Aug 1;47(4):1060-1067. doi: 10.1093/ije/dyy040 .[PubMed: 29590363].
Franz MR, Kaiser AP, Phillips RJ, Lee LO, Lawrence AE, Taft CT, Vasterling JJ. Associations of warzone veteran mental health with partner mental health and family functioning: Family Foundations Study. Depress Anxiety. 2020 Nov;37(11):1068-1078. doi: 10.1002/da.23083 .[PubMed: 32805764].
Alivandi Vafa M, Fathi A, Akbarzadeh Nami R, Bejani H. A Comparative Study of Perceived Stress, Loneliness, Anxiety and Marital Boredom in Veteran and Ordinary People’s Wives. Military Psychology. 2022 Aug 23;13(50):105-29. https://www.sid.ir/paper/1071739/fa#downloadbottom
Kurapov A, Danyliuk I, Loboda A, Kalaitzaki A, Kowatsch T, Klimash T, Predko V. Six months into the war: a first-wave study of stress, anxiety, and depression among in Ukraine. Front Psychiatry. 2023 May 10;14:1190465. doi: 10.3389/fpsyt.2023.1190465.[PubMed: 37234208].
Gewirtz AH, DeGarmo DS, Zamir O. Testing a Military Family Stress Model. Fam Process. 2018 Jun;57(2):415-431. doi: 10.1111/famp.12282.[PubMed: 28299783].
Bürgin D, Anagnostopoulos D; Board and Policy Division of ESCAP; Vitiello B, Sukale T, Schmid M, Fegert JM. Impact of war and forced displacement on children's mental health-multilevel, needs-oriented, and trauma-informed approaches. Eur Child Adolesc Psychiatry. 2022 Jun;31(6):845-853. doi: 10.1007/s00787-022-01974-z .[PubMed: 35286450].
Fidell LS, Tabachnick BG. Preparatory data analysis. Handbook of psychology: Research methods in psychology. 2003 Mar 19;2:115-41.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of health and social behavior. 1983 Dec 1:385-96. https://www.jstor.org/stable/2136404
Khalili R, Ebadi A, Tavallai A, Habibi M. Validity and reliability of the Cohen 10-item Perceived Stress Scale in patients with chronic headache: Persian version. Asian journal of psychiatry. 2017 Apr 1;26:136-40. https://doi.org/10.1016/j.ajp.2017.01.010
Beck AT, Brown GK, Steer RA, Kuyken W, Grisham J. Psychometric properties of the Beck self-esteem scales. Behavior research and therapy. 2001 Jan 1;39(1):115-24. https://doi.org/10.1016/S0005-7967(00)00028-0
Hamidi, R., Fekrizadeh, Z., Azadbakht, M., Garmaroudi, G., Taheri Tanjani, P., Fathizadeh, S., & Ghisvandi, E. (2015). Validity and reliability Beck Depression Inventory-II among the Iranian elderly population. Journal of Sabzevar University of Medical Sciences, 22(1), 189-198. https://jsums.medsab.ac.ir/article_550_en.html?lang=en
Derogatis LR. Symptom Checklist-90-R National Computer Systems. Inc: Minneapolis, MN. 1994.
Mosavian E, Nejati SF. The investigation of facial affect recognition in people with psychological symptoms based on the CL-90-R scale. Social cognition. 2016 Jul 22;5(1):113-29. https://dorl.net/dor/20.1001.1.23223782.1395.5.1.8.8
Beck AT, Steer RA, Brown GK. Beck depression inventory. https://scales.arabpsychology.com/wp-content/uploads/instrumenten/BDI-meetinstr.pdf
Modanloo M, Najafi M. The mediating role of anxiety and depression in the relationship between childhood abuse and obsessive-compulsive symptoms. Journal of Research in Psychological Health. 2024 Mar 10;22(4):17-32. URL: http://rph.khu.ac.ir/article-1-4328-fa.html
Xu H, Pei Y, Yong Z, Liu X, Wang W. Pathway from interpersonal sensitivity to depression among Chinese college students during the COVID-19 campus lockdown. Environ Health Prev Med. 2023;28:34. doi: 10.1265/ehpm.22-00249 .[PubMed: 37286498].
Sun J, Zhang X, Wang Y, Wang J, Li J, Cao F. The associations of interpersonal sensitivity with mental distress and trait aggression in early adulthood: a prospective cohort study. J Affect Disord. 2020 Jul 1;272:50-57. doi: 10.1016/j.jad.2020.03.161.[PubMed: 32379620].
Sood M, Newman-Taylor K. Cognitive fusion mediates the impact of attachment imagery on paranoia and anxiety. Cognitive Therapy and Research. 2020 Dec;44:1150-61. https://doi.org/10.1007/s10608-020-10127-y
Torabi Zonouz S, Mahmoud Alilou M, Pak R. The investigate the relationship between mental-physical vulnerability and state-trait anxiety in coronavirus pandemics. Research in Cognitive and Behavioral Sciences. 2020 May 21;10(1):33-46. 10.22108/cbs.2021.126358.1473
Khalifat Z, Monirpour N. Explanation of obsessive-compulsive symptoms based on attachment styles and alienation by mediating role of depression. Journal of Clinical Psychology. 2020 May 21;12(1):49-62. 10.22075/jcp.2020.18727.1733
Xu H, Peng L, Wang Z, Zeng P, Liu X. Interpersonal sensitivity on college freshmen's depression: A moderated moderation model of psychological capital and family support. Front Psychiatry. 2022 Jul 29;13:921045. doi: 10.3389/fpsyt.2022.921045 .[PubMed: 35966476].
Hansen J, Galimov A, Unger JB, Sussman SY, Hanewinkel R. Mental Health and Physical Complaints of German Children and Adolescents before and during the COVID-19 Pandemic: A Repeated Cross-Sectional Study. Int J Environ Res Public Health. 2023 Mar 2;20(5):4478. doi: 10.3390/ijerph20054478 .[PubMed: 36901485].
Talebi A, Zarnaghash M. The effectiveness of mindfulness-based cognitive therapy on loneliness and rumination of veteran’s spouses. Iranian Journal of War and Public Health. 2020 Feb 10;12(1):29-34. 10.29252/ijwph.12.1.29
Chung JE, Song G, Kim K, Yee J, Kim JH, Lee KE, Gwak HS. Association between anxiety and aggression in adolescents: a cross-sectional study. BMC Pediatr. 2019 Apr 18;19(1):115. doi: 10.1186/s12887-019-1479-6 .[PubMed: 30999891].
Chen MH, Pan TL, Bai YM, Huang KL, Tsai SJ, Su TP, Chen TJ, Hsu JW. Postpartum Depression and Psychosis and Subsequent Severe Mental Illnesses in Mothers and Neurodevelopmental Disorders in Children: A Nationwide Study. J Clin Psychiatry. 2021 Jul 27;82(4):20m13735. doi: 10.4088/JCP.20m13735 .[PubMed: 34320699].
Ebrahimi Moghadam H, Malmir T, Rahmani F, Ramezan Alizadeh Z. Investigate the effectiveness of group training based on Acceptance and Commitment Therapy (ACT) on aggression and anxiety in patients with panic. Journal of Psychological Studies. 2018 Feb 20;13(4):141-56. 10.22051/psy.2017.10338.1258
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