Hojjat Seyed Kaveh, Hatami Seyed Esmaeil, Rezaei Mahdi, Khalili Mina Norozi, Talebi Moosa Reza
MD, Psychiatrist, Assistant Professor, Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences. Bojnurd, Iran.
M.Sc. of Epidemiology, Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Electron Physician. 2016 Apr 25;8(4):2232-7. doi: 10.19082/2232. eCollection 2016 Apr.
Marital satisfaction is an important factor in people's quality of life. It has become increasingly crucial in healthcare and health research and is dependent on coping styles of people exposed to traumatic events. The aim of this study was to assess the effectiveness of coping-style training on increasing the marital satisfaction of wives of veterans with post-traumatic stress disorder (PTSD).
In this experimental study, 60 subjects were selected from the spouses of veterans with PTSD. The veterans were chosen from the Veterans Foundation of Northern Khorasan Province (Iran) in 2014. In this study, we used the Enrich questionnaire to determine the marital satisfaction of the aforementioned spouses. Subjects were assigned randomly to study and control groups. We used the training package of a Practical Guide for Stress Management according to cognitive behavioral approaches. Cognitive-behavioral group therapy was administered in 90-minute sessions over a 12-week period. We used the paired-samples t-test and ANCOVA to determine the effect of Cognitive Behavior Therapy (CBT) between the two groups.
The mean and the standard deviation of age in the study and control groups were 36.8 ± 4.33 years and 35.3 ± 4.7 years, respectively. According to p < 0.005, a significant difference was observed between the subjects in the two groups. Therefore, treatment with cognitive behavioral group therapy showed evidence of clinical improvements in marital satisfaction of the study group.
The results of our study showed that methods of coping with stress based on CBT are effective in increasing the marital satisfaction of wives of veterans with PTSD.
婚姻满意度是人们生活质量的一个重要因素。在医疗保健和健康研究中，它变得越来越关键，并且取决于遭受创伤性事件的人们的应对方式。本研究的目的是评估应对方式训练对提高创伤后应激障碍（PTSD）退伍军人妻子的婚姻满意度的有效性。
在这项实验研究中，从患有PTSD的退伍军人配偶中选取了60名受试者。这些退伍军人于2014年从伊朗霍拉桑省北部退伍军人基金会中选出。在本研究中，我们使用了“充实问卷”来确定上述配偶的婚姻满意度。受试者被随机分配到研究组和对照组。我们根据认知行为方法使用了《压力管理实用指南》的训练包。认知行为团体治疗在12周内以90分钟的疗程进行。我们使用配对样本t检验和协方差分析来确定两组之间认知行为疗法（CBT）的效果。
研究组和对照组的年龄均值和标准差分别为36.8±4.33岁和35.3±4.7岁。根据p<0.005，两组受试者之间观察到显著差异。因此，认知行为团体治疗显示出研究组婚姻满意度有临床改善的证据。
我们的研究结果表明，基于CBT的压力应对方法在提高患有PTSD的退伍军人妻子的婚姻满意度方面是有效的。
