Fadilpašić Senadin, Maleč Daniel, Džubur-Kulenović Alma
Department of Psychiatry, University Clinical Center Sarajevo, Bolnička 25, 71000 Sarajevo, Bosnia and Herzegovina,
Psychiatr Danub. 2017 Sep;29(3):291-301. doi: 10.24869/psyd.2017.291.
Long-term posttraumatic outcomes such as quality of life are dependent on a series of factors from the very exposure to traumatic events and stress appraisals, personality traits, posttraumatic growth, symptoms of Posttraumatic stress disorder (PTSD) and different coping strategies to religiousness and religious coping styles. Except of exposure to traumatic events and related stress, all other variables may have indirect mediating effects on long-term posttraumatic outcomes. The main aim of this cross-sectional study is to explore relative independent contribution of these variables in the explanation of quality of life among war trauma survivors, with a special emphasis on the variables of religiousness and religious coping.
The research was conducted on 353 subjects who experienced war related traumatic events during the war in Bosnia and Herzegovina (B&H). The data was collected through several self-report measuring instruments: Manchester Short Assessment of Quality of Life, Stressors Check List (SCL); Religiousness Scale, Social Support Resources Scale; Religious Problem-Solving Scale, Brief RCOPE, Posttraumatic Growth Inventory and Mississippi Scale for PTSD.
According to the results of the study, experience of loss and frequent exposure to war trauma and high levels on the primary stress appraisals, self-directing coping style and PTSD-symptoms were associated with lower perceived quality of life among the subjects. High levels of extrinsic religious orientation, effect of religiousness on social behavior, positive religious coping and posttraumatic growth were associated with higher perceived quality of life among subjects. These variables showed significant independent contribution to the prediction of the values on quality of life.
Results of the study have a scientific significance in understanding the importance and mediating role of religiousness and religious coping for quality of life perception as one of long-term posttraumatic outcomes. Effects of religiousness on social behavior and positive religious coping showed particularly significant contribution across all prediction models for the quality of life.
长期创伤后结果,如生活质量,取决于一系列因素,从接触创伤事件和压力评估、人格特质、创伤后成长、创伤后应激障碍(PTSD)症状以及不同的应对策略到宗教信仰和宗教应对方式。除了接触创伤事件和相关压力外,所有其他变量可能对长期创伤后结果有间接中介作用。本横断面研究的主要目的是探讨这些变量在解释战争创伤幸存者生活质量方面的相对独立贡献,特别强调宗教信仰和宗教应对变量。
对353名在波斯尼亚和黑塞哥维那(波黑)战争期间经历过与战争相关创伤事件的对象进行了研究。通过几种自我报告测量工具收集数据:曼彻斯特生活质量简短评估、压力源清单(SCL);宗教信仰量表、社会支持资源量表;宗教问题解决量表、简短RCOPE、创伤后成长量表和PTSD密西西比量表。
根据研究结果,丧失经历、频繁接触战争创伤以及在主要压力评估、自我导向应对方式和PTSD症状方面的高水平与受试者较低的生活质量感知相关。外在宗教取向水平高、宗教信仰对社会行为的影响、积极的宗教应对和创伤后成长与受试者较高的生活质量感知相关。这些变量对生活质量值的预测显示出显著的独立贡献。
该研究结果对于理解宗教信仰和宗教应对作为长期创伤后结果之一对生活质量感知的重要性和中介作用具有科学意义。宗教信仰对社会行为的影响和积极的宗教应对在所有生活质量预测模型中显示出特别显著的贡献。