Masoudnia Ebrahim, Farmani Fatemeh Rahmati
Department of Sociology, Faculty of Humanity, University of Guilan, Rasht, Iran.
J Migr Health. 2024 Feb 29;9:100225. doi: 10.1016/j.jmh.2024.100225. eCollection 2024.
Post-traumatic stress disorder (PTSD) is one of the most important and common disorders caused by war trauma. The aim of this study was to determine the relationship between psychosocial factors and PTSD in war-torn immigrants in Mehran, Iran.
The present study was conducted by descriptive and correlational method. The data were collected from 245 people (121 women and 124 men) from war-torn immigrants 45 years and older who migrated from Mehran to Ilam during the Iran-Iraq war. The measuring tools were as follows: Post Traumatic Stress Disorder Scale, Multidimensional Scale of Perceived Social Support (MDPSS), Coping Strategies Scale (CSS-R), Multidimensional Health Locus of Control scale.
The prevalence rate of PTSD among war-torn immigrants in Mehran was 35.1 %. A significant negative correlation was observed between perceived social support and PTSD ( < .01). Coping strategies, including seeking social support, reappraisal/adaptation, problem-focused coping, and active coping, all showed significant negative correlations with PTSD ( < .01). Conversely, a significant positive correlation was found between avoidance coping strategies and self-control and PTSD ( < .01). In addition, there was a significant positive correlation between the external locus of control (believing in chance) and PTSD ( < 0.01) and significant negative correlation between internal locus of control and PTSD ( < .01).
Weakness in social support, locus of control and also inappropriate coping strategies against war trauma were among the strong risk factors for PTSD. Therefore, social and behavioral interventions are recommended to increase social support, teaching problem-solving skills and strengthen individual control among war-torn immigrants to reduce the risk of developing PTSD.
创伤后应激障碍（PTSD）是战争创伤导致的最重要且最常见的疾病之一。本研究旨在确定伊朗梅赫兰地区经历战争的移民中社会心理因素与创伤后应激障碍之间的关系。
本研究采用描述性和相关性研究方法。数据收集自245名45岁及以上经历战争的移民（121名女性和124名男性），他们在两伊战争期间从梅赫兰移民至伊拉姆。测量工具如下：创伤后应激障碍量表、多维感知社会支持量表（MDPSS）、应对策略量表（CSS-R）、多维健康控制点量表。
梅赫兰地区经历战争的移民中创伤后应激障碍的患病率为35.1%。感知到的社会支持与创伤后应激障碍之间存在显著负相关（<.01）。应对策略，包括寻求社会支持、重新评估/适应、以问题为中心的应对和积极应对，均与创伤后应激障碍呈现显著负相关（<.0）。相反，回避应对策略与自我控制和创伤后应激障碍之间存在显著正相关（<.01）。此外，外部控制点（相信机遇）与创伤后应激障碍之间存在显著正相关（<0.01），而内部控制点与创伤后应激障碍之间存在显著负相关（<.01）。
社会支持薄弱以及控制点问题，还有针对战争创伤的不适当应对策略是创伤后应激障碍的重要危险因素。因此，建议采取社会和行为干预措施，以增加社会支持、教授解决问题的技能并增强经历战争的移民的个人控制能力，从而降低患创伤后应激障碍的风险。
