Iran J War Public Health
Year:2019 | Volume:11 | Issue:3|Papers Count:8

Aims: Cognitive disorders is one of the problems of veterans with post‐ traumatic stress disorder (PTSD). The current study aimed at investigating the effects of aerobic exercises on memory and attention in veterans with PTSD. Materials & Methods: The present semi‐ experimental study with pre‐ test post‐ test design and control group was conducted in 2016 among 21 patients with PTSD, who were referred to Boostan Psychiatric Hospital in Ahvaz. The subjects were voluntarily selected through purposive sampling method and, then, randomly divided into two groups: aerobic exercise (n=11) and control (n=10) groups. The exercises were performed for 8 weeks, 3 sessions a week. Memory level was measured by Wechsler questionnaire and attention level was measured by strop test. The data were analyzed by SPSS 22, using dependent and independent t‐ tests. Findings: In the aerobic exercise group in the post-test stage, there was a significant difference between the mean scores of all Wechsler memory subscales and the level of attention (p<0. 05), while there was no significant difference in the control group (p>0. 05). There was a significant difference between the exercise group and the control group (p<0. 05). Conclusion: Aerobic exercises are effective in improving memory performance and attention in patients with PTSD.

Aims Patients with heart failure need training and support regarding the drug diet, how to use medications, diet, activities, and appropriate action when symptoms occur. The aim of this study was to design and evaluate a smartphone-based application to manage the treatment of people with heart failure. Materials & Methods In this developmental-applied study with the software design approach, from December 2017 to July 2018, in order to determine the capabilities and data needed for the application, searches in databases, review the texts, and health experts’ opinion were used and the program was designed under the Android operating system with a dashboard under Windows. The program in the treatment management was evaluated based on the Smartphone Application Scale (MARS), the performance score of the Institute of Health Informatics (IMS), and the compliance with the Guide to the American Heart Failure Association (HFSA) by 20 patients with heart failure and their family, health staff, and programmers. Findings The smartphone-based application with the mean score of 10. 70± 0. 86 in the MARS scale, the mean score of 9. 00± 0. 87 in the IMS scale, and the mean score of 7. 7± 0. 79 according to HFSA criteria was evaluated as desirable. Conclusion The use of a smartphone-based application can be useful in treatment management and self-care of patients with heart failure.

Aims Recently, Transcranial Direct Current Stimulation (tDCS) has been considered by researchers to improve various processes. The aim of this study was to investigate the effect of tDCS on reaction time in veterans and athletes with disabilities. Materials & Methods This semi-experimental study with pre-test post-test design was conducted in 2018 among all veterans and athletes with disabilities, who were members of Veterans and disabled board of Shiraz. 24 veterans and disabled persons of Shiraz athletes were selected by available sampling and allocated to experimental and artificial stimulation (sham) groups. Acquisition stage was held during 3 sessions. In the experimental group, an anode electrode was placed on the C4 and the cathode electrode was placed in the FP1. The stimulation rate was 1. 5 milliamps in 20 minutes. In the sham groups, the anode and cathode electrode were placed on the C4 and FP1 points, but the stimulation was discontinued after 30 seconds. After the last session, a post-test was performed. Data analysis was performed by SPSS 22, using independent t-test and Multivariable analysis of covariance. Findings In the post-test, there was a significant difference between the experimental group and the sham at the simple reaction time and choice reaction time and the performance of the experimental group was better than the sham group (p=0. 0001). Conclusion tDCS can improve the simple and choice reaction time in veterans and athletes with disabilities.

Aims Marital satisfaction is one of the factors that can affect not only on the life quality of veterans but also on their families and society. The aim of this study was to investigate the effectiveness of acceptance and commitment therapy and logotherapy on marital satisfaction of veterans’ spouses. Materials & Methods In this quasi-experimental research with pretest-posttest design, with two experimental groups and one control group, 60 people of veterans’ spouses were studied in Tehran in 2017. They were selected by convenience sampling method and randomly assigned into acceptance and commitment therapy group, logotherapy group, and control group (n=20 in each group). Experimental groups were treated in 9 sessions-in 120 minutes, while the control group received no cure. The research tools were a demographic questionnaire and Enrich marital satisfaction questionnaire. Data were analyzed using SPSS 18 software, through one-way analysis of covariance and Tukey’ s post hoc test. Findings By controlling the effects of pre-test scores, there was a significant difference between the mean scores of marital satisfaction of the groups in the posttest step (F=6. 041; p=0. 004). The mean scores of marital satisfaction in the acceptance and commitment therapy group (p=0. 023) and the logotherapy group (p=0. 006) were significantly different in comparison with the control group. There was no significant difference between two experimental groups and both methods had the same effectiveness (p=0. 873). Conclusion Acceptance and commitment therapy and logotherapy are effective in increasing the marital satisfaction of veterans' spouses.

Objectives The consequences of war are profound, complex, and continuous and not only stopped by suffering the survived individuals of war from physical and mental disorders or damages, but also penetrate to their families and caregivers. The objective of the present study is to study the effectiveness of acceptance and commitment based therapy on the assertiveness of imposed war veterans’ daughters. Materials & Methods This is semi-experimental research (pretest-posttest with a control group) performed on veterans’ daughters’ population of Falavarjan town in 2017. 30 individuals were selected using Purposive Sampling method and randomly assigned in two test and control groups (15 individuals for each group). The Test group received acceptance and commitment based therapy during 8 sessions, but the control group did not receive any training. Assertiveness Questionnaire of Gmbryl and Ritchie was used as a research tool. The data were analyzed using SPSS 23 software through single variable covariance, independent sample T-test, and chi-square test. Findings In post-test phase, the mean of assertiveness scores in the test group had a significant difference compared to the control group (p<0. 05) and the mean of scores in the test group was more than the control group. Conclusion Acceptance and commitment based therapy is effective on the assertiveness of imposed war veterans' daughters.

Aim(s): Time perspective therapy is one of the modern treatments that in recent years has been used in order to decrease the symptoms of the disorder and increasing the quality of life in patients with PTSD. In this regard, the aim of the present study was to investigate the effectiveness of time perspective therapy on increasing the psychological well-being and happiness of veterans with PTSD. Materials & Methods: This quasi-experimental research with pretest-posttest design, with one control group, was carried out among the veterans with PTSD, who referred to the Amiralmomenin Hospital in Isfahan in 2017. Among them 30 people of veterans with PTSD were selected through convenient sampling method and randomly assigned into the control and experimental groups (n=15 in each group). Experimental group was treated in 8 sessions in 90 minutes with time perspective therapy while the control group received no cure. The research instruments were the Oxford happiness questionnaire and Ryff psychological well-being questionnaire, which were completed in two stages of pretest and posttest. Data were analyzed using SPSS 23 software, through one-way analysis of covariance and multivariable analysis of covariance tests. Findings: By controlling the effect of pretest, there was a significant difference between the mean scores of psychological well-being and happiness of veterans with PTSD in the control and experimental groups in the posttest step (p<0. 05). Conclusion: Time perspective therapy can be effective in increasing the psychological wellbeing and happiness of veterans with PTSD.

Aim(s): The physical and mental problems that exist among the veterans have the greatest impact on their spouses, which affects the whole family. The aim of the present study was to investigate the correlation between lifestyle and parenting style with resiliency and mental health of veterans’ spouses. Instruments & Methods: This descriptive-correlational study was carried out on 170 people of veterans’ spouses in Ardakan city in 2018. The subjects were selected by convenience sampling method. Data were collected by the Miller-Smith lifestyle assessment inventory, Baumrind’ s parenting style inventory, Connor-Davidson resilience scale, and Goldberg and Hillier health questionnaire. Data were analyzed through SPSS 21 software using Pearson correlation coefficient method. Findings: There was a significant correlation (p=0. 001) between the lifestyle with resiliency (r=0. 559) and mental health (r=-0. 277). Also authoritarian parenting style had a negative significant correlation (r=-0. 125; p=0. 042) with resilience, and positive significant correlation (r=0. 094; p=0. 048) with mental health. The correlation between powerful parenting style and mental health was negative and significant (r=-0. 133; p=0. 024). Conclusion: There is correlation between lifestyle and parenting style with resiliency and mental health of veterans' spouses.

Aims Job commitment is one of the characteristics of a positive relationship between an organization and its employees that makes it effective and conducive the performance of the organization. Regarding the importance of this issue, the present study was conducted with the aim of investigating the effect of subjective well-being and quality of work life on job commitment of staff of Isar Hospital, Ardabil. Instrument & Methods In the present descriptive correlational study conducted in 2018, all the staff of Isar Hospital were selected and examined. The instruments, including Blavo Career Commitment Scale, standard questionnaire of quality of work life of Walton, and subjective well-being scale of Keyes and Magyar-Moe were used to collect the required information. The data were analyzed by SPSS 23 software, using Pearson correlation coefficient and multivariate regression analysis. Findings There was a positive and significant correlation between subjective well-being (p<0. 01; r=0. 78) and quality of work life (p<0. 01; r=0. 42). Subjective well-being alone expressed 60. 8% of the variance in job commitment of hospital staff and by adding quality of work life, the value reached 62. 0% (p<0. 01). Conclusion The high subjective well-being and quality of work life increase job commitment in hospital staff.