Developing a Causal Model of Life Satisfaction of Veterans with Post-Traumatic Stress Disorder based on Loneliness: The Mediating Role of Self-esteem

Document Type : Original Research

Authors

Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

Abstract

Background and Aim: Post-traumatic stress disorder in veterans is associated with low levels of life satisfaction. Therefore, the present study aimed to develop a causal model of life satisfaction of veterans with post-traumatic stress disorder based on loneliness with a mediating role of self-esteem.
Methods: In this descriptive and correlational study, 200 veterans with post-traumatic stress disorder were selected by purposive sampling. Diener et al.'s Life Satisfaction Scale (1985), Russell et al.'s Loneliness Scale (1980) and Rosenberg Self-Esteem Scale (1979) were used to collect data. Data were then analyzed using structural equation modeling (SEM) by SPSS software and Lisrel 8.8.
Results: Based on the results, the causal model of the relationship between loneliness, self-esteem and life satisfaction in veterans with post-traumatic stress disorder was confirmed based on various fitting indicators. Loneliness and self-esteem have a direct effect on the life satisfaction of veterans with stress disorder; Also, loneliness through self-esteem has an indirect effect on life satisfaction of veterans with post-traumatic stress disorder (P < /em> <0.05).
Conclusion: Therefore, loneliness and self-esteem play an important role in the life satisfaction of veterans with post-traumatic stress disorder, and targeting these two components through psychological therapies can be effective in improving the life satisfaction of veterans with post-traumatic stress disorder.

Keywords


1. Sharif Nia H, Haghdoost AA, Ebadi A, Soleimani MA, Yaghoobzadeh A, Abbaszadeh A, et al. Psychometric properties of the king spiritual intelligence questionnaire (KSIQ) in physical veterans of Iran–Iraq warfare. Journal of Military Medicine. 2015; 17(3): 145–53. [In Persian] 2. Sayers SL, Farrow VA, Ross J, Oslin DW. Family problems among recently returned military veterans referred for a mental health evaluation. The Journal of Clinical Psychiatry. 2009; 70(2): 163–70. Doi: 10.4088/jcp.07m03863 3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. United States: American Psychiatric Association; 2013. 4. Morgan JK, Desmarais SL, Mitchell RE, Simons-Rudolph JM. Posttraumatic stress, posttraumatic growth, and satisfaction with life in military veterans. Military Psychology. 2017; 29(5): 434-47. Doi: 10.1037/mil0000182 5. Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. Journal of Personality Assessment. 1985; 49(1): 71-5. Doi: 10.1207/s15327752jpa4901_13. 6. Shi M, Wang X, Bian Y, Wang L. The mediating role of resilience in the relationship between stress and life satisfaction among Chinese medical students: a cross-sectional study. BMC Medical Education. 2015; 15(1), 16. Doi: 10.1186/s12909-015-0297-2. 7. Mehmood T, Shaukat M. Life satisfaction and psychological well-being among young adult female university students. International Journal of Liberal Arts and Social Science. 2014; 2(5): 143-53. 8. Cloninger CR, Zohar, AH. Personality and the perception of health and happiness. Journal of Affective Disorders. 2011; 128(1-2): 24–32. Doi: 10.1016/j.jad.2010.06.012. 9. Seidl JNT, Pastork NJ, Lillie R, Rosenblatt A, Troyanskaya M, Miller B, et al. Factors related to satisfaction with life in veterans with mild traumatic brain injury. Rehabilitation Psychology. 2015; 60(4): 335-43. Doi: 10.1037/rep0000064. 10. Karatzias T, Chouliara Z, Power K, Brown K, Begum M, Mcgoldrick T, et al. Life satisfaction in people with post-traumatic stress disorder. Journal of Mental Health. 2013; 22(6): 501-8. Doi: 10.3109/09638237.2013.819418. 11. Roohi G, asayesh H, Abbasi A, Ghorbani M. Some Influential factors on life satisfaction in Gorgan veterans. Iranian Journal of War and Public Health. 2011; 3 (3): 13-8. [In Persian] 12. Kuwert P, Knaevelsrud C, Pietrzak RH. Loneliness among older veterans in the United States: Results from the National Health and Resilience in Veterans Study. The American Journal of Geriatric Psychiatry. 2014; 22(6): 564–9. Doi: 10.1016/j.jagp.2013.02.013 13. Dagan Y, Yager J. Addressing loneliness in Complex PTSD. The Journal of Nervous and Mental Disease. 2019; 207(6): 433-9. Doi: 10.1097/NMD.0000000000000992. 14. Cacioppo S, Grippo AJ, London S, Goossens L, Cacioppo JT. Loneliness: Clinical import and interventions. Perspectives on Psychological Science. 2015; 10(2): 238-49. Doi: 10.1177/1745691615570616 15. Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner Jr TE. The interpersonal theory of suicide. Psychological Review. 2010; 117(2): 575–600. Doi: 10.1037/a0018697 16. Russell DW, Cutrona CE, McRae C, Gomez M. Is loneliness the same as being alone? The Journal of Psychology. 2012; 146(1-2): 7-22. Doi: 10.1080/00223980.2011.589414. 17. Yıldız MA, Duy B. Adaptation of the short-form of the UCLA loneliness scale (Uls-8) to Turkish for the adolescents. Dusunen Adam The Journal of Psychiatry and Neurological Sciences. 2014; 27(3): 194-203. Doi:10.5350/DAJPN2014270302 18. Solomon Z, Bensimon M, Greene T, Horesh D, Ein-Dor T. Loneliness trajectories: the role of posttraumatic symptoms and social support. Journal of Loss and Trauma. 2015; 20(1): 1–21. Doi: 10.1080/15325024.2013.815055 19. Itzhaky L, Stein JY, LevinY, Solomon Z. Posttraumatic stress symptoms and marital adjustment among Israeli combat veterans: The role of loneliness and attachment. Psychological Trauma: Theory, Research, Practice, and Policy. 2017; 9(6): 655–662. Doi: 10.1037/tra0000259. 20. Liang D, Xu D, Xia L, Ma X. Life satisfaction in Chinese rural‐to‐urban migrants: Investigating the roles of self‐esteem and affect balance. Journal of Community Psychology. 2020; 48(5): 1651-9. Doi: 10.1002/jcop.22360 21. Wang Y, Wang X, Liu H, Xie X, Wang P, Lei L. Selfie posting and self‐esteem among young adult women: A mediation model of positive feedback and body satisfaction. Journal of Health Psychology. 2020; 25(2): 161–72. Doi: 10.1177/1359105318787624 22. Refaeli T, Levy D, Benbenishty R. Self‐esteem, life satisfaction, and positive future perception among at‐risk and comparison group participants in National Civic Service. Journal of Social Service Research. 2018; 44(3): 425–35. Doi: 10.1080/01488376.2018.1476292 23. Baran M, Baran M, Maskan A. A study on adolescent students’ levels of hopelessness, loneliness and self-esteem: A sample from Turkey. Mediterranean Journal of Social Sciences. 2015; 6(2S1): 341-53. Doi: 10.5901/mjss.2015.v6n2s1p341 24. Zina EB, Krir MW, Hadj HB, Lansari R, Kefi HEI, Cheikh CB, et al. Self-esteem in military patients with post-traumatic stress disorder. European Psychiatry. 2017; 41: S721. Doi: 10.1016/j.eurpsy.2017.01.1304 25. Omasu F, Hotta Y, Watanabe M, Yoshioka T. The Relationship between post-traumatic stress disorder and self-esteem along with the importance of support for children. Open Journal of Preventive Medicine. 2018; 8(4): 95-101. Doi: 10.4236/ojpm.2018.84009. 26. Delavar A. Theoretical and practical research in the humanities and social sciences. 9th Edition. Teharn: Roshd Press; 2011. [In Persian] 27. Weathers FW, Litz BT, Herman DS, Huska JA, Keane T. The PTSD checklist (PCL). Reliability, validity and diagnostic utility. 9 the annual meeting of the international society for traumatic stress hisser studies, San Antonio; 1993. 28. Goodarzi MA. Reliability and validity of post- traumatic stress disorder Mississippi scale. J Psychol. 2003;7(2):135-78. [In Persian] 29. Gouveia VV, Milfont TL, da Fonseca PN, Coelho JAPDM. Life satisfaction in Brazil: Testing the psychometric properties of the Satisfaction With Life Scale (SWLS) in five Brazilian samples. Social Indicators Research. 2009; 90(2): 267–77. Doi: 10.1007/s11205-008-9257-0 30. Bayani AA, Mohammad koocheky A, Goodarzi H. The reliability and validity of the satisfaction with life scale. Journal of Developmental Psychology. 2007; 3(11): 259-265. [In Persian] 31. Russell, DW. UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment. 1996; 66(1): 20-40. Doi: 10.1207/s15327752jpa6601_2 32. Rahimzadeh S, Pour Etemad HR, Asgari A, Hojjat MR. Conceptual basics of loneliness: A qualitative study. Journal of Developmental Psychology. 2012; 8(30): 123-41. [In Persian] 33. Abbaspour Z, Karimi S, Amanollahi A. The effect of familyism on self-derogation, educational motivation and self-esteem with mediating mother-daughter relationship. Cultural Psychology. 2020; 3(2): 108-23.[In Persian] Doi: 10.30487/jcp.2020.198810.1073 34. Szcześniak M, Bielecka G, Madej D, Pieńkowska E, Rodzeń W. The role of self-esteem in the relationship between loneliness and life satisfaction in late adulthood: Evidence from Poland. Psychology Research and Behavior Management. 2020; 13, 1201-1212. Doi: 10.2147/PRBM.S275902