Secondary traumatic stress, dissociative and somatization symptoms in spouses of veterans with PTSD in Zahedan, Iran
Keywords:
Secondary Traumatic Stress, Dissociative symptoms, Somatization symptomsAbstract
Introduction: Secondary traumatic stress is a disorder which occurs in spouses and people with close relation to someone with posttraumatic stress disorder. Like PTSD, it seems that STS also occurs with other psychiatric problems like somatization and dissociation. This study aimed to determine the relationship between STS and somatization and dissociation symptoms.
Methods: This cross-sectional study was done in 2015 and lasted for one year. Self-report questionnaires assessing secondary traumatic stress symptoms, dissociation symptoms and somatization symptoms were distributed among spouses of veterans with PTSD in Zahedan, Iran. The relationship between STS symptoms and somatization symptoms and also between STS symptoms and dissociation symptoms were determined by Pearson correlation test. SPSS version 23 was used for data analysis.
Results: Occurrence of secondary traumatic stress symptoms were correlated with dissociation symptoms and also with somatization symptoms.
Conclusions: As the rate of secondary traumatic stress rose, the rate of somatization and dissociation symptoms in spouses of veterans increased.
References
Friedman MJ, Resick PA, Bryant RA, Brewin CR. Considering PTSD for DSM‐5. Depress Anxiety.
; 28(9): 750-69. doi: 10.1002/da.20767. PMID: 21910184.
Flannery R. Post-traumatic stress disorder: The victim's guide to healing and recovery: Lantern Books;
Anisi J. The study of mental status of neuropsycho veteran wives in comparison with non neuro psycho
veteran wives MA dissertation. Allameh Tabatabaii University. 1998.
Sherman MD, Zanotti DK, Jones DE. Key Elements in Couples Therapy With Veterans With Combat- Related Posttraumatic Stress Disorder. Professional Psychology. Research and Practice. 2005; 36(6): 626.
doi: 10.1037/0735-7028.36.6.626.
Afkar A, Mahboubi M, Shahri MN, Mohamadi M, Jalilian F, Moradi F. Investigation of the Relationship
between Illogical Thoughts and Dependence on Others and Marriage Compatibility in the Iranian Veterans
Exposed to Chemicals in Iran-Iraq War. Global journal of health science. 2014; 6(5): 38-45. doi:
5539/gjhs.v6n5p38. PMID: 25168982, PMCID: PMC4825379.
Calhoun PS, Beckham JC, Bosworth HB. Caregiver burden and psychological distress in partners of
veterans with chronic posttraumatic stress disorder. J Trauma Stress. 2002; 15(3): 205-12. doi:
1023/A:1015251210928. PMID: 12092912.
Taft CT, Niles BL. Assessment and treatment of anger in combat related PTSD. Iraq war clinician's guide
Boston: Department of Veterans Affairs, National Center for PTSD. 2004.
Jordan BK, Marmar CR, Fairbank JA, Schlenger WE, Kulka RA, Hough RL, et al. Problems in families of
male Vietnam veterans with posttraumatic stress disorder. J Consult Clin Psychol. 1992; 60(6): 916-26. doi:
1037/0022-006X.60.6.916. PMID: 1460153.
Nelson BS, Wright DW. Understanding and treating post‐traumatic stress disorder symptoms in female
partners of veterans with ptsd. Journal of Marital and Family Therapy. 1996; 22(4): 455-67. doi:
1111/j.1752-0606.1996.tb00220.x.
Zimering R, Gulliver SB, Knight J, Munroe J, Keane TM. Posttraumatic stress disorder in disaster relief
workers following direct and indirect trauma exposure to Ground Zero. J Trauma Stress. 2006; 19(4): 553- 7. doi: 10.1002/jts.20143. PMID: 16929511.
McCann IL, Pearlman LA. Vicarious traumatization: A framework for understanding the psychological
effects of working with victims. Journal of traumatic stress. 1990; 3(1): 131-49. doi:10.1007/BF00975140.
Stamm B. Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators: The
Sidran Press; 1995.
Frančišković T, Stevanović A, Jelušić I, Roganović B, Klarić M, Grković J. Secondary traumatization of
wives of war veterans with posttraumatic stress disorder. Croat Med J. 2007; 48(2): 177-84. PMID:
, PMCID: PMC2080512.
Deering D. Compassion Fatigue: Coping With Secondary Traumatic Stress Disorder In Those Who Treat
the Traumatized. Journal of Psychosocial Nursing and Mental Health Services. 1996; 34(11): 52.
Koić E, Francišković T, Mužinić-Masle L, Đorđević V, Vondraček S, Prpić J. Chronic pain and secondary
traumatization in wives of Croatian war veterans treated for post traumatic stress disorder. Acta clin Croat.
; 41(4): 295-306.
Abolmaali Kh, Aghaeepoor M. Effectiveness of Cognitine-Behavioral Training on Reducing the Secondary
Trauma Symptoms of PTSD Veteran's Wives. Iran J War Public Health. 2015; 7(2): 57-65.
Ahmadi Kh, Reshadatjou M, Karami GR, Anisi J. Vicarious ptsd in sardasht chemical warfare
victims'wives. Journal of behavioral sciences. 2009; 3(3): 195-9.
Bakhshani N, Shakiba M, Mojahed A, Kalantari M, Molavi H, Neshat-doost H. Comparative investigation
of mental health status of spouses of war handicaps in accordance with husband's disability. ZJRMS. 2010;
(4): 38-42.
Saxe GN, Chinman G, Berkowitz R, Hall K, Lieberg G, Schwartz J, et al. Somatization in patients with
dissociative disorders. Am J Psychiatry. 1994; 151(9): 1329-34. doi: 10.1176/ajp.151.9.1329. PMID:
Van der Kolk BA, Pelcovitz D, Roth S, Mandel FS, McFarlane A, Herman JL. Dissociation, somatization,
and affect dysregulation: the complexity of adaptation of trauma. Am J Psychiatry. 1996; 153(7 Suppl): 83- 93. doi: 10.1176/ajp.153.7.83. PMID: 8659645.
Kulkarni M, Porter KE, Rauch SA. Anger, dissociation, and PTSD among male veterans entering into
PTSD treatment. J Anxiety Disord. 2012; 26(2): 271-8. doi: 10.1016/j.janxdis.2011.12.005. PMID:
Walker EA, Katon WJ, Neraas K, Jemelka RP, Massoth D. Dissociation in women with chronic pelvic
pain. Am J Psychiatry. 1992; 149(4): 534-7. doi: 10.1176/ajp.149.4.534. PMID: 1554041.
McFarlane AC, Atchison M, Rafalowicz E, Papay P. Physical symptoms in post-traumatic stress disorder. J
Psychosom Res. 1994; 38(7): 715-26. doi: 10.1016/0022-3999(94)90024-8. PMID: 7877126.
Gross JJ, John OP. Facets of emotional expressivity: Three self-report factors and their correlates
Personality and individual differences. 1995; 19(4): 555-68. doi: 10.1016/0191-8869(95)00055-B.
Ahmadi K, Rezapour Y, Davoudi F, Saberi M. Investigate of Validity and Reliability of Secondary Trauma
Stress Scale for Evaluation of PTSD Symptoms in Samples of Warfare Victims’ Wives. Iran J War Public
Health. 2013; 5(3): 47-57.
Nijenhuis E. The scoring and interpretation of the SDQ-20 and SDQ-5. ANS: The Journal for 26.
Neurocognitive Research. 2010; 52.
Carlson E, Putnam F. Manual for the dissociative experiences scale. Unpublished manuscript, Department
of Psychology, Beloit College, Beloit, WI. 1992.
Yambo T, Johnson M. An integrative review of the mental health of partners of veterans with combatrelated posttraumatic stress disorder. J Am Psychiatr Nurses Assoc. 2014; 20(1): 31-41. doi:
1177/1078390313516998. PMID: 24441511.
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