Mental health among Iranian combat veterans with ankle-foot neuromusculoskeletal injuries

Arsia Taghva; Mostafa Allami; Kamyab Alizadeh; Anahita Zandi; Elahe Faraji; Zohreh Ganjparvar

doi:10.1186/s40779-017-0138-1

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Mental health among Iranian combat veterans with ankle-foot neuromusculoskeletal injuries

RESEARCH | Updated：2026-03-12

- Mental health among Iranian combat veterans with ankle-foot neuromusculoskeletal injuries
- Mental health among Iranian combat veterans with ankle-foot neuromusculoskeletal injuries
- MMR 2018年5卷第2期页码：95-102
- Affiliations：
  
  1.AJA University of Medical Sciences, Disaster and Military Psychiatry Research Center, Tehran, Iran
  2.Janbazan Medical and Engineering Research Center, Tehran, Iran
  3.Nursing and Midwifery Department, Torbat Heydarieh University of Medical Sciences, Torbat, Iran
- Author bio：
  
  *: faraji_1383@yahoo.com
- Funds：
  
  Janbazan Medical and Engineering Research Center
- DOI：10.1186/s40779-017-0138-1
  中图分类号：
- 纸质出版：2018-06
- Accepted：
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Mental health among Iranian combat veterans with ankle-foot neuromusculoskeletal injuries[J]. MMR, 2018,5(2):95-102.

Taghv et al.: Mental health among Iranian combat veterans with ankle-foot neuromusculoskeletal injuries. Mil Med Res, 2017, 4: 30
Mental health among Iranian combat veterans with ankle-foot neuromusculoskeletal injuries[J]. MMR, 2018,5(2):95-102. DOI： 10.1186/s40779-017-0138-1.

Taghv et al.: Mental health among Iranian combat veterans with ankle-foot neuromusculoskeletal injuries. Mil Med Res, 2017, 4: 30 DOI： 10.1186/s40779-017-0138-1.

摘要

Abstract

Background:

Veterans with purely physical disorders

such as ankle-foot neuromusculoskeletal disorders

are often neglected in psychological assessments because mental health evaluations are usually focused on those with a psychological disturbance or with a high percentage of injury. The purpose of this study was to evaluate the psychological condition of veterans with ankle-foot neuromusculoskeletal disorders.

Methods:

A cross-sectional study was performed between 2014 and 2016 on veterans with war-related ankle-foot injuries living in two provinces of Iran. An information form for demographic data and injury-related factors was used. Additionally

the previously validated Persian version of the Symptom Checklist-90-Revision (SCL-90-R) questionnaire was used for data collection.

Results:

The respondents were 215 male veterans with a mean age of 51.7±7.5 years. The most common mental health problems were observed for the somatization (24.7%)

obsessions-compulsions (14.4%)

and anxiety (12.6%). Based on the Global Severity Index (GSI)

48.6% of individuals had a possible psychiatric/psychological illness. According to the multivariate regression analysis

GSI scores were significantly higher among veterans who were older than 27 years at the time of injury (

=0.005)

had an associated injury (

=0.002)

and had a history of hospitalization within the past 12 months for reasons other than their injury (

=0.035).

Conclusion:

Approximately half of the combat veterans with ankle-foot neuromusculoskeletal disorders likely had psychological problems. The evaluation of the patterns and predicting factors of psychological conditions may inform strategic planning efforts and decision-making

which

in turn

may provide a better quality of life for veterans. Further studies that utilize longitudinal designs are needed to evaluate and compare the psychological status of different groups of veterans and other groups in the general population.

关键词

Keywords

references

Covey DC . Musculoskeletal war wounds during operation BRAVA in Sri Lanka . Mil Med . 2004 ; 169 ( 1 ): 61 - 4 .

Covey DC , Born CT . Blast injuries: mechanics and wounding patterns . J Surg Orthop Adv . 2010 ; 19 ( 1 ): 8 - 12 .

Islinger RB , Kuklo TR , McHale KA . A review of orthopedic injuries in three recent U.S. military conflicts . Mil Med . 2000 ; 165 ( 6 ): 463 - 5 .

Zahmatkeshan N , Akaberian S , Yazdanpanah S , Khoramroodi R , Gharibi T , Jamand T . Assessing quality of life and related factors in Bushehr's elders–1387-8 . J Fasa Univ Med Sci . 2012 ; 2 ( 1 ): 53 - 8 . [Persian]

Taebi G , Soroush MR , Modirian E , Khateri S , Mousavi B , Ganjparvar Z , et al . Epidemiological study of human costs resulting from Iraq's chemical warfare against Iran . Iranian J War Public Health . 2015 ; 7 ( 2 ): 115 - 21 . [Persian]

Aflakseir A . The role of social support and coping strategies on mental health of a group of Iranian disabled war veterans . Iran J Psychiatry . 2010 ; 5 ( 3 ): 102 - 7 .

Zargar F . Impact of psychological problems and marital adjustment of Iranian veterans on their children's quality of life and happiness . Arch Trauma Res . 2014 ; 3 ( 3 ): e15840 .

Shakery J , Sadeghy KA . The role of life events and coping styles in relapse of post-traumatic stress disorder in a sample of war injured (Kermanshah 1380 in Hajri Calender) . J Mil Med . 2003 ; 5 ( 2 ): 111 - 6 . [Persian]

Vafai B , Seidy A . Study of the prevalence and intensity of depression in 100 devotees with chemical and non-chemical war injuries (30-70%) of imposed war in Tabriz . J Military Med . 2003 ; 5 ( 2 ): 105 - 10 . [Persian]

Rudd MD , Goulding J , Bryan CJ . Student veterans: a national survey exploring psychological symptoms and suicide risk . Prof Psychol Res Pract . 2011 ; 42 ( 5 ): 354 .

Frueh BC , Hamner MB , Cahill SP , Gold PB , Hamlin KL . Apparent symptom over reporting in combat veterans evaluated for PTSD . Clin Psychol Rev . 2000 ; 20 ( 7 ): 853 - 85 .

Behdani F , FayyaziBordbar MR , Hebrani P , Talebi M , Kohestani L . Psychiatric symptoms in chemical and somatic combat veterans . J Mil Med . 2009 ; 11 ( 1 ): 31 - 5 . [Persian]

Masoumi M , Soroush MR , Modirian E . Evaluation of psychiatric problems among war-related bilateral upper limb amputees . J Mil Med . 2008 ; 10 ( 3 ): 185 - 92 . [Persian]

Allami M , Karimi A , Janzadeh N , Feizollahi N , Esfandiari E , Masoumi M , et al . Epidemiology of lower extremity injuries in veterans with ankle-foot neuromusculoskeletal disorders . Iranian J War Public Health . 2016 ; 8 ( 3 ): 177 - 87 . [Persian]

Bayany AA , Koocheky AM , Koocheky GM . An inquiry into teacher’s mental health by using the symptom checklist (SCL.90) Questionnaire in Golestan province . J Gorgan Univ Med Sci . 2007 ; 9 ( 2 ): 39 - 44 . [Persian]

Anisi J , Eskandari M , Bahmanabadi S , Noohi S , Tavalayi A . Standardization of symptom checklist 90 revised (SCL-90-R) of a military unit . J Mil Psychol . 2014 ; 5 ( 17 ): 57 - 67 . [Persian]

Anisi J , Babaei S , Barani M , Mohammadlo H , Ebrahimi F . Determine the psychometric properties by symptom Checklist-90-revised (SCL-90-R) among military forces . EBNESINA-J Med . 2016 ; 17 ( 4 ): 13 - 8 . [Persian]

Derogatis LR . Symptom Checklist-90-revised . In: Rush AJ , Blacker D , editors . Handbook of psychiatric measures . 2nd ed . Washington, DC : American psychiatric association ; 2008 . 81 - 4 .

Kimbrel NA , DeBeer BB , Meyer EC , Silvia PJ , Beckham JC , Young KA , et al . An examination of the broader effects of warzone experiences on returning Iraq/Afghanistan veterans' psychiatric health . Psychiatry Res . 2015 ; 226 ( 1 ): 78 - 83 .

Noyes R , Watson DB , Carney CP , Letuchy EM , Peloso PM , Black DW , et al . Risk factors for hypochondriacal concerns in a sample of military veterans . J Psychosom Res . 2004 ; 57 ( 6 ): 529 - 39 .

Paras ML , Murad MH , Chen LP , Goranson EN , Sattler AL , Colbenson KM , et al . Sexual abuse and lifetime diagnosis of somatic disorders: a systematic review and meta-analysis . JAMA . 2009 ; 302 ( 5 ): 550 - 61 .

Sansone RA , Wiederman MW , Sansone LA . Adult somatic preoccupation and its relationship to childhood trauma . Violence Vict . 2001 ; 16 ( 1 ): 39 - 47 .

Grisham JR , Fullana MA , Mataix-Cols D , Moffitt TE , Caspi A , Poulton R . Risk factors prospectively associated with adult obsessive-compulsive symptom dimensions and obsessive-compulsive disorder . Psychol Med . 2011 ; 41 ( 12 ): 2495 - 506 .

Mathews CA , Kaur N , Stein MB . Childhood trauma and obsessive-compulsive symptoms . Depress Anxiety . 2008 ; 25 ( 9 ): 742 - 51 .

Sasson Y , Dekel S , Nacasch N , Chopra M , Zinger Y , Amital D , et al . Posttraumatic obsessive-compulsive disorder: a case series . Psychiatry Res . 2005 ; 135 ( 2 ): 145 - 52 .

Cougle JR , Timpano KR , Sachs-Ericsson N , Keough ME , Riccardi CJ . Examining the unique relationships between anxiety disorders and childhood physical and sexual abuse in the National Comorbidity Survey-Replication . Psychiatry Res . 2010 ; 177 ( 1–2 ): 150 - 5 .

Zargar F , Foruzandeh E , Omidi A , Mohammadi A . Psychological health and marital adjustment in Iranian employed veterans and veterans receiving disability pension . Iran Red Crescent Med J . 2014 ; 16 ( 7 ): e10219 .

Kim JH , Jang SN . The relationship between job stress, job satisfaction, and the symptom Checklist-90-revision (SCL-90-R) in marine officers on board . J Prev Med Public Health . 2016 ; 49 ( 6 ): 376 - 85 .

Hajloo N . Relationship between economic-social activity and reduction of veterans' psychological problems . J Mil Med . 2009 ; 11 ( 2 ): 89 - 95 . [Persian]

Krause JS . Years to employment after spinal cord injury . Arch Phys Med Rehabil . 2003 ; 84 ( 9 ): 1282 - 9 .

Schaefer JA , Moos RH . Effects of work stressors and work climate on long-term care staff's job morale and functioning . Res Nurs Health . 1996 ; 19 ( 1 ): 63 - 73 .

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