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Spirituality, Trait Gratitude, and Post-Traumatic Growth in Iranian Veterans with PTSD: The Mediating Role of Ego Resilience

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Abstract

In Iran, spirituality is one of the most critical factors affecting veterans' health. The present study aimed to determine the mediating role of ego resilience in the relationship between spirituality and trait gratitude with post-traumatic growth in Iranian veterans with PTSD. In the present descriptive and correlational study, 300 veterans with PTSD were hospitalized and treated at Isar Psychiatric Hospital in Ardabil in 2021 and were selected as the sample. Data were collected using Tedeschi and Calhoun's Traumatic Developmental Questionnaire, Parsian and Dunning, Mc Cullough et al.'s Trait Gratitude Questionnaire, and Block et al.'s Ego Resilience Questionnaire. Based on the obtained results and various fit indices, the direct and indirect relationships between spirituality, trait gratitude, ego resilience, and post-traumatic growth in veterans with post-traumatic stress disorder were confirmed (p < 0.01). Also, spirituality and trait gratitude through ego resilience indirectly affected the post-traumatic growth of veterans with PTSD (P < 0.05). Thus, targeting these three components through psychological therapies may effectively increase post-traumatic growth in veterans experiencing trauma.

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Acknowledgements

The authors would like to express gratitude to the patients who participated in this study.

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Correspondence to Sanaz Eyni.

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All the authors declare that they have no conflict of interest.

Ethical Approval

This work was done individually, and in case of any ambiguity, while completing the questionnaires, the necessary instructions were provided to the subject in the framework of how to implement the relevant questionnaires. In addition to ensuring the confidentiality of information, preparing people for the research sample to participate was one of the ethical points of this research. Also, standard codes of ethics in medical research include 14, 13, 2 (benefits from the findings for the advancement of human knowledge), code 20 (coordination of research with religious and cultural standards), and codes 1, 3, 24 (satisfaction subjects and his legal representative) have been observed in this research.

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Eyni, S., Hashemi, Z., Mousavi, S.E. et al. Spirituality, Trait Gratitude, and Post-Traumatic Growth in Iranian Veterans with PTSD: The Mediating Role of Ego Resilience. J Relig Health 62, 4072–4087 (2023). https://doi.org/10.1007/s10943-023-01741-7

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  • DOI: https://doi.org/10.1007/s10943-023-01741-7

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