[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 4, Number 1 (Military Caring Sciences 2017) ::
MCS 2017, 4(1): 1-9 Back to browse issues page
Sleep Quality in Spouses of War Veterans with Post-Traumatic Stress: A Qualitative Study
Hojjati. H 1, Ebadi. A2, , Akhoondzadeh. G3, Zarea. K4, Sirati. M5, Heravi. M6, Nohi. E7
1- Ph.D. in Nursing, Assistant Professor, Iran, Aliabad Katoul, Slamic Azad University of Aliabad Katoul, Nursing Department.
2- Ph.D. in Nursing Education, Associate Professor, Iran, Tehran, Bagiyatallah University of Medical Sciences, Faculty of Nursing, Medical- Surgical Department.
3- Ph.D. in Nursing, Assistant Professor, Iran, Aliabad Katoul, Slamic Azad University of Aliabad Katoul, Community Health Department.
4- Ph.D. in Nursing, Assistant Professor, Iran, Aliabad Katoul, Slamic Azad University of Aliabad Katoul, Community Health Department.
5- Ph.D. in Nursing, Assistant Professor, , Assistant Professor, Iran, Tehran, Bagiyatallah University of Medical Sciences, Faculty of Nursing, Psychiatric Nursing Department.
6- Ph.D. in Nursing, Assistant Professor, PhD in Nursing, Assistant Professor, Iran, Tehran, Shahed University, Faculty of Nursing & Midwifery, Geriatric Nursing Department.
7- Ph.D. in Nursing, Assistant Professor, Iran, Kerman, Kerman University of Medical Sciences, Razi Faculty of Nursing & Midwifery, Medical- Surgical Department.
Abstract:   (1940 Views)

Introduction: Sleep disorder is one of the common problems in veterans with post-traumatic stress disorder symptoms over time.

Objective: This study aimed at evaluating sleep quality in women victims of post-traumatic stress disorder.

Materials and Methods: This qualitative study was carried out on 11 wives of war veterans with post-traumatic stress, during year 2015. A purposive sampling method and data collection using semi-structured interviews was used. After data collection and coding, content analysis (conventional content analysis) was performed. The consequences of sleep disorders were categorized in three groups: fear of going to sleep, nightmares, sleep interrupted and classified. Outcome of fear of sleep included (restlessness, insomnia, husband, wife scary behavior during sleep, fear of sleep, and onset of sleep), nightmares (remembering and bad replay of memories during sleep and jumping during sleep), interrupted sleep, and style (fear stress, anxiety sleep, and awakening frequently during sleep).

Discussion and Conclusion: Most of the pressure and stress of everyday life had significantly impaired sleep quality of veterans’ wives. Psychological and social support to improve the inspection requirements of quality of life could improve sleep hygiene and mental health of the victims’ wives.

Keywords: PTSD, Sleep Disorder, Spouses, Veterans.
Full-Text [PDF 277 kb]   (385 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/05/1 | Accepted: 2017/02/14 | Published: 2017/06/20
References
1. Vaccarino V, Goldberg J, Rooks C, Shah AJ, Veledar E, Faber TL, et al. Post-traumatic stress disorder and incidence of coronary heart disease: a twin study. J Am Coll Cardiol. 2013;62(11):970-8. DOI: 10.1016/j.jacc.2013.04.085 PMID: 23810885 [DOI] [PubMed]
2. Loncar M, Plasc ID, Bunjevac T, Hrabac P, Jaksic N, Kozina S, et al. Predicting symptom clusters of posttraumatic stress disorder (PTSD) in Croatian war veterans: the role of socio-demographics, war experiences and subjective quality of life. Psychiatr Danub. 2014;26(3):231-8. PMID: 25191770 [PubMed]
3. O'Toole BI, Outram S, Catts SV, Pierse KR. The mental health of partners of Australian Vietnam veterans three decades after the war and its relation to veteran military service, combat, and PTSD. J Nerv Ment Dis. 2010;198(11):841-5. DOI: 10.1097/NMD.0b013e3181f98037 PMID: 21048477 [DOI] [PubMed]
4. Zhou J, Nagarkatti P, Zhong Y, Ginsberg JP, Singh NP, Zhang J, et al. Dysregulation in microRNA expression is associated with alterations in immune functions in combat veterans with post-traumatic stress disorder. PLoS One. 2014;9(4):e94075. DOI: 10.1371/journal.pone.0094075 PMID: 24759737 [DOI] [PubMed]
5. Miles SR, Menefee DS, Wanner J, Teten Tharp A, Kent TA. The Relationship Between Emotion Dysregulation and Impulsive Aggression in Veterans With Posttraumatic Stress Disorder Symptoms. J Interpers Violence. 2016;31(10):1795-816. DOI: 10.1177/0886260515570746 PMID: 25681165 [DOI] [PubMed]
6. Pittman JO, Goldsmith AA, Lemmer JA, Kilmer MT, Baker DG. Post-traumatic stress disorder, depression, and health-related quality of life in OEF/OIF veterans. Qual Life Res. 2012;21(1):99-103. DOI: 10.1007/s11136-011-9918-3 PMID: 21516356 [DOI] [PubMed]
7. Verdeli H, Baily C, Vousoura E, Belser A, Singla D, Manos G. The case for treating depression in military spouses. J Fam Psychol. 2011;25(4):488-96. DOI: 10.1037/a0024525 PMID: 21842994 [DOI] [PubMed]
8. Klaric M, Franciskovic T, Obrdalj EC, Petric D, Britvic D, Zovko N. Psychiatric and health impact of primary and secondary traumatization in wives of veterans with posttraumatic stress disorder. Psychiatr Danub. 2012;24(3):280-6. PMID: 23013633 [PubMed]
9. Franciskovic T, Stevanovic A, Jelusic I, Roganovic B, Klaric M, Grkovic J. Secondary traumatization of wives of war veterans with posttraumatic stress disorder. Croat Med J. 2007;48(2):177-84. PMID: 17436382 [PubMed]
10. Donyavi V, Amiri A. Review of drug treatments for nightmare in combat- related Post-traumatic stress disorder. J Ardabil Univ Med Sci. 2008;6(3):195-200.
11. Hojjat S, Talebi M, Zamiri Nejad S, Shakeri M. The effectiveness of training coping styles on combat veterans with PTSD's wives. J North Khorasan Univ Med Sci. 2012;4(2):185-91.
12. Najafy M, Mohammadyfar M, Dabiri S, Erfani N, Kamary AA. The comparison of the quality of life of the war veterans families with/without post traumatic stress disorder. Iranian J War Public Health. 2011.
13. Sirati Nir M, Ebadi A, Fallahi Khoshknab M, Tavallaie A. Experiences of wives of veterans suffering from combat-related post-traumatic stress disorder: A qualitative content analysis. Int J Commun Based Nurs Midwifery. 2013;1(3):147-55.
14. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88. DOI: 10.1177/1049732305276687 PMID: 16204405 [DOI] [PubMed]
15. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. DOI: 10.1016/j.nedt.2003.10.001 PMID: 14769454 [DOI] [PubMed]
16. Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. Educ Technol Res Dev. 1981;29(2):75-91. DOI: 10.1007/BF02766777 [DOI]
17. Vanderheyden WM, George SA, Urpa L, Kehoe M, Liberzon I, Poe GR. Sleep alterations following exposure to stress predict fear-associated memory impairments in a rodent model of PTSD. Exp Brain Res. 2015;233(8):2335-46. DOI: 10.1007/s00221-015-4302-0 PMID: 26019008 [DOI] [PubMed]
18. Pigeon WR, Gallegos AM. Posttraumatic Stress Disorder and Sleep. Sleep Med Clin. 2015;10(1):41-8. DOI: 10.1016/j.jsmc.2014.11.010 PMID: 26055672 [DOI] [PubMed]
19. Pace-Schott EF, Germain A, Milad MR. Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory. Biol Mood Anxiety Disord. 2015;5:3. DOI: 10.1186/s13587-015-0018-9 PMID: 26034578 [PubMed] [Google Scholar]
20. Buchanan C, Kemppainen J, Smith S, MacKain S, Cox CW. Awareness of posttraumatic stress disorder in veterans: a female spouse/intimate partner perspective. Mil Med. 2011;176(7):743-51. PMID: 22128714 [PubMed]
21. Rosen C, Adler E, Tiet Q. Presenting concerns of veterans entering treatment for posttraumatic stress disorder. J Trauma Stress. 2013;26(5):640-3. DOI: 10.1002/jts.21841 PMID: 24123262 [DOI] [PubMed]
22. Tamanna S, Parker JD, Lyons J, Ullah MI. The effect of continuous positive air pressure (CPAP) on nightmares in patients with posttraumatic stress disorder (PTSD) and obstructive sleep apnea (OSA). J Clin Sleep Med. 2014;10(6):631-6. DOI: 10.5664/jcsm.3786 PMID: 24932142 [DOI] [PubMed]
23. Plumb TR, Peachey JT, Zelman DC. Sleep disturbance is common among servicemembers and veterans of Operations Enduring Freedom and Iraqi Freedom. Psychol Serv. 2014;11(2):209-19. DOI: 10.1037/a0034958 PMID: 24274111 [DOI] [PubMed]
24. Pruiksma KE, Taylor DJ, Ruggero C, Boals A, Davis JL, Cranston C, et al. A psychometric study of the Fear of Sleep Inventory-Short Form (FoSI-SF). J Clin Sleep Med. 2014;10(5):551-8. DOI: 10.5664/jcsm.3710 PMID: 24812541 [DOI] [PubMed]
25. Talbot LS, Neylan TC, Metzler TJ, Cohen BE. The mediating effect of sleep quality on the relationship between PTSD and physical activity. J Clin Sleep Med. 2014;10(7):795-801. DOI: 10.5664/jcsm.3878 PMID: 25024659 [DOI] [PubMed]
26. Baran AS, Richert AC, Goldberg R, Fry JM. Posttraumatic stress disorder in the spouse of a patient with sleep terrors. Sleep Med. 2003;4(1):73-5. PMID: 14592364 [PubMed]
27. Nakajima S, Inoue Y, Sasai T, Okajima I, Komada Y, Nomura T, et al. Impact of frequency of nightmares comorbid with insomnia on depression in Japanese rural community residents: a cross-sectional study. Sleep Med. 2014;15(3):371-4. DOI: 10.1016/j.sleep.2013.11.785 PMID: 24560189 [DOI] [PubMed]
28. Teten AL, Schumacher JA, Taft CT, Stanley MA, Kent TA, Bailey SD, et al. Intimate partner aggression perpetrated and sustained by male Afghanistan, Iraq, and Vietnam veterans with and without posttraumatic stress disorder. J Interpers Violence. 2010;25(9):1612-30. DOI: 10.1177/0886260509354583 PMID: 20023200 [DOI] [PubMed]
29. Mohseni M, Farnia M, Taghva A, Dehghan Manshadi Z, Rezaei Fard A. Comparison of quality of life, depression, stress, anxiety and family structure in veteran's families with post-traumatic stress disorder (PTSD) patients and normal families. Iranian J War Public Health. 2014;6(5):297-314.
30. Kazemi AS, Banijamali SA, Ahadi H, Farrokhi N. Evaluation of effectiveness of training cognitive behavioral strategies in the secondary traumatic stress disorder (STSD) symptoms and psychological problems among devotees' wives with chronic PTSD due to war. Med Sci J Islamic Azad Univ. 2012;22(2):122-9.
31. Tsai J, Harpaz-Rotem I, Pietrzak RH, Southwick SM. The role of coping, resilience, and social support in mediating the relation between PTSD and social functioning in veterans returning from Iraq and Afghanistan. Psychiatry. 2012;75(2):135-49. DOI: 10.1521/psyc.2012.75.2.135 PMID: 22642433 [DOI] [PubMed]
32. Klaric M, Franciskovic T, Pernar M, Nembic Moro I, Milicevic R, Cerni Obrdalj E, et al. Caregiver burden and burnout in partners of war veterans with post-traumatic stress disorder. Coll Antropol. 2010;34 Suppl 1:15-21. PMID: 20402290 [PubMed]
33. Nichols LO, Martindale-Adams J, Graney MJ, Zuber J, Burns R. Easing reintegration: telephone support groups for spouses of returning Iraq and Afghanistan service members. Health Commun. 2013;28(8):767-77. DOI: 10.1080/10410236.2013.800439 PMID: 24134192 [DOI] [PubMed]
Send email to the article author

Add your comments about this article
Your username or email:

Write the security code in the box >



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

H H, A E, G , A, K Z, M S, M H et al . Sleep Quality in Spouses of War Veterans with Post-Traumatic Stress: A Qualitative Study. MCS. 2017; 4 (1) :1-9
URL: http://mcs.ajaums.ac.ir/article-1-129-en.html
Volume 4, Number 1 (Military Caring Sciences 2017) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences
Persian site map - English site map - Created in 0.056 seconds with 842 queries by yektaweb 3506