Amir Mohsen Rahnejat, Mehdi Rabiei, Seyed Hossien Salimi , Ali Fathi Ashtiani , Vahid Donyavi , Jafar Mirzai ,
Volume 20, Issue 4 (Winter 2015)
Abstract
Objectives: The purpose of
this study was to investigate causal metacognitive model for explaining the
symptoms of war-related chronic Posttraumatic Stress Disorder (PTSD). Method:
Current descriptive correlative study was performed
on 80 subjects with war-related chronic PTSD selected conveniently among
war victims who referred to Deputy of Treatment Affairs of Health and Treatment
Office in the Ground Forces of Islamic Republic of Iran Army. The administered
instruments included thought control, metacognitive beliefs and rumination questionnaires,
PTSD symptoms checklists. Multiple
regression model was used to test relational hypotheses and Overall, Parsimonious
and Comparative fit indices to investigate the hypothesized and explained model
of fitness through Statistical Package for the Social Sciences (SPSS) and Amos Graphic software. Results: The results of the structural equation modeling for explaining
the symptoms of war-related chronic PTSD support the metacognitive model. Also,
the finding of the overall fit indices of structural equation modeling (c2=1.82, GFI= 0.90, RMSEA=0.041) showed
that the model is fit to data and closely related to the theoretical
assumptions. Conclusion: Metacognitive beliefs through the mediation of thought
control strategies and rumination influenced symptoms of war-related chronic
PTSD and this causal model may facilitate case formulation and clinical
treatment in veterans with this disorder.