The Efficacy of Cognitive Behavioral Therapy on Sense of Coherence, Social Support, and Spiritual Well-being in Students with Post-Traumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a devastating mental health condition that can arise following exposure to traumatic events. This study aims to investigate the effects of cognitive behavioral therapy (CBT) on the sense of coherence, social support, and spiritual well-being among students diagnosed with PTSD. The research employed a semi-experimental, pre-, post-test design with a control group. The statistical population included students diagnosed with PTSD at the University of Tehran during the ۲۰۲۳-۲۰۲۴ academic year. A total of ۳۶ students with PTSD were selected using purposive sampling and were divided into experimental (n=۱۸) and control (n=۱۸) groups. The experimental group attended eight ۹۰-minute CBT sessions, while the control group received no intervention. Data collection involved administering the Post-Traumatic Stress Disorder Scale (Keane et al., ۱۹۹۸), the Sense of Coherence Scale (Antonovsky, ۱۹۹۳), the Social Support Questionnaire (Sherbourne & Stewart, ۱۹۹۱), and the Spiritual WellBeing Scale (Paloutzian & Ellison, ۲۰۱۲). The data were analyzed using multivariate covariance (MANCOVA) analysis in SPSS-۲۴. The results indicated that CBT significantly increased the sense of coherence (F=۴۰.۶۹, p=۰.۰۰۱, η²=۰.۵۸), social support (F=۶۰.۵۰, p=۰.۰۰۱, η²=۰.۶۷), religious well-being (F=۵۲.۱۶, p=۰.۰۰۱, η²=۰.۶۴), and existential well-being (F=۵۴.۵۰, p=۰.۰۰۱, η²=۰.۶۵) in students with PTSD. These results support the incorporation of CBT into therapeutic programs for students with PTSD to foster resilience and holistic well-being. Future research could explore the long-term effects of CBT and its impact on other psychological and behavioral outcomes in diverse student populations.

کلیدواژه ها:

Cognitive Behavioral Therapy ، Sense of Coherence ، Social Support ، Spiritual Wellbeing ، Post-traumatic Stress Disorder.