Resilience and Spiritual Well-being as Predictors of Post-Traumatic Stress Disorder among Earthquake Survivors in Khoy, Iran, ۲۰۲۳

Background: Post-traumatic stress disorder is frequently observed in individuals who have experienced earthquakes and may result in prolonged psychological challenges. Personal capacities, including psychological resilience and spiritual health, could serve as mitigating elements; however, their role in forecasting PTSD severity has not been sufficiently investigated within disaster-affected communities in Iran. The present research sought to determine whether resilience and spiritual well-being can predict the intensity of PTSD symptoms in survivors of the ۲۰۲۳ Khoy earthquake, after accounting for demographic and trauma-related factors Methods: This investigation utilized a cross-sectional methodology to examine associations among variables. The study cohort consisted of ۱۶۴ adult survivors, selected through a two-stage cluster sampling approach from public health clinics in the city of Khoy, Iran. Over a three-month data collection period, participants provided responses to standardized assessment tools, which included the ۱۰-item Connor-Davidson Resilience Scale, the Spiritual Well-Being Questionnaire, and the PTSD Checklist aligned with DSM-۵ criteria. The gathered data were processed using statistical software, employing bivariate correlation analysis and sequential regression modeling to evaluate the relationships. Results: Resilience (M = ۲۳.۱۴, SD = ۶.۳۹) and spiritual well-being (M = ۳۶.۵۰, SD = ۳.۴۰) were significantly negatively associated with PTSD symptoms. In regression analysis, resilience alone explained ۳۳% of the variance (R² = ۰.۳۳, p < ۰.۰۰۱); adding spiritual well-being increased explained variance to ۳۹% (ΔR² = ۰.۰۶, p = ۰.۰۲۷). Both remained significant unique predictors (β = –۰.۶۱ and β = –۰.۲۶), respectively. Conclusion: Resilience and spiritual well-being are key protective factors against PTSD among earthquake survivors in Khoy, Iran, ۲۰۲۳, highlighting their potential utility in culturally informed post-disaster mental health interventions.

کلیدواژه ها:

Earthquake ، post-traumatic stress disorder ، resilience ، spiritual well-being ، Iran