Prediction of Post-Traumatic Stress Disorder Symptom Severity Based on Perceived Social Support, Coping Styles, and Spiritual Well-Being in Survivors of a Fire Incident
Authors
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Abolfazl Hatami Varzaneh
Assistant Professor, Department of Counseling and Psychology, Faculty of Humanities, Hazrat-e Masoumeh University, Qom, Iran.
https://orcid.org/0000-0002-2351-1634
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Zahra Sheikh Rezaie
B.A., Department of Counseling and Psychology, Faculty of Humanities, Hazrat-e Masoumeh University, Qom, Iran.
https://orcid.org/0009-0001-4830-6848
DOI:
https://doi.org/10.22100/ijhs.v11i4.1335Keywords:
Post-traumatic stress disorder, Perceived social support, Coping styles, Spiritual well-being, Fire incident, University studentsAbstract
Background: Post-traumatic stress disorder (PTSD) is one of the most debilitating psychiatric conditions, exerting long-lasting effects on mental health following severe traumatic events. This study aimed to examine the extent to which perceived social support, coping styles, and spiritual well-being predict PTSD symptom severity among university students who experienced psychological trauma during a fire incident in the course of the 2024 Arbaeen pilgrimage.
Methods: Employing a descriptive-correlational design, a convenience sample of 102 students from universities in Qom, Iran, was recruited. Participants completed the Spiritual Well-Being Scale, the Billings and Moos Coping Styles Questionnaire, the Multidimensional Scale of Perceived Social Support, and the PTSD Checklist. Data were analyzed using descriptive statistics, Pearson’s correlation coefficients, and multiple regression analysis.
Results: Results showed that existential well-being, problem-focused coping, and perceived social support from friends were negatively and significantly associated with PTSD symptom severity, whereas somatization-focused coping was positively and significantly related to higher PTSD severity. The regression model incorporating these variables accounted for 67% of the variance in PTSD symptoms.
Conclusions: These findings highlight the crucial role of spiritual well-being and social support—particularly from friends—in preventing and reducing PTSD symptoms, and suggest that promoting adaptive coping strategies and strengthening supportive social networks may improve psychological outcomes among survivors of traumatic events.
References
Johansen VA, Milde AM, Nilsen RM, Breivik K, Nordanger DØ, Stormark KM, et al. The relationship between perceived social support and PTSD symptoms after exposure to physical assault: An 8 years longitudinal study. Journal of Interpersonal Violence 2020; 37(9-10):NP7679-NP7706. doi: 10.1177/0886260520970314
Schincariol A, Orrù G, Otgaar H, Sartori G, Scarpazza C. Posttraumatic stress disorder (PTSD) prevalence: an umbrella review. Psychological Medicine 2024;54: 4021-4034. doi: 10.1017/S0033291724002319
Vali M, Nezhad HM, Kovacs L, et al. Machine learning algorithms for predicting PTSD: a systematic review and meta-analysis. BMC Medical Informatics and Decision Making 2025;25:34. doi: 10.1186/s12911-024-02754-2
Miao XR, Chen QB, Wei K, et al. Posttraumatic stress disorder: from diagnosis to prevention. Military Medical Research 2018;5: 32. doi: 10.1186/s40779-018-0179-0
Agyapong VIO, Juhas M, Omege J, et al. Prevalence rates and correlates of likely post-traumatic stress disorder in residents of Fort McMurray 6 months after a wildfire. International Journal of Mental Health and Addiction 2021;19:632-650. doi: 10.1007/s11469-019-00096-z
Isaac F, Toukhsati SR, Di Benedetto M, Kennedy GA. A systematic review of the impact of wildfires on sleep disturbances. International Journal of Environmental Research and Public Health 2021;18(19):10152. doi: 10.3390/ijerph181910152
Wortmann JH, Park CL, Edmondson D. Trauma and PTSD symptoms: does spiritual struggle mediate the link? Psychological Trauma: Theory, Research, Practice, and Policy 2011;3(4):442-452. doi: 10.1037/a0021413
Baruah P, Pandey N. Spirituality as a coping strategy among practitioners and non practitioners. International Journal of Indian Psychology 2016;3(2):125-132. doi: 10.25215/0302.125
Blais RK, Tirone V, Orlowska D, Lofgreen A, Klassen B, Held P, et al. Self-reported PTSD symptoms and social support in U.S. military service members and veterans: a meta-analysis. European Journal of Psychotraumatology 2021;12(1):1851078. doi: 10.1080/20008198.2020.1851078
Acoba EF. Social support and mental health: the mediating role of perceived stress. Frontiers in Psychology 2024; 15: 1330720. doi: 10.3389/fpsyg.2024.1330720
Firoozkkohi FA, Sharifi M, PourShahriar H, Shokri O. The mediating role of coping strategies in the relationship between perceived social support and postpartum depression. Women's Studies Sociological and Psychological 2019; 17(3):57-86.
Marof AA, Abdullah H, Firzana S. The mediating role of spiritual well-being and social support in the relationship between mental health and suicidal ideation among Malaysian university students. International Journal of Academic Research in Business and Social Sciences 2024; 14(8). doi: 10.6007/IJARBSS/v14-i8/22580
Li J, Xue L, Pan H. Social support and spiritual well-being of patients with esophageal cancer aged over 50 years: the mediating role of rumination. Frontiers in Psychiatry 2022; 13:805380. doi: 10.3389/fpsyt.2022.805380
Kim J, Han JY, Shaw B, McTavish F, Gustafson D. The roles of social support and coping strategies in predicting breast cancer patients' emotional well-being: testing mediation and moderation models. Journal of Health Psychology 2010; 15(4):543-552. doi: 10.1177/1359105309355338
Dai P, Yi G, Qian D, Wu Z, Fu M, Peng H. Social support mediates the relationship between coping styles and the mental health of medical students. Psychology Research and Behavior Management 2023;16: 1299-1313. doi: 10.2147/PRBM.S405580
Salimi M, Soltani H. Comparison of coping styles, aggression and mindfulness in martial arts athletes with normal people. Functional Research in Sport Psychology 2024; 1(1):30-44.
Weigold IK, Weigold A, Dykema SA, et al. Personal growth initiative: relation to coping styles, strategies, and self-efficacy. Journal of Happiness Studies 2024;25: 80. doi: 10.1007/s10902-024-00782-3
Robinson A, Oakes P. The relationship between individual coping styles, reported levels of resilience and self-blame cognitions as predictors of post-traumatic stress disorder symptoms. Journal of Trauma & Stress Disorder Treatment 2018;7(2):[page range]. doi: 10.4172/2324-8947.1000189
Viana Machado A, Volchan E, Figueira I, Aguiar C, Xavier M, Souza GGL, et al. Association between habitual use of coping strategies and posttraumatic stress symptoms in a non-clinical sample of college students: a Bayesian approach. PLoS ONE 2020;15(2):e0228661. doi: 10.1371/journal.pone.0228661
Figueiredo S, Petravičiūtė A. Examining the relationship between coping strategies and post-traumatic stress disorder in forcibly displaced populations: a systematic review. European Journal of Trauma & Dissociation 2025;9(2):1-17. doi: 10.1016/j.ejtd.2025.100535
McGinty G, Fox R, Roberts B, Makhashvili N, Javakhishvili JD, Hyland P. Post-traumatic stress disorder, complex post-traumatic stress disorder, and coping styles among internally displaced Ukrainians. Journal of Loss and Trauma 2023;28(7):571-587. doi: 10.1080/15325024.2023.2217002
Hao R, Han P, Wang L, Zhang Y. The effect of the social support on PTSD and PTG about university student volunteers in the prevention and controlling of coronavirus: with coping style as the intermediary. Frontiers in Psychology 2023;14: 1152823. doi: 10.3389/fpsyg.2023.1152823
Fisher J. Development and application of a spiritual well-being questionnaire called SHALOM. Religions 2010;1(1):105-121. doi: 10.3390/rel1010105
Zarzycka B, Tomaka K, Grupa M, et al. The spiritual well-being scale in the Polish Catholic setting: construct, structure, and relationships with psychological well-being. Journal of Religion and Health 2024; 63:4191-4214. doi: 10.1007/s10943-024-02138-w
Gerson MW. Spirituality, social support, pride, and contentment as differential predictors of resilience and life satisfaction in emerging adulthood. Psychology 2018;9:485-517. doi: 10.4236/psych.2018.93030
Tomar A, Shrivastava B. The impact of coping strategies and spirituality on psychological well-being in young adults in Bhopal. International Journal of Indian Psychology 2024;12(4):270-289.
Nazari F, Shaygannejad V, Mardanian Dehkordi L. The relationship between perceived social support and spiritual well-being in patients with multiple sclerosis. Nursing Open 2025;12(5):e2204. doi: 10.1002/nop2.2204
Hosseini Poor Abardeh FS, Niknam M. The relationship between spiritual health with existential anxiety and morbid anxiety in female patients with breast cancer. Journal of Arak University of Medical Sciences 2021;24(3):360-371. doi: 10.32598/jams.24.3.5952.2
Sharreh H. The effect of work stress, coping strategies, resilience and mental health on job satisfaction among anesthesia technicians. Fundamentals of Mental Health 2011;13(49):20-29.
Talebzadeh S, Ahadi H, Sedaghat M, Khalatbar J, Tizdast T. The mediating role of perceived social support in the relationship between social competences with virtual social networks addiction in students. Journal of Psychological Studies 2024;20(2):69-82.
Shirvani H, Rafiei L, Gholamiyan P, Mohammadi M. Modeling the structural relationships of childhood trauma with post-traumatic stress symptoms and tendency to use substance with the mediation of dissociative experiences in adults. Iranian Journal of Psychiatric Nursing 2024;12(3):26-37.
Kline RB. Principles and practice of structural equation modeling. 5th ed. New York: Guilford Press; 2023
Beyrami M, Keshavarzi S. Prediction of homesickness changes from attachment styles and peer relationship. Psychological Achievements 2015;22(2):137-152.
Ramadan M, Kheirallah K, Saleh T, Bellizzi S, Shorman E. The relationship between spirituality and post-traumatic stress symptoms in Syrian adolescents in Jordan. Journal of Child & Adolescent Trauma 2021; 15(3):585-593. doi: 10.1007/s40653-021-00401-w
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