This study aimed to examine the moderating role of resilience in the relationship between early maladaptive schemas and anxiety and depression symptoms among firefighters. Methods: The study participants (N=225) were selected from the firefighters of Mashhad City through randomized sampling method. The data were collected by means of Young early maladaptive schemas questionnaire (long form), Conner-Davidson resilience scale, and anxiety and depression subscales of depression anxiety stress scale. A stepwise moderated regression was conducted in SPSS 23 to analyze the data. Results: The regression analysis showed that resilience had a moderating role in the relationship between anxiety symptoms and impaired limits (P=0.009, t=-2.70, β=-1.31), other-directedness (P=0.001, t=-3.37, β=-1.65), and over vigilance and inhibition (P=0.002, t=-3.18, β=-1.36). Resilience had also a moderating role in the relationship between depression symptoms and disconnection and rejection (P=0.002, t=-3.14, β=-0.88), impaired limits (P=0.011, t=-2.60, β=-1.24), other-directedness (P=0.000, t=-4.12, β=-1.87) and over vigilance and inhibition (P=0.005, t=-2.89, β=-1.25). Conclusion: The results of the study revealed that resilience could decrease anxiety and depression symptoms by moderating the relationship between maladaptive schemas and anxiety and depression symptoms.
Background Potentially traumatic events may lead to the development of a wide range of adverse psychological responses, including symptoms of anxiety, depression, and (complex) posttraumatic stress disorder (PTSD). Despite the high prevalence of potentially traumatic events in Iran, there is no population data nor evidence-based instrument to screen for cross-diagnostic psychological responses to trauma. The Global Psychotrauma Screen (GPS) is a transdiagnostic self-report instrument for the detection of trauma-related symptoms, as well as risk and protective factors related to the impact of potentially traumatic events. Objective The present study seeks to 1) translate and cross-culturally adapt the GPS in the Persian (Farsi) language and 2) examine the psychometric properties of the Persian GPS. Method The translation and adaptation were performed using the Sousa and Rojjanasrirat (2011) method. A pilot study (n = 30) was carried out to test the content validity and test–retest reliability of the GPS. Next, in a representative sample (n = 800) of residents of Kermanshah City, the GPS, the General Health Questionnaire (GHQ) and the PTSD Checklist for DSM-5 (PCL-5) were administered. Construct validity of the Persian GPS was assessed using exploratory and confirmatory factor analysis. Additionally, we evaluated the convergent validity and internal consistency of the GPS. Results Exploratory and confirmatory factor analyses indicated a three-factor model as the best solution with factors representing 1) Negative Affect, 2) Core PTSD symptoms and 3) Dissociative symptoms. The GPS total symptom score had high internal consistency and high convergent validity with related measures. A GPS total symptom cut-off score of nine was optimal for indicating a probable PTSD diagnosis based on the PCL-5. About half (52%) of the current sample met criteria for probable PTSD. Conclusions The current findings suggest that the GPS can be effectively adapted for use in a non-Western society and, specifically, that the Persian GPS represents a useful, reliable and valid tool for screening of trauma-related symptoms in Iran.
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