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A. Bravo-Mehmedbašić, D. Salcić, A. Kučukalić, S. Fadilpašić, L. Cakovic, E. Mehmedika-Suljić, I. Masic

CONFLICT OF INTEREST: NONE DECLARED Introduction Through psychological support for prison guard’s awareness about professional stress and burn-out, cognitive assessment of stress consequences, insight in coping strategies, as well as prevention of stress consequences is achieved. Aim Evaluation of psychoeducation effects on professional stress consequences within prison guards. Method In the research were included 122 prison guards from three prisons in Bosnia and Herzegovina. All of them have been tested before and after psychoeducation was finished using following instruments: Index of reaction, STAI questionnaire, SAMAČA questionnaire. Results Differences between first and second measuring of subjects included in this study in Sarajevo prison indicated statistically significant reduction of stress reactions, improvement of coping strategies and communication skills. In prisons Zenica and Kula there are differences between first and second measurement in stress reactions reduction, improvement of coping strategies and overcoming of stress and improvement of communication skills as well, which are not statistically significant. In Kula prison, significant differences between two measurements in attitudes of prison guards toward detainees were observed. Conclusions Results of this study show that prison guards within prisons where are detained persons with long period of imprisonment are more exposed to professional stress, comparing to prison guards who are employed in investigation prison. Psychoeducation resulted in positive effects and it should be obligatory included in prison guards training with the aim of decreasing of psychological consequences of prolonged professional stress to which they are exposed to. Psychoeducation should be on continuous basis and led by educated mental health professionals.

D. Salcić, A. Kučukalić, A. B. Mehmedbasić

AIM The aim of this research is evaluation of the life quality and the coping strategies of the war torture survivors, which were included in the multidisciplinary rehabilitation program in the Center for torture victims in Sarajevo. METHOD The research is analytical-descriptive and retrospective. In the study we used the sample consisting of 48 persons who survived the war torture. Two instruments were used in the research: for the evaluation of the life quality we used the Manchester Quality of Life Scale (MANSA), and the other instrument is the reviewed (according to Ljubotina) original Lazarus-Folkman Coping Scale. RESULTS The results related to the life quality are showing that evaluating satisfaction with life as a whole where the largest score in the total sample is achieved by the answer "both satisfied and unsatisfied". The results show a high score of discontent with financial situation, and a prevailing satisfaction with accommodation. Significant data are related to prevailing satisfaction with life within the family. The examinees, largely males, showed "mostly unsatisfied" with their somatic health, while the situation with evaluation of the mental health with both genders and in total sample was estimated as "mostly unsatisfied" and as "both satisfied and unsatisfied". The results that emerged from applying the Coping Scale show that in the total sample, especially more expressed in females, social support is used as a coping strategy in post trauma conditions. The lowest score is achieved in the subscale of avoidance/escape. DISCUSSION Results of this study related to quality of life characteristics within war torture survivors indicates moderate satisfaction with life generally, and emphasizes lower satisfaction with their financial situation. It is very important to be stressed out high level of satisfaction with relationship with family members. According to the results of the study it is clear that difficult socioeconomic conditions in post war period significantly influence satisfaction with life in general, and impact of such conditions on somatic and mental health of war torture survivors. Results obtained at Coping scale shows the most frequent coping strategies employed by torture survivors in post war circumstances is asking for social support, especially within female part of sample, which is usual in such conditions. It is obvious that adaptive coping strategies are employed more than non adaptive ones which represent positive and expected treatment outcome. Negative correlation between coping by avoidance and some items at Quality of life scale indicates that as more persons avoid coping with currant difficulties in post war conditions less they have possibilities that using their current resources improve quality of life. At the other hand, positive correlation of some items at Quality of life scale and Distance subscale at Coping scale represent torture survivors currant strength to be engaged in some useful activities, distancing them self's from actual stressors, which is expressed at Quality of life scale results. CONCLUSIONS According to the results of this study it could be concluded that torture survivors after completed multidisciplinary rehabilitation treatment express: * Moderate satisfaction with the life generally, especially in the fields of life which are not directly connected with complex circumstances of the posttraumatic environment. * Clear need for longer duration of multidisciplinary rehabilitation treatment regarding the results which are related to satisfaction with physical and mental health. * Using more adaptive coping strategies than those directed to emotions, indicated increased relying upon own resources. * The obtained results could be used as the outcome measure after six months duration of multidisciplinary treatment.

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