en سلامت جانبازان يا معلولان Veterans or Handicapped Health پژوهشی اصيل Original Research <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:115%">Aim: </span></span></b><span style="font-size:10.0pt"><span style="line-height:115%">War is among the most significant sources of stress and has profound effects on the mental health of civilians. Physical literacy, as a novel approach to promoting lifelong participation in physical activities, is associated with positive mental health outcomes. The present study aimed to examine the cross-sectional associations of perceived physical literacy with self-reported sleep quality and mental toughness among adults in Yazd province during the wartime period of Ramadan</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:115%">Methods and Materials:</span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span cambria="" style="font-family:">This descriptive-correlational study was conducted on 128 adults aged 18 to 60 years (67 men and 61 women) in Yazd province </span></span></span><span style="font-size:10.0pt"><span style="line-height:115%">during late March&ndash;early April 2026</span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span cambria="" style="font-family:">. Participants were selected through convenience sampling and completed the Perceived Physical Literacy Assessment Scale (PLAS), the Pittsburgh Sleep Quality Index (PSQI), and the Clough Mental Toughness Questionnaire (MTQ). Data were analyzed using Pearson correlation coefficient and regression analysis.</span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:115%"><span cambria="" style="font-family:">Findings:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"> The results showed that physical literacy had a significant relationship with sleep quality (r= -0.50, P< 0.01) and mental toughness (r = 0.48, P< 0.01). Regression results indicated that physical literacy explained 25% of the variance in sleep quality (&beta; = -0.48, t = -5.99, p < 0.001) and 21% of the variance in mental toughness (&beta; = 0.50, t = 6.05, p < 0.001), respectively.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:115%">Conclusion: </span></span></b><span style="font-size:10.0pt"><span style="line-height:115%">Among this convenience sample of adults in Yazd province, higher perceived physical literacy was associated with lower PSQI scores and higher MTQ. However, due to the cross-sectional and self-reported nature of the study, causality cannot be established. </span></span></span></span></span></span><br> &nbsp; Perceived Physical Literacy,Physical Activity,Sleep Quality,Mental Toughness,War,Civilians 1001 1015 http://ijwph.ir/browse.php?a_code=A-10-1866-4&slc_lang=en&sid=1 H. samadi samadih@yazd.ac.ir Yes