Center for Contextual Behavioral Science, Cansagligi Foundation, Istanbul, Türkiye.
Department of Psychiatry, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul, Türkiye.
J Nerv Ment Dis. 2024 Oct 1;212(10):541-548. doi: 10.1097/NMD.0000000000001803.
This study investigated the prevalence and risk factors of probable posttraumatic stress disorder (PTSD), depression, and complicated grief among 529 adults residing in a container city, 4 months after the 2023 earthquakes in Türkiye. Participants were assessed using the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, the Hamilton Depression Scale, and the Inventory of Complicated Grief. The prevalence rates of probable PTSD, depression, and complicated grief were 21.4%, 15.9%, and 64.7%, respectively. Logistic regression analyses indicated that PTSD was significantly associated with the loss of a loved one, fear of future earthquakes, and decreased perceived life control. Similarly, depression was associated with being trapped under debris, experiencing fear during the earthquake, and reduced perceived life control. These findings suggest that individuals presenting these risk factors warrant closer follow-up for potential psychological issues. Additionally, the impact of fear related to the earthquake and the role of perceived life control emerge as crucial considerations for psychological interventions.
本研究调查了 529 名居住在土耳其一个集装箱城市的成年人在 2023 年地震发生 4 个月后发生创伤后应激障碍（PTSD）、抑郁和复杂悲伤的患病率和风险因素。参与者使用《精神障碍诊断与统计手册》第 5 版创伤后应激障碍检查表、汉密尔顿抑郁量表和复杂悲伤清单进行评估。可能患有 PTSD、抑郁和复杂悲伤的患病率分别为 21.4%、15.9%和 64.7%。逻辑回归分析表明，PTSD 与失去亲人、对未来地震的恐惧和感知生活控制能力下降显著相关。同样，抑郁与被困在废墟下、地震时感到恐惧和感知生活控制能力下降有关。这些发现表明，存在这些风险因素的个体需要更密切地关注潜在的心理问题。此外，与地震相关的恐惧的影响和感知生活控制的作用成为心理干预的关键考虑因素。
