Çelik Yusuf Selman, Efe Ayşegül, Aydos Büşra Sultan, Akbas Aliyev Ecem Selin, Cura Merve, Harputlu Yamak Yağmur, Demirkol Tunca Ruken, Kaşak Meryem, Öztürk Yusuf
Clinic of Child and Adolescent Psychiatry, Etlik City Hospital, Ankara, Türkiye.
Psychiatry Clin Psychopharmacol. 2024 Dec 2;34(4):302-310. doi: 10.5152/pcp.2024.24915.
The Kahramanmaras earthquakes occurred on February 6, 2023. Two powerful earthquakes, occurring 9 hours apart, resulted in over 50000 deaths and affected more than 14 million people. This study assessed different characteristics among affected children and adolescents and identified vulnerable groups. This study aimed to evaluate post-earthquake psychiatric symptoms among children and adolescents, determine the prevalence of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) among affected children and adolescents, and identify personal and event-related factors that influence these outcomes.
Patients admitted to the child psychiatry outpatient clinic or consulted from the emergency and pediatric inpatient clinics were evaluated for the effect of personal and event-related factors, including demographic variables, pre-event mental state, loss of relatives and assets owned, and medical/surgical requirements, on their mental health.
The study revealed that sleep problems were prevalent as the primary psychiatric symptom among children and adolescents following the earthquake. The incidence of ASD remained similar between age groups, while PTSD was more commonly observed in adolescents. Patients experiencing the loss of family members or friends, as well as those whose homes collapsed or suffered extensive damage, and those who sustained physical injuries, exhibited a higher prevalence of ASD and PTSD compared to the other patients.
Current findings reveal that the delivery of intensive psychological support in the early stages is crucial to prevent further mental problems in vulnerable groups following an earthquake.
2023年2月6日发生了卡赫拉曼马拉什地震。两次强烈地震间隔9小时发生，造成5万多人死亡，影响了1400多万人。本研究评估了受影响儿童和青少年的不同特征，并确定了弱势群体。本研究旨在评估儿童和青少年地震后的精神症状，确定受影响儿童和青少年中急性应激障碍（ASD）和创伤后应激障碍（PTSD）的患病率，并确定影响这些结果的个人和与事件相关的因素。
对儿童精神病门诊收治或从急诊科和儿科住院部会诊的患者，评估包括人口统计学变量、事件前精神状态、亲属丧失和拥有资产情况以及医疗/手术需求等个人和与事件相关的因素对其心理健康的影响。
研究显示，睡眠问题是地震后儿童和青少年中普遍存在的主要精神症状。各年龄组ASD的发病率保持相似，而PTSD在青少年中更常见。与其他患者相比，经历家庭成员或朋友丧失、房屋倒塌或遭受严重破坏以及身体受伤的患者，ASD和PTSD的患病率更高。
目前的研究结果表明，在早期提供强化心理支持对于预防地震后弱势群体出现进一步的心理问题至关重要。
