Özyurt Gonca, Totur Gülberat, Üzüm Özlem, Karagöz Tanıgör Ezgi, Başaran Cemaliye, Mutlubaş Fatma, Kasap Demir Belde, Alaygut Demet, Keskin Mehmet Zeynel, Olgaç Dündar Nihal, Akay Aynur, Arslansoyu Çamlar Secil
Department of Child and Adolescent Psychiatry, Faculty of Medicine, İzmir Katip Çelebi University, İzmir, Turkey.
Department of Pediatric Diseases, İzmir Faculty of Medicine Tepecik Training and Research Hospital, University of Health Sciences, İzmir, Turkey.
Pediatr Int. 2025 Jan-Dec;67(1):e15830. doi: 10.1111/ped.15830.
The two strongest earthquakes in Turkey for eight decades hit Kahramanmaraş province on February 6, 2023. This study aimed to determine psychiatric complaints, acute stress symptoms, anxiety, depression, and sleep characteristics in children who were treated in a tertiary inpatient pediatric unit after the earthquakes. They were evaluated in the fourth week after the earthquake.
Trauma experiences and acute stress disorders were evaluated by child and adolescent psychiatrists, sleep characteristics were examined by the Child Sleep Habits Questionnaire (CSHQ), and the anxiety and depressive symptoms were investigated using the Revised Child Anxiety and Depression Scale (RCADS). Forty-two patients aged 1-17 were included.
Trauma experiences and acute stress disorder symptoms were similar for all age groups examined. There were no significant differences in RCADS or CSHQ scores based on age or gender groups. There were significant differences in RCADS scores when the children were grouped as having parental loss or not and, similarly, there were significant differences in sleep anxiety and resistance to bedtime in CSHQ between these children.
This research offered baseline findings about psychological outcomes after these earthquakes in child survivors, and it may provide a further basis to assess the effect of psychological interventions after earthquakes. These results may offer a foundation for suitable psychological interventions for children in developing countries.
2023年2月6日，土耳其八十年来最强的两次地震袭击了卡赫拉曼马拉什省。本研究旨在确定地震后在三级住院儿科病房接受治疗的儿童的精神症状、急性应激症状、焦虑、抑郁和睡眠特征。他们在地震后的第四周接受了评估。
儿童和青少年精神科医生评估创伤经历和急性应激障碍，通过儿童睡眠习惯问卷（CSHQ）检查睡眠特征，并使用修订版儿童焦虑和抑郁量表（RCADS）调查焦虑和抑郁症状。纳入了42名年龄在1至17岁之间的患者。
所有接受检查的年龄组的创伤经历和急性应激障碍症状相似。基于年龄或性别组，RCADS或CSHQ评分没有显著差异。当儿童按是否失去父母分组时，RCADS评分存在显著差异，同样，这些儿童在CSHQ中的睡眠焦虑和入睡抗拒方面也存在显著差异。
本研究提供了这些地震后儿童幸存者心理结果的基线数据，可能为评估地震后心理干预的效果提供进一步依据。这些结果可能为发展中国家儿童的适当心理干预提供基础。
