Unal Gonca Ayse, Kocatepe Avcı Ufuk, Ozdemir Emre
Clinic of Psychiatry, Mersin Sehir Egitim ve Arastirma Hastanesi, Mersin, Turkey.
Department of Psychology, Çağ University, Mersin, Turkey.
Neuropsychiatr Dis Treat. 2025 Apr 5;21:741-750. doi: 10.2147/NDT.S514707. eCollection 2025.
The earthquakes that occurred on February 6, 2023, caused significant losses in Turkey. While a large number of people are exposed to trauma, only a few develop post-traumatic stress disorder (PTSD). It has been suggested that peritraumatic dissociation and dysfunctional beliefs also play a role in the emergence and maintenance of PTSD, and resilience is one of the most important protective factors for PTSD. This study is to test the moderated mediating role of resilience on beliefs about losing control (BALC) and its associations with peritraumatic dissociation and PTSD in earthquake survivors.
A total of 112 individuals living in the tent city of Hatay and Kahramanmaraş Provinces, which experienced earthquakes in 2023 in Turkey, were included in the study. Participants completed Sociodemographic Information Form, PTSD Symptom Scale-Self-Report, Brief Resilience Scale, Peritraumatic Dissociative Experiences Questionnaire, and Beliefs about Losing Control Inventory.
Peritraumatic dissociation positively correlated with BALC (β = 0.487, p < 0.001). BALC acts as a mediator and positively predicts post-traumatic stress symptoms (PTSS) (β = 0.321, p < 0.001). The interaction between BALC and resilience also had a significant effect on PTSS (β = 0.032, p < 0.05). The relationship between BALC and PTSS was significant at high and medium resilience levels (p<0.05) but not at low resilience.
Peritraumatic dissociation predicts PTSS both directly and through BALC, and higher levels of resilience are more likely than lower levels of resilience to attenuate the effects of BALC on PTSS in earthquake survivors.
2023年2月6日发生的地震给土耳其造成了重大损失。虽然大量人员遭受创伤，但只有少数人会患上创伤后应激障碍（PTSD）。有人提出，创伤周围解离和功能失调信念在PTSD的发生和维持中也起作用，而心理韧性是PTSD最重要的保护因素之一。本研究旨在检验心理韧性在地震幸存者对失控的信念（BALC）及其与创伤周围解离和PTSD关联中的调节中介作用。
本研究纳入了共112名居住在土耳其2023年地震受灾的哈塔伊省和加济安泰普省帐篷城的个体。参与者完成了社会人口学信息表、PTSD症状量表-自评、简易心理韧性量表、创伤周围解离体验问卷以及对失控的信念量表。
创伤周围解离与BALC呈正相关（β = 0.487，p < 0.001）。BALC起到中介作用，并正向预测创伤后应激症状（PTSS）（β = 0.321，p < 0.001）。BALC与心理韧性的交互作用对PTSS也有显著影响（β = 0.032，p < 0.05）。在高心理韧性和中心理韧性水平下，BALC与PTSS之间的关系显著（p<0.05），但在低心理韧性水平下不显著。
创伤周围解离直接并通过BALC预测PTSS，在地震幸存者中，较高水平的心理韧性比较低水平的心理韧性更有可能减弱BALC对PTSS的影响。
