Bakay Hasan, Isik Beyza, Gica Sakir, Ak Mehmet
Department of Psychiatry, Faculty of Medicine, Necmettin Erbakan University, Yunus Emre Mah., Beyşehir Cad. No:281,Meram, 42090, Konya, Türkiye.
Psychiatr Q. 2025 Jun 24. doi: 10.1007/s11126-025-10178-y.
The objective of this study was to ascertain the prevalence of trauma symptoms in individuals residing within the seismic region 18 months after the February 6th 2023, Maras earthquake, and to examine the factors contributing to these symptoms. The study included 339 participants who experienced the earthquake. The participants were administered sociodemographic data form, Traumatic Stress Symptom Checklist (TSSC), Coping with Earthquake Stress Scale (CESS), and Psychological Well-Being Scale (PWBS). According to the TSSC, 20.1% of the 339 participants were determined to have probable PTSD (pPTSD). In the pPTSD group, rate of destruction in the home, rate of women, rate of loss of life in relatives, rate of property loss, and rate of receiving psychiatric support were significantly higher. The pPTSD group demonstrated significantly lower positive reappraisal, seeking social support, and PWBS scores compared to the non-PTSD group. TSSC scores were negatively correlated with sub-scores of the CESS and PWBS among all participants. Regression analyses revealed that the presence of long-term pPTSD was predicted with being female, loss of life in relatives, property loss, and the need for psychiatric support. Additionally, positive reappraisal and seeking social support coping mechanisms were shown to decrease the risk of developing pPTSD. Current research suggest that traumatic symptoms may persist long after major natural disasters. Consequently, the provision of psychological support services, the enhancement of social support networks, and the dissemination of stress management methods following disasters such as earthquakes should be sustained over an extended period in high-risk regions. It is anticipated that the findings of this study will serve as a guide for researchers, clinicians, and policy-makers, facilitating the development of effective strategies for the management of post-disaster mental health needs.
本研究的目的是确定在2023年2月6日马拉斯地震发生18个月后，地震区域内居民创伤症状的患病率，并研究导致这些症状的因素。该研究纳入了339名经历过地震的参与者。研究人员向参与者发放了社会人口统计学数据表、创伤应激症状清单（TSSC）、应对地震压力量表（CESS）和心理健康量表（PWBS）。根据TSSC，339名参与者中有20.1%被确定可能患有创伤后应激障碍（pPTSD）。在pPTSD组中，房屋毁坏率、女性比例、亲属死亡率、财产损失率和接受精神科支持的比例显著更高。与非PTSD组相比，pPTSD组在积极重新评价、寻求社会支持和PWBS评分方面显著更低。在所有参与者中，TSSC评分与CESS和PWBS的子评分呈负相关。回归分析显示，女性、亲属死亡、财产损失和需要精神科支持可预测长期pPTSD的存在。此外，积极重新评价和寻求社会支持的应对机制可降低发生pPTSD的风险。当前研究表明，重大自然灾害后创伤症状可能会长期持续。因此，在高风险地区，地震等灾害发生后，应长期持续提供心理支持服务、加强社会支持网络并传播压力管理方法。预计本研究结果将为研究人员、临床医生和政策制定者提供指导，促进制定有效的灾后心理健康需求管理策略。
