Cansel Neslihan, Sandıklı Hatice, Melez Şahide Nur İpek, Sandıklı Mustafa, Balıkçı Çiçek İpek, Kayhan Tetik Burcu
Assoc. Prof. Dr., Department of Psychiatry, Faculty of Medicine, Inonu University, Malatya, Türkiye.
Assist. Dr., Department of Family Medicine, Faculty of Medicine, https://ror.org/04asck240Inonu University, Malatya, Türkiye.
Disaster Med Public Health Prep. 2025 Jul 7;19:e176. doi: 10.1017/dmp.2025.10106.
On February 6, 2023, 7.7 and 7.6 magnitude earthquakes struck southeastern Türkiye, affecting 11 provinces and causing significant losses. This study aims to assess the mental health status of survivors in the twelfth month after the earthquake.
A cross-sectional study was conducted using an online survey with the virtual snowball sampling method. The survey included sociodemographic data, previous traumas, earthquake-related experiences, and the Post-Earthquake Trauma Level Determining Scale (PETLDS) and Hospital Anxiety and Depression Scale.
The study included 2544 participants. The mean PETLDS score was 58.14±18.18, indicating that the participants were highly traumatized. Among them, 59.5% had high levels of post-traumatic symptoms, 44.2% had high anxiety, and 61% had high depression symptoms. 35.77% of participants displayed a co-occurrence of post-traumatic stress along with anxiety and depression. Female gender was the strongest predictor of high-level trauma and anxiety, while a history of psychiatric disorder was the strongest predictor of depression. Multiple logistic regression analysis indicated that symptoms were predicted by low income, low education level, smoking, comorbid chronic diseases, past traumatic experiences, the loss or injury of a loved one due to the earthquake, personal injury, temporary displacement, and damage to homes and workplaces.
The findings suggest that one year after the earthquake, mental health problems are prevalent among survivors, highlighting the need for urgent psychiatric interventions.
2023年2月6日，土耳其东南部发生7.7级和7.6级地震，影响了11个省份，造成重大损失。本研究旨在评估地震发生后十二个月幸存者的心理健康状况。
采用虚拟雪球抽样法通过在线调查进行横断面研究。该调查包括社会人口统计学数据、既往创伤、与地震相关的经历，以及地震后创伤水平测定量表（PETLDS）和医院焦虑抑郁量表。
该研究纳入了2544名参与者。PETLDS平均得分为58.14±18.18，表明参与者受到了高度创伤。其中，59.5%有高水平的创伤后症状，44.2%有高度焦虑，61%有高度抑郁症状。35.77%的参与者同时出现创伤后应激以及焦虑和抑郁。女性是高水平创伤和焦虑的最强预测因素，而精神疾病史是抑郁的最强预测因素。多元逻辑回归分析表明，低收入、低教育水平、吸烟、合并慢性疾病、既往创伤经历、因地震导致亲人丧失或受伤、个人受伤、临时流离失所，以及家庭和工作场所受损可预测症状。
研究结果表明，地震发生一年后，幸存者中普遍存在心理健康问题，凸显了紧急精神科干预的必要性。
