Kızılpınar Selma Çilem, Kılıç-Demir Barış
Department of Psychiatry, Adana City Research and Training Hospital, Adana 01370, Türkiye.
Behav Sci (Basel). 2025 Sep 3;15(9):1199. doi: 10.3390/bs15091199.
This research examines the relationship between socio-demographic characteristics of the survivors and their changing social situations after the earthquake and post-traumatic stress disorder (PTSD) and survivor's guilt. It also examines the mediating role of survivor guilt between early maladaptive schemas and PTSD severity. The study involved 127 people exposed to the 6 February 2023, southern and central Türkiye and northern and western Syria earthquake. Participants' sociodemographic characteristics, changing living conditions due to the earthquake, and feelings and thoughts of survivor guilt were evaluated with online data forms. Young Schema-Short Form, Post-Traumatic Stress Disorder Symptom Control Checklist, Beck Depression Inventory, and Beck Anxiety Inventory were employed. There was a notable connection between survivor guilt, the pessimism schema, and the PTSD severity. Additionally, changes in the participants' living conditions especially occurring during posttraumatic periods were associated with survivor guilt and PTSD levels. The mediation analysis indicated that survivor guilt partially mediates the relationship between the pessimism schema and PTSD severity. Focusing on the social conditions of survivors, pessimism schema, and survivor guilt will be beneficial in preventive interventions and treatment approaches for PTSD.
本研究考察了幸存者的社会人口学特征与地震后其不断变化的社会状况、创伤后应激障碍（PTSD）以及幸存者内疚感之间的关系。它还考察了幸存者内疚感在早期适应不良图式与PTSD严重程度之间的中介作用。该研究涉及127名经历了2023年2月6日土耳其南部和中部以及叙利亚北部和西部地震的人。通过在线数据表格对参与者的社会人口学特征、因地震而变化的生活条件以及幸存者内疚感的感受和想法进行了评估。使用了青少年图式简表、创伤后应激障碍症状控制清单、贝克抑郁量表和贝克焦虑量表。幸存者内疚感、悲观图式与PTSD严重程度之间存在显著关联。此外，参与者生活条件的变化，尤其是在创伤后时期发生的变化，与幸存者内疚感和PTSD水平相关。中介分析表明，幸存者内疚感部分中介了悲观图式与PTSD严重程度之间的关系。关注幸存者的社会状况、悲观图式和幸存者内疚感，将有助于PTSD的预防性干预和治疗方法。
