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Post-Traumatic Symptoms and Sleep Problems in Children and Adolescents after Twin Earthquakes in Turkey

Published online by Cambridge University Press:  02 January 2025

Hatice Serap Koçak
Affiliation:
Gaziantep University, Faculty of Health Sciences, Public Health Nursing Department, Gaziantep, Turkey
Fedli Emre Kiliç
Affiliation:
Adıyaman University Faculty of Medicine, Adıyaman, Turkey
Emine Kaplan Serin*
Affiliation:
Mersin University, Faculty of Nursing, Internal Medicine Nursing Department, Mersin, Turkey
*
Corresponding author: Emine Kaplan Serin; Email: [email protected]

Abstract

Objectives

Earthquakes cause great destruction due to their suddenness and intensity. Although all people are affected by earthquakes, children are among those most affected. Every year, millions of children and young people are exposed to many natural disasters and are affected differently. Earthquakes can cause physical, mental, and sleep disorders in children. The aim of this study is to investigate the post-traumatic response and its effects on sleep on child and adolescent earthquake survivors living in the earthquake zone in Turkey.

Methods

This research was carried out between June and August 2023 as a descriptive and cross-sectional study. A total of 230 earthquake survivor children from Adıyaman were included in the study. Personal information forms, the Child Posttraumatic Stress Reaction Index (CPTS-RI), and the Sleep Disturbance Scale for Children (SDSC) were used to collect data.

Results

It was determined that the scale scores of the children who were financially affected by the earthquake, who were injured, and who were under the rubble were higher (P < 0.05).

Conclusions

It was observed that more than half of the children had severe trauma and had sleep disorders. Children who experience trauma from an earthquake have more sleep disorders. For this reason, in addition to emergency aid and interventions in earthquakes, arrangements should be made for the mental health of children and social and psychological support should be provided.

Type
Original Research
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

Wikipedia. 2023 Kahramanmaraş depremleri. 2023. Accessed August 1, 2023. https://tr.wikipedia.org/wiki/2023_Kahramanmara%C5%9F_depremleriGoogle Scholar
United Nations Population Fund. Türkiye depremi durum raporu. 2023. Accessed August 1, 2023. https://turkiye.unfpa.org/sites/default/files/pub-pdf/turkiye_tr_sitrep4.pdfGoogle Scholar
Tunalı, İ. 6 Şubat depremlerinden etkilenen nüfusun özellikleri 2. Sarkaç Accessed July 25, 2023. https://sarkac.org/2023/03/6-subat-depremlerinden-etkilenen-nufusun-ozellikleri-2/.Google Scholar
Karabulut, D, Bekler, T. Doğal Afetlerin Çocuklar ve Ergenler Üzerindeki Etkileri. Doğal Afetler ve Çevre Dergisi. 2019;5(2):368376. doi:10.21324/dacd.500356CrossRefGoogle Scholar
Özçetin, A, Maraş, A, Ataoğlu, A, et al. Deprem sonucu gelişen travma sonrası stres bozukluğu ile kişilik bozuklukları arasında ilişki. Duzce Medical Journal. 2008;10(2):818.Google Scholar
Sakarya, D, Güneş, C. Van Depremi sonrasında travma sonrası stres bozukluğu belirtilerinin psikolojik dayanıklılık ile ilişkisi. Kriz Dergisi. 2013;21(1-2-3):2532. doi:10.1501/Kriz_0000000335Google Scholar
Aker, A, Özeren, M, Başoğlu, M, et al. Klinisyen tarafindan uygulanan Travma Sonrasi Stres Bozukluğu Ölçeği (TSSB-Ö)-Geçerlik ve güvenilirlik çalışması. Türk Psikiyatri Dergisi. 1999;10(4):286293.Google Scholar
Vera-Villarroel, P, Celis-Atenas, K, Córdova-Rubio, N, et al. Chilean Validation of the Posttraumatic Stress Disorder Checklist–Civilian Version (PCL–C) after the Earthquake on February 27, 2010. Psychol Rep. 2011;109(1):4758. doi:10.2466/02.13.15.17.PR0.109.4.47-58CrossRefGoogle Scholar
Berkem, M, Bildik, T. Depremin Marmara Üniversitesi Tıp Fakültesi Çocuk Psikiyatrisi Polikliniği’ne başvuru profili üzerine etkisi. Anadolu Psikiyatri Dergisi. 2001;2(1):2935.Google Scholar
Ceyhan, E, Ceyhan, AA. 1999 Marmara Bölgesi Depremlerini Yaşayan Üniversite Öğrencileri Üzerinde Depremin Uzun Dönemli Sonuçları. Anadolu Üniversitesi Sosyal Bilimler Dergisi. 2006;6(2):197212.Google Scholar
Felix, E, Hernández, LA, Bravo, M, et al. Natural disaster and risk of psychiatric disorders in Puerto Rican children. J Abnorm Child Psychol. 2011;39(4):589600. doi:10.1007/s10802-010-9483-1CrossRefGoogle ScholarPubMed
Tanhan, F, Kardaş, F. Van depremini yaşayan ortaöğretim öğrencilerinin travmadan etkilenme ve umutsuzluk düzeylerinin incelenmesi. Sakarya University Journal of Education. 2014;4(1):102115.CrossRefGoogle Scholar
Erden, G, Kerimoğlu, E, Kiliç, EZ, et al. Çocuklar için travma sonrası stres tepki ölçeği: Türkçe geçerlik, güvenirlik ön çalışması. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 1999;6(3):143149.Google Scholar
Ağadayı, E, Çelik, N, Başer, DA. Turkish validity and reliability of the Sleep Disturbance Scale for Children. Jtsm. 2020;7(2):6572. doi:10.4274/jtsm.galenos.2020.98598CrossRefGoogle Scholar
Sabuncuoğlu, O, Çevikaslan, A, Berkem, M. Marmara depreminden etkilenen iki ayrı bölgede ergenlerde depresyon, kaygı ve davranış. Klinik Psikiyatri. 2003;6:189197.Google Scholar
Akkuş Güvendi, M. Depremden etkilenen illlerin sosyoekonomik yapısı. March 28, 2023. Accessed July 10, 2023. https://tyap.net/depremden-etkilenen-illerin-sosyoekonomik-yapisiGoogle Scholar
Oflaz, F. Travma Yaşamış Çocuk ve Gençlerin Ele Alınmasında Çocuk-Ergen Ruh Sağlığı ve Psikiyatri Hemşireliği Uygulamaları. Turkiye Klinikleri J Psychiatr Nurs-Special Topics. 2015;1(2):4651.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fourth edition; 1994.Google Scholar
Güler Aksu, G, İmrek, Y. The earthquake disaster in Türkiye: a review from child and adolescent psychiatry perspective. Düzce Tıp Fakültesi Dergisi. 2023;25(1):614. doi:10.18678/dtfd.1271852CrossRefGoogle Scholar
Garrison, CZ, Bryant, ES, Addy, CL, et al. Posttraumatic Stress Disorder in adolescents after Hurricane Andrew. J Am Acad Child Adolesc Psychiatry. 1995;34(9):11931201. doi:10.1097/00004583-199509000-00017CrossRefGoogle ScholarPubMed
Goenjian, A. A mental health relief programme in Armenia after the 1988 Earthquake: implementation and clinical observations. Br J Psychiatry. 1993;163(2):230239. doi:10.1192/bjp.163.2.230CrossRefGoogle ScholarPubMed
Raj Dahal, H, DrS, Kumar, Kaji Thapa, D. Prevalence and risk factors of Post-Traumatic Stress Disorders among the survivors of 2015 Nepal Earthquake, in Dhading, Nepal. Sleep Hypn. 2017;20(2). doi:10.5350/Sleep.Hypn.2017.19.0145Google Scholar
Xu, J, Wang, Y, Tang, W. Posttraumatic stress disorder in Longmenshan adolescents at three years after the 2013 Lushan earthquake. Gen Hosp Psychiatry. 2018;54:4551. doi:10.1016/j.genhosppsych.2018.05.009CrossRefGoogle ScholarPubMed
Liu, D, Fu, L, Jing, Z, et al. Post-Traumatic Stress Disorder and it’s predictors among Tibetan adolescents 3 years after the high-altitude earthquake in China. Arch Psychiatr Nurs. 2016;30(5):593599. doi:10.1016/j.apnu.2016.01.005CrossRefGoogle Scholar
Marthoenis, M, Ilyas, A, Sofyan, H, et al. Prevalence, comorbidity and predictors of post-traumatic stress disorder, depression, and anxiety in adolescents following an earthquake. Asian J Psychiatry. 2019;43:154159. doi:10.1016/j.ajp.2019.05.030CrossRefGoogle ScholarPubMed
Bal, A. Post-Traumatic Stress Disorder in Turkish child and adolescent survivors three years after the Marmara Earthquake. Child Adolesc Ment Health. 2008;13(3):134139. doi:10.1111/j.1475-3588.2007.00469.xCrossRefGoogle ScholarPubMed
Silwal, S, Dybdahl, R, Chudal, R, et al. Psychiatric symptoms experienced by adolescents in Nepal following the 2015 earthquakes. J Affect Disord. 2018;234:239246. doi:10.1016/j.jad.2018.03.002CrossRefGoogle ScholarPubMed
Yıldırım Sarı, H. Sleep in children. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2012;28(1):8190.Google Scholar
Nakajima, S. Post-earthqake psychology. Okmeydani Medical Journal. 2013;28(Supplement 2):150155. doi:10.5222/otd.supp2.2012.150CrossRefGoogle Scholar
Geng, F, Fan, F, Mo, L, et al. Sleep problems among adolescent survivors following the 2008 Wenchuan Earthquake in China: a cohort study. J Clin Psychiatry. 2013;74(01):6774. doi:10.4088/JCP.12m07872CrossRefGoogle Scholar
Chen, CH, Tan, HKL, Liao, LR, et al. Long-term psychological outcome of 1999 Taiwan earthquake survivors: a survey of a high-risk sample with property damage. Compr Psychiatry. 2007;48(3):269275. doi:10.1016/j.comppsych.2006.12.003CrossRefGoogle ScholarPubMed
Cheng, J, Liang, YM, Zhou, YY, et al. Trajectories of PTSD symptoms among children who survived the Lushan earthquake: a four-year longitudinal study. J Affect Disord. 2019;252:421427. doi:10.1016/j.jad.2019.04.047CrossRefGoogle ScholarPubMed
Lai, BS, La Greca, AM, Auslander, BA, et al. Children’s symptoms of posttraumatic stress and depression after a natural disaster: comorbidity and risk factors. J Affect Disord. 2013;146(1):7178. doi:10.1016/j.jad.2012.08.041CrossRefGoogle ScholarPubMed
Yang, YK, Yeh, TL, Chen, CC, et al. Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. Gen Hosp Psychiatry. 2003;25(4):253261. doi:10.1016/S0163-8343(03)00022-7CrossRefGoogle ScholarPubMed
Zhang, Y, Kong, F, Wang, L, et al. Mental health and coping styles of children and adolescent survivors one year after the 2008 Chinese earthquake. Child Youth Serv Rev. 2010;32(10):14031409. doi:10.1016/j.childyouth.2010.06.009CrossRefGoogle Scholar
Kessler, RC, Berglund, P, Demler, O, et al. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):593. doi:10.1001/archpsyc.62.6.593CrossRefGoogle ScholarPubMed
Ekşi, A, Braun, KL, Ertem-Vehid, H, et al. Risk factors for the development of PTSD and depression among child and adolescent victims following a 7.4 magnitude earthquake. Int J Psychiatry Clin Pract. 2007;11(3):190199. doi:10.1080/13651500601017548CrossRefGoogle ScholarPubMed
Gürbüz, F, Koyuncu, N. Çocuklar ve deprem. In: 2nd International Conference on Scientific and Academic Research; 2023:379383.Google Scholar
Lai, TJ, Chang, CM, Connor, KM, et al. Full and partial PTSD among earthquake survivors in rural Taiwan. J Psychiatr Res. 2004;38(3):313322. doi:10.1016/j.jpsychires.2003.08.005CrossRefGoogle ScholarPubMed
Valladares-Garrido, MJ, Zapata-Castro, LE, Peralta, CI, et al. Post-Traumatic Stress Disorder after the 6.1 magnitude earthquake in Piura, Peru: a cross-sectional study. IJERPH. 2022;19(17):11035. doi:10.3390/ijerph191711035CrossRefGoogle ScholarPubMed
Eray, Ş, Uçar, HN, Murat, D. The effects of relocation and social support on long-term outcomes of adolescents following a major earthquake: A controlled study from Turkey. Int J Disaster Risk Reduct. 2017;24:4651. doi:10.1016/j.ijdrr.2017.05.026CrossRefGoogle Scholar
Limoncu, S, Atmaca, A. Child-centered disaster management. Megaron. 2018;13(1):132143. doi:10.5505/megaron.2017.49369Google Scholar
Sharma, A, Kar, N. Posttraumatic stress, depression, and coping following the 2015 Nepal Earthquake: a study on adolescents. Disaster Med Public Health Prep. 2019;13(02):236242. doi:10.1017/dmp.2018.37CrossRefGoogle Scholar
Najarian, LM, Majeed, MH, Gasparyan, K. Effect of relocation after a natural disaster in Armenia: 20-year follow-up. Asian J Psychiatry. 2017;29:812. doi:10.1016/j.ajp.2017.03.030CrossRefGoogle ScholarPubMed
Dell’Osso, L, Carmassi, C, Massimetti, G, et al. Impact of traumatic loss on post-traumatic spectrum symptoms in high school students after the L’Aquila 2009 earthquake in Italy. J Affect Disord. 2011;134(1-3):5964. doi:10.1016/j.jad.2011.06.025CrossRefGoogle ScholarPubMed
Du, B, Ma, X, Ou, X, et al. The prevalence of posttraumatic stress in adolescents eight years after the Wenchuan earthquake. Psychiatry Res. 2018;262:262269. doi:10.1016/j.psychres.2018.02.019CrossRefGoogle ScholarPubMed
Hsu, C, Chong, M, Yang, P, et al. Posttraumatic stress disorder among adolescent earthquake victims in Taiwan. J Am Acad Child Adolesc Psychiatry. 2002;41:875881.CrossRefGoogle ScholarPubMed
Ataç, M, Özsezer, G. The mental status and nursing approach of children and adoles affected by earthquake. Emerg Aid Disaster Sci. 2021;1(1):2227.Google Scholar