Araştırma Makalesi
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Kahramanmaraş Merkezli Depremler Sonrası Depremzedelerin Anksiyete Durumunun Uyku Problemleri, Bel ve Boyun Ağrısı ile İlişkisi

Yıl 2024, Cilt: 21 Sayı: 1, 11 - 16, 29.04.2024
https://doi.org/10.35440/hutfd.1385631

Öz

Amaç: Bu çalışmanın amacı, Kahramanmaraş merkezli deprem sonrası depremzedelerin anksiyete durumunun uyku problemleri, bel ve boyun ağrısı ile ilişkisini incelemektir.
Materyal ve Metot: Çalışmaya Kahramanmaraş merkezli depremi yaşayan, yaş ortalaması 27.9±9.1 olan bireyler dahil edildi. Çalışmaya dahil edilen bireyler Beck Anksiyete Ölçeği (BAÖ), Oswestry Engellilik Anketi (OEA), Boyun Özürlülük Sorgulama Anketi (BÖSA), Pittsburgh Uyku Kalite İndeksi (PUKİ) ile değerlendirildi.
Bulgular: Katılımcıların %67’sinin hafif, orta ve ağır düzeyde anksiyetesinin olduğu, tamamında ise uyku kalitesinin kötü olduğu bulundu (6.9±3.8). Katılımcılardan kendi evinde barınanların %57’sinin Pittsburgh Uyku Kalite İndeksi skor ortalama değerleri 5 ve üzeri iken, kendi evi dışında barınanlarda bu oran %75’di. Kendi evinde barınanların %27'si, kendi evi dışında barınanların %37’si, OEA skor yüzdeleri %20 üstü olan bireylerdi. BAÖ skoru ile OEA skoru, BÖSA skoru ve PUKİ skoru arasında istatistiksel olarak orta düzeyde ilişki olduğu bulundu (sırasıyla r=0.511, r=0.604, r=0.539).
Sonuç: Deprem sonrası anksiyetenin, uyku problemleri, bel ve boyun ağrısı ile ilişkili olduğu bulundu. Depremzedelere uygulanacak olan destek yaklaşımlarında, anksiyete varlığı, uyku problemleri, bel ve boyun ağrısı arasındaki ilişki göz önünde bulundurarak, bu parametreleri kapsayıcı yaklaşımların planlanması gerektiği ifade edilebilir.

Kaynakça

  • 1. United Nations Office for Disaster Risk Reduction (UNDRR). Human cost of disasters: an overview of the last 20 years (2000–2019). Brussels, Belgium: UNDRR; 2020 Oct [cited 2023 Oct 6]. Available from: https://www.undrr.org/publication/human-cost-disasters-overview-last-20-years-2000-2019
  • 2. Kennedy IT, Petley DN, Williams R, Murray V. A systemat-ic review of the health impacts of mass Earth movements (landslides). PLoS Curr. 2015;30:7.
  • 3. Uğur M, Kartal F, Mete B, Tamam L, Demirkol ME. The relationship between peritraumatic dissociation and anxi-ety level, perceived stress, anxiety sensitivity and coping with earthquake stress in post-earthquake acute stress disorder patients. Turk Psikiyatri Derg. 2021;32(4): 253-260.
  • 4. Valladares-Garrido MJ, Zapata-Castro LE, Domínguez-Troncos H, García-Vicente A, León-Figueroa DA, Zila-Velasque JP, et al. Mental health disturbance after a ma-jor earthquake in Northern Peru: a preliminary, cross-sectional study. Int J Environ Res Public Health. 2022;19(14):8357.
  • 5. Honda Y, Fujiwara T, Yagi J, Homma H, Mashiko H, Nagao K, et al. Long-term impact of parental post-traumatic stress disorder symptoms on mental health of their off-spring after the great East Japan earthquake. Front Psy-chiatry. 2019;10:496.
  • 6. Kino S, Aida J, Kondo K, Kawachi I. Persistent mental health impacts of disaster. Five-year follow-up after the 2011 great east Japan earthquake and tsunami: Iwanuma Study. J Psychiatr Res. 2021;136:452-459.
  • 7. Schwind JS, Formby CB, Santangelo SL, Norman SA, Brown R, Hoffman Frances R, et al. Earthquake exposures and mental health outcomes in children and adolescents from Phulpingdanda village, Nepal: a cross-sectional study. Child Adolesc Psychiatry Ment Health. 2018;12:54.
  • 8. Richards A, Ospina-Duque J, Barrera-Valencia M, Escobar-Rincón J, Ardila-Gutiérrez M, Metzler T, et al. Posttrau-matic stress disorder, anxiety and depression symptoms, and psychosocial treatment needs in Colombians internal-ly displaced by armed conflict: A mixed-method evalua-tion. Psychol Trauma. 2011;3(4): 384.
  • 9. Tamer İ, Koçak UZ, Karabay D, Özer Kaya D. Physical activ-ity and exercise approaches in coping with postearthquake circadian rhythm and sleep-wake disorders. İzmir Kâtip Çelebi University Faculty of Health Sci J. 2023;8(2):685-690.
  • 10. Tang W, Lu Y, Yang Y, Xu J. An epidemiologic study of self-reported sleep problems in a large sample of adolescent earthquake survivors: the effects of age, gender, expo-sure, and psychopathology. J Psychosomat Res. 2018;113:22–29.
  • 11. Bavafa A, Khazaie H, Khaledi-Paveh B, Rezaie L. The rela-tionship of severity of symptoms of depression, anxiety, and stress with sleep quality in earthquake survivors in Kermanshah. J Inj Violence Res. 2019;11(2):225-232.
  • 12. Yabe Y, Hagiwara Y, Sekiguchi T, Sugawara Y, Tsuchiya M, Koide M, et al. Sleep disturbance is associated with new onset and continuation of lower back pain: a longitudinal study among survivors of the great East Japan earthquake. Tohoku J Exp Med. 2018;246(1):9-14.
  • 13. Oğuzöncül AF, Kurt O. Musculoskeletal diseases in Turkey with a public health perspective. Turk Klin. 2020;1:52-4.
  • 14. Yabe Y, Hagiwara Y, Sekiguchi T, Sugawara Y, Tsuchiya M, Koide M, et al. Musculoskeletal pain is associated with new-onset psychological distress in survivors of the great East Japan earthquake. Disaster Med Public Health Prep. 2019;13(2):295-300.
  • 15. Sekiguchi T, Hagiwara Y, Sugawara Y, Tomata Y, Tanji F, Watanabe T, et al. Influence of subjective economic hard-ship on new onset of neck pain (so-called: katakori) in the chronic phase of the Great East Japan Earthquake: A pro-spective cohort study. J Orthop Sci. 2018;23(5):758-764.
  • 16. Yabe Y, Hagiwara Y, Sekiguchi T, Sugawara Y, Tsuchiya M, Yoshida S, et al. Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake. BMC Musculoskelet Disord. 2020;21(1):227.
  • 17. AFAD. 2023. 06 Şubat 2023 Pazarcık-Elbistan Kahramanmaraş (Mw: 7.7 – Mw: 7.6) depremleri raporu. Türkiye: AFAD; 2023 Haziran (cited 2023 Ekim 6). Availa-ble from:https://deprem.afad.gov.tr/assets/pdf/Kahramanmara%C5%9F%20Depremi%20%20Raporu_02.06.2023.pdf
  • 18. Baytar B. The analysis of the anxiety, depression and PTSD levels of the people who had earthquake in their child-hood period in 1999 according to some variables. [mas-ter’s thesis]. [İstanbul (AU)]: Üsküdar University; 2017.
  • 19. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-7.
  • 20. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother. 1998;12(2):163.
  • 21. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • 22. Ağargün MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996;7:107-115.
  • 23. Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-3.
  • 24. Yakut E, Düger T, Oksüz C, Yörükan S, Üreten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29(5):581-5.
  • 25. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manip Physiol Ther. 1992;15(1).
  • 26. Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N. The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish ver-sion study. Spine. 2009;34(16):1732-1735.
  • 27. Munro BH. Statistical methods for health care research (vol. 1). Lippincott Williams & Wilkins. 2005.
  • 28. Cankardaş S, Sofuoğlu Z. Post-traumatic stress disorder symptoms and their predictors in earthquake or fire survi-vors. Turk J Psychiatr. 2019;30(3):151-156.
  • 29. Itoh Y, Takeshima M, Kaneita Y, Uchimura N, Inoue Y, Honda M, et al. Associations between the 2011 great East Japan earthquake and tsunami and the sleep and mental health of Japanese people: a 3-wave repeated survey. Nat Sci Sleep. 2022;14:61-73.
  • 30. Wang S, Shi X, Chen X, Zhu Y, Chen H, Fan F. Earthquake exposure and PTSD symptoms among disaster-exposed adolescents: a moderated mediation model of sleep prob-lems and resilience. Front Psychiatry. 2021;12:577328.
  • 31. Yabe Y, Hagiwara Y, Sekiguchi T, Sugawara Y, Tsuchiya M, Yoshida S, et al. Association between sleep disturbance and low back pain: a 3-year longitudinal study after the great East Japan earthquake. Spine. 2022;47(4):361-368.

The Relationship Between Post-Earthquake Anxiety Status with Sleep Problems, Low Back and Neck Pain in Victims of the Kahramanmaraş-Centred Earthquakes

Yıl 2024, Cilt: 21 Sayı: 1, 11 - 16, 29.04.2024
https://doi.org/10.35440/hutfd.1385631

Öz

Background: This study aims to examine the relationship between the post-earthquake anxiety status of victims of the Kahramanmaraş-centered earthquake and sleep problems, low back and neck pain.
Materials and Methods: Individuals with a mean age of 27.9±9.1 years who experienced the Kahramanmaraş-centered earthquake were included in the study. The individuals included in the study was evaluated with the Beck Anxiety Inventory (BAI), the Oswestry Disability Index (ODI), the Neck Disability Index (NDI), and the Pittsburgh Sleep Quality Index (PSQI).
Results: Of the participants, 67% were determined to have mild, moderate, and severe anxiety, and all of them had poor sleep quality (6.9±3.8). While the mean PSQI score of 57% of the participants sheltered in their own homes was 5 and above, this rate was 75% for those sheltered outside their homes. Of the individuals sheltered in their own homes, 27% and 37% of those sheltered outside their own homes had the ODI score percentages above 20%. A statistically moderate correlation was determined between the BAI score and the ODI score, the NDI score, and the PSQI score (r=0.511, r=0.604, r=0.539, respectively).
Conclusions: Post-earthquake anxiety was revealed to be associated with sleep problems and low back and neck pain. Considering the relationship between the presence of anxiety, sleep problems, low back and neck pain in the support approaches to be adopted toward earthquake victims, approaches involving these parameters should be planned.

Kaynakça

  • 1. United Nations Office for Disaster Risk Reduction (UNDRR). Human cost of disasters: an overview of the last 20 years (2000–2019). Brussels, Belgium: UNDRR; 2020 Oct [cited 2023 Oct 6]. Available from: https://www.undrr.org/publication/human-cost-disasters-overview-last-20-years-2000-2019
  • 2. Kennedy IT, Petley DN, Williams R, Murray V. A systemat-ic review of the health impacts of mass Earth movements (landslides). PLoS Curr. 2015;30:7.
  • 3. Uğur M, Kartal F, Mete B, Tamam L, Demirkol ME. The relationship between peritraumatic dissociation and anxi-ety level, perceived stress, anxiety sensitivity and coping with earthquake stress in post-earthquake acute stress disorder patients. Turk Psikiyatri Derg. 2021;32(4): 253-260.
  • 4. Valladares-Garrido MJ, Zapata-Castro LE, Domínguez-Troncos H, García-Vicente A, León-Figueroa DA, Zila-Velasque JP, et al. Mental health disturbance after a ma-jor earthquake in Northern Peru: a preliminary, cross-sectional study. Int J Environ Res Public Health. 2022;19(14):8357.
  • 5. Honda Y, Fujiwara T, Yagi J, Homma H, Mashiko H, Nagao K, et al. Long-term impact of parental post-traumatic stress disorder symptoms on mental health of their off-spring after the great East Japan earthquake. Front Psy-chiatry. 2019;10:496.
  • 6. Kino S, Aida J, Kondo K, Kawachi I. Persistent mental health impacts of disaster. Five-year follow-up after the 2011 great east Japan earthquake and tsunami: Iwanuma Study. J Psychiatr Res. 2021;136:452-459.
  • 7. Schwind JS, Formby CB, Santangelo SL, Norman SA, Brown R, Hoffman Frances R, et al. Earthquake exposures and mental health outcomes in children and adolescents from Phulpingdanda village, Nepal: a cross-sectional study. Child Adolesc Psychiatry Ment Health. 2018;12:54.
  • 8. Richards A, Ospina-Duque J, Barrera-Valencia M, Escobar-Rincón J, Ardila-Gutiérrez M, Metzler T, et al. Posttrau-matic stress disorder, anxiety and depression symptoms, and psychosocial treatment needs in Colombians internal-ly displaced by armed conflict: A mixed-method evalua-tion. Psychol Trauma. 2011;3(4): 384.
  • 9. Tamer İ, Koçak UZ, Karabay D, Özer Kaya D. Physical activ-ity and exercise approaches in coping with postearthquake circadian rhythm and sleep-wake disorders. İzmir Kâtip Çelebi University Faculty of Health Sci J. 2023;8(2):685-690.
  • 10. Tang W, Lu Y, Yang Y, Xu J. An epidemiologic study of self-reported sleep problems in a large sample of adolescent earthquake survivors: the effects of age, gender, expo-sure, and psychopathology. J Psychosomat Res. 2018;113:22–29.
  • 11. Bavafa A, Khazaie H, Khaledi-Paveh B, Rezaie L. The rela-tionship of severity of symptoms of depression, anxiety, and stress with sleep quality in earthquake survivors in Kermanshah. J Inj Violence Res. 2019;11(2):225-232.
  • 12. Yabe Y, Hagiwara Y, Sekiguchi T, Sugawara Y, Tsuchiya M, Koide M, et al. Sleep disturbance is associated with new onset and continuation of lower back pain: a longitudinal study among survivors of the great East Japan earthquake. Tohoku J Exp Med. 2018;246(1):9-14.
  • 13. Oğuzöncül AF, Kurt O. Musculoskeletal diseases in Turkey with a public health perspective. Turk Klin. 2020;1:52-4.
  • 14. Yabe Y, Hagiwara Y, Sekiguchi T, Sugawara Y, Tsuchiya M, Koide M, et al. Musculoskeletal pain is associated with new-onset psychological distress in survivors of the great East Japan earthquake. Disaster Med Public Health Prep. 2019;13(2):295-300.
  • 15. Sekiguchi T, Hagiwara Y, Sugawara Y, Tomata Y, Tanji F, Watanabe T, et al. Influence of subjective economic hard-ship on new onset of neck pain (so-called: katakori) in the chronic phase of the Great East Japan Earthquake: A pro-spective cohort study. J Orthop Sci. 2018;23(5):758-764.
  • 16. Yabe Y, Hagiwara Y, Sekiguchi T, Sugawara Y, Tsuchiya M, Yoshida S, et al. Musculoskeletal pain in other body sites is associated with new-onset low back pain: a longitudinal study among survivors of the great East Japan earthquake. BMC Musculoskelet Disord. 2020;21(1):227.
  • 17. AFAD. 2023. 06 Şubat 2023 Pazarcık-Elbistan Kahramanmaraş (Mw: 7.7 – Mw: 7.6) depremleri raporu. Türkiye: AFAD; 2023 Haziran (cited 2023 Ekim 6). Availa-ble from:https://deprem.afad.gov.tr/assets/pdf/Kahramanmara%C5%9F%20Depremi%20%20Raporu_02.06.2023.pdf
  • 18. Baytar B. The analysis of the anxiety, depression and PTSD levels of the people who had earthquake in their child-hood period in 1999 according to some variables. [mas-ter’s thesis]. [İstanbul (AU)]: Üsküdar University; 2017.
  • 19. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-7.
  • 20. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother. 1998;12(2):163.
  • 21. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • 22. Ağargün MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996;7:107-115.
  • 23. Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-3.
  • 24. Yakut E, Düger T, Oksüz C, Yörükan S, Üreten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29(5):581-5.
  • 25. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manip Physiol Ther. 1992;15(1).
  • 26. Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N. The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish ver-sion study. Spine. 2009;34(16):1732-1735.
  • 27. Munro BH. Statistical methods for health care research (vol. 1). Lippincott Williams & Wilkins. 2005.
  • 28. Cankardaş S, Sofuoğlu Z. Post-traumatic stress disorder symptoms and their predictors in earthquake or fire survi-vors. Turk J Psychiatr. 2019;30(3):151-156.
  • 29. Itoh Y, Takeshima M, Kaneita Y, Uchimura N, Inoue Y, Honda M, et al. Associations between the 2011 great East Japan earthquake and tsunami and the sleep and mental health of Japanese people: a 3-wave repeated survey. Nat Sci Sleep. 2022;14:61-73.
  • 30. Wang S, Shi X, Chen X, Zhu Y, Chen H, Fan F. Earthquake exposure and PTSD symptoms among disaster-exposed adolescents: a moderated mediation model of sleep prob-lems and resilience. Front Psychiatry. 2021;12:577328.
  • 31. Yabe Y, Hagiwara Y, Sekiguchi T, Sugawara Y, Tsuchiya M, Yoshida S, et al. Association between sleep disturbance and low back pain: a 3-year longitudinal study after the great East Japan earthquake. Spine. 2022;47(4):361-368.
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ağrı, İş ve Meslek Hastalıkları
Bölüm Araştırma Makalesi
Yazarlar

Demet Gözaçan Karabulut 0000-0001-9235-1059

Hatice Yıldırım 0000-0001-5013-8970

Gönül Elpeze 0000-0002-3534-9507

Çağtay Maden 0000-0003-4444-5717

Erken Görünüm Tarihi 15 Mart 2024
Yayımlanma Tarihi 29 Nisan 2024
Gönderilme Tarihi 3 Kasım 2023
Kabul Tarihi 9 Ocak 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 21 Sayı: 1

Kaynak Göster

Vancouver Gözaçan Karabulut D, Yıldırım H, Elpeze G, Maden Ç. The Relationship Between Post-Earthquake Anxiety Status with Sleep Problems, Low Back and Neck Pain in Victims of the Kahramanmaraş-Centred Earthquakes. Harran Üniversitesi Tıp Fakültesi Dergisi. 2024;21(1):11-6.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty