Kahramanmaraş Depremi Sonrası Çocuk Psikiyatrisi’ne Başvuran Olguların Sosyodemografik Ve Klinik Özelliklerinin İncelenmesi

Year 2025, Volume: 22 Issue: 2, 317 - 323, 27.06.2025

Nur Seda Gülcü Üstün

https://doi.org/10.35440/hutfd.1607458

Abstract

Amaç: 6 Şubat 2023 tarihinde, Türkiye'nin Kahramanmaraş ilinde 7.7 ve 7.6 büyüklüğünde iki yıkıcı deprem meydana gelmiştir. Çocuklar ve ergenler, bu tür afetlerin ardından en fazla psikososyal etkilen-ime açık gruplardan biridir. Türkiye'nin büyük çocuk nüfusu göz önüne alındığında, bu yaş grubundaki ruh sağlığı sonuçlarının anlaşılması ulusal düzeyde önem taşımaktadır. Deprem sonrasında çocuklarda depresyon, anksiyete, travma sonrası stres belirtileri, davranış sorunları, gelişimsel gerileme, dikkat eksikliği, akademik başarıda düşüş ve öğrenme güçlükleri gibi psikiyatrik semptom ve bozukluklar ortaya çıkabilir. Bu çalışma, Kahramanmaraş depremlerinden etkilenen çocuk ve ergenlerin sosyodemografik özelliklerini, klinik profillerini, psikiyatrik tanılarını ve tedavi yaklaşımlarını inceleyerek literatüre katkı sağlamayı amaçlamaktadır.
Materyal ve Metod: Bu retrospektif çalışmada, Şubat 2023 ile Şubat 2024 tarihleri arasında Elazığ Fethi Sekin Şehir Hastanesi çocuk ve ergen psikiyatrisi polikliniğine başvuran ve ICD kodu X34 (deprem mağduru) tanısı alan 164 hastanın dosya kayıtları incelenmiştir.
Bulgular: En sık başvuru şikayetleri anksiyete, okuldan kaçınma ve depreme bağlı korkular (% 31,1) olarak belirlenmiştir. En yaygın psikiyatrik bozukluklar; dikkat eksikliği ve hiperaktivite bozukluğu (% 17,6), zihinsel yetersizlik (% 7,3), otizm spektrum bozukluğu (% 4,3) ve özgül öğrenme güçlüğü (% 3,6) gibi nörogelişimsel bozukluklar (toplam % 34,1) ile anksiyete bozuklukları (%15,9) olmuştur. Vakaların % 66’sında DSM-5 kriterlerine göre akut stres bozukluğu tanısı konmuştur.
Sonuç: Depremler sonrasında, öngörüldüğü gibi nörogelişimsel ve içselleştirilmiş psikiyatrik bozuklukla-rın yaygın olduğu görülmüştür. Türkiye'de çocuk ve ergenlerin Kahramanmaraş depremlerinden uzun vadeli etkilenimlerini değerlendirecek ileriye dönük izlem çalışmalarına ihtiyaç duyulmaktadır.

Keywords

afet , travma , deprem , Türkiye , çocuk psikiyatrisi , ergen ruh sağlığı

An Examination of the Sociodemographic and Clinical Characteristics if Cases Presenting to the Child Psychiatry Clinicaifter the Kahramanmaraş Earthquakes

Abstract

Background: On February 6, 2023, two devastating earthquakes with magnitudes of 7.7 and 7.6 struck Kahramanmaraş, Türkiye. Children and adolescents are among the most vulnerable groups to experi-ence significant psychosocial impacts following such disasters. Given Türkiye's large pediatric popula-tion, understanding the mental health outcomes in this group is of national importance. Post-earthquake psychiatric symptoms and disorders in children may include depression, anxiety, post-traumatic stress symptoms, behavioral issues, cognitive regression, attention deficits, academic de-cline, and learning difficulties. This study aims to contribute to the literature by examining the socio-demographic characteristics, clinical profiles, psychiatric diagnoses, and treatment approaches among pediatric patients affected by the Kahramanmaraş earthquakes.
Materials and Methods: This retrospective study reviewed the medical records of 164 children and adolescents who were diagnosed under ICD code X34 (victims of earthquake) and presented to Elazig Fethi Sekin City Hospital the child psychiatry outpatient clinic between February 2023 and February 2024.
Results: The most common presenting complaints were anxiety, school avoidance, and earthquake-related fears (31.1%). The most frequently identified psychiatric conditions were neurodevelopmental disorders (totaling 34.1%), including ADHD (17.6%), intellectual disability (7.3%), autism spectrum disorder (4.3%), and specific learning disorder (3.6%), as well as anxiety disorders (15.9%). Acute stress disorder, according to DSM-5, was diagnosed in 66% of the cases.
Conclusions: As expected, there was a high prevalence of neurodevelopmental and internalizing psy-chiatric disorders following the earthquakes. Prospective, long-term follow-up studies assessing the enduring impact of the Kahramanmaraş earthquakes on children and adolescents in Türkiye are war-ranted.

Keywords

disaster , trauma , earthquake , Türkiye , child psychiatry , adolescent mental health

Ethical Statement

The study was approved by FIRAT University Noninterventional Clinical Research Ethical Committee (Decision no: 2024/05-05, Date: 21.03.2024).

Supporting Institution

No financial support.

Thanks

We thank our patients and their families for their contributions.

References

• 1. Afet ve Acil Durum Yönetimi Başkanlığı [AFAD] (2023). 06 Şubat 2023 Pazarcık (Kahramanmaraş) Mw 7.7 Elbistan (Kah-ramanmaraş) Mw 7.6 Depremlerine İlişkin Ön Değerlendir-me Raporu (PDF). Erişim: 06.02.2023.
• 2. Koeri, (2023). 06 Şubat 2023 Sofalaca Şehitkâmil Gaziantep Depremi Basın Bülteni. B.Ü. Kandilli Rasathanesi ve Deprem Araştırma Enstitüsü Bölgesel Deprem-Tsunami İzleme ve Değerlendirme Merkezi, İstanbul.4.sayfa. Erişim:08.02.2023.
• 3. Edemen M, Bircan O, Okkay M, Yoldaş H, Tugrul R, Neci-moğlu Güzel M, et al. What is an earthquake? how does it occur? earthquakes in Turkey and what are their effects, suggestions for measures to be taken against earthquake. Int J Soc Humanit Sci Res. 2023;10(93):719–34.
• 4. Bal A, Jensen B. Post-traumatic stress disorder symptom clusters in Turkish child and adolescent trauma survivors. Eur Child Adolesc Psychiatry. 2007;16(7):449–57.
• 5. Aydoğdu F, Fofana A. Depremin küçük çocuklar üzerindeki etkileri ve müdahale programları. In International confer-ence on trends in advanced research 2023, MArch. (Vol. 1, pp. 20-25).
• 6. Celebi Oncu E, Metindogan Wise A. The effects of the 1999 Turkish earthquake on young children: Analyzing trauma-tized children’s completion of short stories. Child Dev. 2010;81(4):1161–75.
• 7. La Greca AM, Silverman WK. Treatment and prevention of posttraumatic stress reactions in children and adolescents exposed to disasters and terrorism: What is the evidence?. Child Development Perspectives. 2009; 3(1): 4-10.
• 8. Mahmoudi-Gharaei J, Bina M, Yasami MT, Emami A, Naderi F. Group play therapy effect on Bam earthquake related emo-tional and behavioral symptoms in preschool children: a be-fore-after trial. Iranian journal of pediatrics. 2006; 16(2): 137-142.
• 9. Rezayat AA, Sahebdel S, Jafari S, Kabirian A, Rahnejat AM, Farahani RH, et al. Evaluating the Prevalence of PTSD among Children and Adolescents after Earthquakes and Floods: a Systematic Review and Meta-Analysis. Psychiatr Q. 2020;91(4):1265–90.
• 10. Şalcıoğlu E, Başoğlu M. Psychological effects of earthquakes in children prospects. World J Pediatr. 2008;4(3):165–72.
• 11. Kiliç EZ, Özgüven HD, Sayil I. The psychological effects of parental mental health on children experiencing disaster: The experience of Bolu earthquake in Turkey. Family pro-cess. 2003; 42(4): 485-495.
• 12. Tang B, Deng Q, Glik D, Dong J, Zhang L. A meta-analysis of risk factors for post-traumatic stress disorder (PTSD) in adults and children after earthquakes. Int J Environ Res Pub-lic Health. 2017;14(12):1–20.
• 13. Guy W. CGI. Clinical global impression. Assessment manual for Psychopharmacology.1976; 217-222.
• 14. Khan YS, Khan AW, Alabdulla M. The psychological impact of the Turkey-Syria earthquake on children: addressing the need for ongoing mental health support and global humani-tarian response. European journal of psychotraumatolo-gy.2023; 14(2): 2249788.
• 15. Ricardo-Ramírez C, Álvarez-Gómez M, Rodríguez-Gázquez MDLÁ. Sociodemographic characteristics and mental disor-ders in children and adolescents psychiatric outpatient clin-ic children of Medellin. Revista colombiana de psiquiatria. 2015; 44(2), 115-120.
• 16. Madianos MG, Evi K. Trauma and natural disaster: The case of earthquakes in Greece. J Loss Trauma. 2010;15(2):138–50.
• 17. Basoglu M, Kilic C, Salcioglu E, Livanou M. The commonly reported risk factors for post-earthquake psy-chological problems include female gender. J Trauma Stress. 2004;17(2):133–41.
• 18. Kolaitis G, Kotsopoulos J, Tsiantis J, Haritaki S, Rigizou F, Zacharaki L, et al. Posttraumatic stress reactions among children following the Athens earthquake of September 1999. European child & adolescent psychiatry. 20023; 12; 273-280.
• 19. Roussos A, Goenjian AK, Steinberg AM, Sotiropoulou C, Kakaki M, Kabakos C, et al. Posttraumatic stress and depres-sive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece. Am J Psychiatry. 2005;162(3):530–7.
• 20. Groome D, Soureti A. Post-traumatic stress disorder and anxiety symptoms in children exposed to the 1999 Greek earthquake. Br J Psychol. 2004;95(3):387–97.
• 21. Giannopoulou I , Strouthos M, Smith P, Dikaiakou A, Galanopoulou V, Yule W. Post-traumatic stress reactions of children and adolescents exposed to the Athens 1999 earthquake. European Psychiatry. 2006; 21(3);160-166.
• 22. Düken ME, Küçükoğlu S, Kiliçaslan F. Investigation of post-traumatic stress and depression symptoms in children who experienced the Kahramanmaraş Earthquake. Journal of the American Psychiatric Nurses Association. 2025; 31(2), 165-175.
• 23. Bergiannaki JD, Psarros C, Varsou E, Paparrigopoulos T, Soldatos CR. Protracted acute stress reaction following an earthquake. Acta Psychiatr Scand. 2003;107(1):18–24.
• 24. Christodoulou GN. Behavioral consequences of disasters: a timely reminder. World Psychiatry.2002; 1(3): 160.