Büyük Güneydoğu Türkiye Depreminin Psikolojik Etkileri: Hatay Bölgesi

Year 2025, Volume: 16 Issue: 1, 82 - 94, 25.04.2025

Metin Çınaroğlu , Müge Zan

https://doi.org/10.54558/jiss.1436814

Abstract

Amaç: 2023 Büyük Güneydoğu Türkiye Depremi, hayatta kalanlar üzerinde derin psikolojik etkilere neden olan yıkıcı bir olaydı. Bu çalışma, Kahramanmaraş merkezli depremlerin Hatay'daki depremden etkilenenlere olan psikolojik etkilerini, özellikle anksiyete, depresyon, umutsuzluk ve algılanan stres arasındaki ilişkiler bağlamında değerlendirilmesini amaçlamıştır.
Yöntem: Temmuz ve Eylül 2023 arasında gerçekleştirilen araştırmada, 384 depremzedeye Beck Anksiyete, Depresyon, Umutsuzluk ve Algılanan Stres Ölçekleri kullanılarak zihinsel sağlık koşulları arasındaki korelasyonlar detaylı bir şekilde analiz edilmiştir.
Bulgular: Yapılan analizler, incelenen psikolojik durumlar arasında önemli korelasyonlar olduğunu doğrulamıştır (p<0.05). Stres, özellikle yüksek anksiyete (r=0.47, p<0.001) ve depresyon skorları (r=0.53, p<0.001) ile ilişkilendirilmiştir. Ölümü gözlemlemek ve ev kaybı gibi travmatik deneyimler artan anksiyete ve depresyon ile bağlantılı bulunmuştur.
Sonuç: Çalışma, depremin ardından ortaya çıkan psikolojik sorunların karmaşık etkileşimini ortaya koymakta ve Hatay'da hedeflenmiş ruhsal sağlık müdahalelerinin kritik ihtiyacını vurgulamaktadır.
Özgünlük: Bu çalışma, bölgesel bir doğal afetin psikolojik sonuçlarını erken dönemde inceleyen çalışmalardan biri olarak, gelecekteki kriz müdahalelerini şekillendirmek için değerli içgörüler sunmakta ve afet sonrası iyileşme planlamasında özelleştirilmiş ruhsal sağlık bakımının önemini vurgulamaktadır.

Keywords

2023 Türkiye güney-doğu depreminin psikolojik etkileri, Depresyon, Anksiyete, Stres, Umutsuzluk.

Psychological Impact of Great Southeast Turkiye 2023 Earthquake: Hatay Phase

Abstract

Aim: The 2023 Great Southeast Türkiye Earthquake was a disastrous event with profound psychological effects on those who endured it. This study aims to assess the psychological impact of this earthquake on survivors from Hatay, focusing on correlations between anxiety, depression, hopelessness, and perceived stress.
Method: Conducted between July 2023 and September 2023, the research involved 384 survivors, using the Beck Anxiety, Depression, Hopelessness, and Perceived Stress Scales for a thorough analysis of correlations among these mental health conditions.
Results: The analysis confirmed significant correlations among all examined psychological conditions (p<0.05). Stress was especially linked to higher anxiety (r=0.47, p<0.001) and depression scores (r=0.53, p<0.001). Traumatic experiences, including witnessing death and losing homes, were associated with increased anxiety and depression.
Conclusion: The findings reveal the complex interplay of psychological issues following the earthquake, underscoring the critical need for targeted mental health interventions in Hatay.
Originality: This study stands out for its early examination of the psychological aftermath of a regional natural disaster, offering valuable insights for shaping future crisis interventions and highlighting the importance of tailored mental health care in post-disaster recovery planning.

Keywords

Psychological effects of earthquake in southeast Türkiye 2023, Anxiety, Depression, Stress, Hopelessness

References

• Apolinário-Hagen, J., Drüge, M. & Fritsche, L. (2020). Cognitive behavioral therapy, mindfulness-based cognitive therapy and acceptance commitment therapy for anxiety disorders: integrating traditional with digital treatment approaches. Anxiety Disorders: Rethinking and understanding recent discoveries, 291-329. https://doi.org/10.1007/978-981-32-9705-0_17
• Bahar, A. & Çuhadar, D. (2023). Trauma level, coping with stress and post-traumatic change in university students experiencing Kahramanmaraş centered earthquake: a cross-sectional study. Disaster Medicine and Public Health Preparedness, 17, e549. https://doi.org10.1017/dmp.2023.208
• Bağcaz, A. & Ayhan, A. (2023). Emergence agitation with earthquake-related traumatic stress symptoms after intravenous sedation. Turkish Journal of Psychiatry, 34(2), 136-151. https://doi.org/10.5080/u27347
• Başoǧlu, M., Kiliç, C., Şalcioǧlu, E. & Livanou, M. (2004). Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: an epidemiological study. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 17(2), 133-141. https://doi.org/10.1023/B:JOTS.0000022619.31615.e8
• Başoǧlu, M., Şalcioǧlu, E. & Livanou, M. (2002). Traumatic stress responses in earthquake survivors in Turkey. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 15(4), 269-276. https://doi.org/10.1023/A:1016241826589
• Bland, S. H., O'Leary, E. S., Farinaro, E., Jossa, F. & Trevisan, M. (1996). Long-term psychological effects of natural disasters. Psychosomatic Medicine, 58(1), 18-24.
• Boden, M. T., Bonn-Miller, M. O., Kashdan, T. B., Alvarez, J. & Gross, J. J. (2012). The interactive effects of emotional clarity and cognitive reappraisal in posttraumatic stress disorder. Journal of Anxiety Disorders, 26(1), 233-238. https://doi.org/10.1016/j.janxdis.2011.11.007
• Breen, L., Greene, D., Rees, C., Black, A., Cawthorne, M. & Egan, S. (2022). A co-designed systematic review and meta-analysis of the efficacy of grief interventions for anxiety and depression in young people. Journal of Affective Disorders, 335, 289-297. https://doi.org/10.1016/j.jad.2023.05.032
• Cann, A., Calhoun, L. G., Tedeschi, R. G. & Solomon, D. T. (2010). Posttraumatic growth and depreciation as independent experiences and predictors of well-being. Journal of Loss and Trauma, 15(3), 151-166. https://doi.org/10.1080/15325020903375826
• Chrisman, A. K. & Dougherty, J. G. (2014). Mass trauma: Disasters, terrorism, and war. Child and Adolescent Psychiatric Clinics, 23(2), 257-279. https://doi.org/ 10.1016/j.chc.2013.12.004
• Çınaroğlu, M. (2024). Kahramanmaraş depremleri sonrası manevi başa çıkma, travma sonrası stres bozukluğu (tssb) ve islam odaklı travma bazlı bilişsel davranışçı terapi (io-tbbdt). Eskiyeni, (52), 351-376. https://doi.org/10.37697/eskiyeni.1410050
• Çınaroğlu, M., Yılmazer, E. & Sayar, G. H. (2025). Psychological impact of the 2023 Kahramanmaraş earthquakes on non-victims: a cross-sectional study. BMC Public Health, 25(1), 597-612. https://doi.org/10.1186/s12889-025-21901-6
• Eskin, M., Harlak, H., Demirkıran, F. & Dereboy, Ç. (2013). Algılanan stres ölçeğinin Türkçeye uyarlanması: güvenirlik ve geçerlik analizi. In New/Yeni Symposium Journal, 51(3), 132-140.
• Freedy, J. R., Saladin, M. E., Kilpatrick, D. G., Resnick, H. S. & Saunders, B. E. (1994). Understanding acute psychological distress following natural disaster. Journal of Traumatic Stress, 7(2), 257-273. https://doi.org/10.1002/jts.2490070207
• Garfin, D. R., Silver, R. C., Gil-Rivas, V., Guzmán, J., Murphy, J. M., Cova, F., ... & Guzmán, M. P. (2014). Children’s reactions to the 2010 Chilean earthquake: The role of trauma exposure, family context, and school-based mental health programming. Psychological Trauma: Theory, Research, Practice, and Policy, 6(5), 563-679. https://doi.org/10.1002/jts.22826
• Güler Aksu, G. & İmrek, Y. (2023). The earthquake disaster in Türkiye: a review from child and adolescent psychiatry perspective. Duzce Medical Journal, 25(1), 6-14. https://doi.org/10.18678/dtfd.1271852
• Hacettepe University. (2023). 06 Şubat 2023 – Kahramanmaraş Pazarcık (Mw=7,7) ve Kahramanmaraş Elbistan (Mw=7,6) Depremleri İnceleme Raporu. https://fs.hacettepe.edu.tr/etkinlik/2023/03-Mart/rapor.pdf
• Hsu, C. C., Chong, M. Y., Yang, P. & Yen, C. F. (2002). Posttraumatic stress disorder among adolescent earthquake victims in Taiwan. Journal of the American Academy of Child & Adolescent Psychiatry, 41(7), 875-881. https://doi.org/10.1097/00004583-200207000-00022
• Hussain, A., Weisaeth, L. & Heir, T. (2011). Psychiatric disorders and functional impairment among disaster victims after exposure to a natural disaster: a population based study. Journal of Affective Disorders, 128(1-2), 135-141. https://doi.org/10.1016/j.jad.2010.06.018
• Inui, A., Kitaoka, H., Majima, M., Takamiya, S., Uemoto, M., Yonenaga, C., ... & Taniguchi, H. (1998). Effect of the Kobe earthquake on stress and glycemic control in patients with diabetes mellitus. Archives of Internal Medicine, 158(3), 274-278. https://doi.org/10.1001/archinte.158.3.274
• Kapci, E. G., Uslu, R., Turkcapar, H. & Karaoglan, A. (2008). Beck Depression Inventory II: evaluation of the psychometric properties and cutoff points in a Turkish adult population. Depression and Anxiety, 25(10), E104-E110. https://doi.org/10.1002/da.20371
• Kaplan, V., Alkasaby, M., Düken, M. E., Kaçkin, Ö. & Riad, A. (2024). The impact of earthquakes on women: assessing women's mental health in aftermath of the Kahramanmaraş-centred earthquake in Türkiye. Journal of Public Health, fdae059. https://doi.org/10.1093/pubmed/fdae059
• Keyes, K. M., Pratt, C., Galea, S., McLaughlin, K. A., Koenen, K. C. & Shear, M. K. (2014). The burden of loss: unexpected death of a loved one and psychiatric disorders across the life course in a national study. American Journal of Psychiatry, 171(8), 864-871. https://doi.org/10.1176/appi.ajp.2014.1308113
• Kaya Kılıç, A., Uğur, S. B. & Bademli, K. (2024). The relationship between post-traumatic stress, hopelessness and resources adequacy in fire disaster survivors: a mediation analysis. Clinical Social Work Journal, 1-12. https://doi.org/10.1007/s10615-024-00956-9
• Kristensen, P., Weisæth, L. & Heir, T. (2012). Bereavement and mental health after sudden and violent losses: A review. Psychiatry: Interpersonal & Biological Processes, 75(1), 76-97. https://doi.org/10.1521/psyc.2012.75.1.76
• Kyutoku, Y., Tada, R., Umeyama, T., Harada, K., Kikuchi, S., Watanabe, E., ... & Dan, I. (2012). Cognitive and psychological reactions of the general population three months after the 2011 Tohoku earthquake and tsunami. PloS One, 7(2), e31014. https://doi.org/10.1371/journal.pone.0031014
• Lau, J. T., Yu, X., Zhang, J., Mak, W. W., Choi, K. C., Lui, W. W., ... & Chan, E. Y. (2010). Psychological distress among adolescents in Chengdu, Sichuan at 1 month after the 2008 Sichuan earthquake. Journal of Urban Health, 87, 504-523. https://doi.org/10.1007/s11524-010-9447-3
• Ozdemir, O., Boysan, M., Ozdemir, P. G. & Yilmaz, E. (2015). Relationships between posttraumatic stress disorder (PTSD), dissociation, quality of life, hopelessness, and suicidal ideation among earthquake survivors. Psychiatry Research, 228(3), 598-605. https://doi.org/10.1016/j.psychres.2015.05.045
• Papadatos, Y., Nikou, K. & Potamianos, G. (1990). Evaluation of psychiatric morbidity following an earthquake. International Journal of Social Psychiatry, 36(2), 131-136. https://doi.org/10.1177/002076409003600206
• Sakarya University. (2023). SAÜ Afet Yönetim Uygulama ve Araştırma Merkezi’nden Kahramanmaraş Depremi Raporu. https://haber.sakarya.edu.tr/sau-afet-yonetim-uygulama-ve-arastirma-merkezinden-kahramanmaras-depremi-raporu-h111795.html
• Sato, K., Amemiya, A., Haseda, M., Takagi, D., Kanamori, M., Kondo, K. & Kondo, N. (2020). Postdisaster changes in social capital and mental health: a natural experiment from the 2016 Kumamoto earthquake. American Journal of Epidemiology, 189(9), 910-921. https://doi.org/10.1093/aje/kwaa041
• Seber, G., Dilbaz, N., Kaptanoğlu, C. & Tekin, D. (1993). Umutsuzluk ölçeği: geçerlilik ve güvenirliği. Kriz Dergisi, 1(3), 139-142.
• Shultz, J. M., Marcelin, L. H., Madanes, S. B., Espinel, Z. & Neria, Y. (2011). The “Trauma Signature:” understanding the psychological consequences of the 2010 Haiti earthquake. Prehospital and Disaster Medicine, 26(5), 353-366. https://doi.org10.1017/S1049023X11006716
• T.C. İçişleri Bakanlığı Afet ve Acil Durum Yönetimi Başkanlığı. (2023). 06 Şubat 2023 Pazarcik (Kahramanmaraş) Mw 7.7 Elbistan (Kahramanmaraş) Mw 7.6 Depremlerine İlişkin Ön Değerlendirme Raporu. https://deprem.afad.gov.tr/assets/pdf/Kahramanmaras%20%20Depremleri_%20On%20Degerlendirme%20Raporu.pdf
• Thabet, A. A., Tawahina, A. A., Sarraj, E. E. & Vostanis, P. (2013). Death anxiety, PTSD, trauma, grief, and mental health of Palestinians victims of War on Gaza. Health Care Current Reviews, 1(112), 1-8. http://dx.doi.org/10.4172/hccr.1000112
• Türkiye Mühendis ve Mimarlar Odası Birliği. (2023). 6 Şubat 2023 Kahramanmaraş Depremleri Raporu. https://www.tmmob.org.tr/sites/default/files/tmmob_deprem_raporu_18agustos_revize-part-1_compressed.pdf
• Ulusoy, M., Sahin, N. H. & Erkmen, H. (1998). Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of Cognitive Psychotherapy, 12(2), 163-169.
• UNICEF Türkiye. (2023). UNICEF Türkiye Aylık İnsani Durum Raporları (6 Şubat 2023 Depremleri) https://www.unicef.org/turkiye/raporlar/i%CC%87nsani-durum-raporlar%C4%B1-6-%C5%9Fubat-2023-depremleri