The Psychological Impact of Medical Experience During the 2023 Kahramanmaraş Earthquakes on Healthcare Providers from Istanbul University Istanbul Faculty of Medicine Assigned to the Disaster Region

Year 2025, Volume: 8 Issue: 3, 148 - 156, 28.10.2025

Irmak Polat , Sevde Nur Karabulut , Melis Ceylan , Mesut Keskin , Muhammed Atak , Ümmuhan İşoğlu-alkaç

https://doi.org/10.26650/JARHS2025-1774750

Abstract

Objective: Our study aimed to investigate the psychological impact of assignment to disaster zones on healthcare providers (HCP) from Istanbul University Istanbul Faculty of Medicine following the 2023 Kahramanmaraş earthquakes.

Material and Methods: A cross-sectional study was conducted. Of the 104 eligible personnel, 62 (59.6%) participated. Data were collected via online surveys that included sociodemographic characteristics and deployment experiences. The Impact of Event Scale-Revised (IES-R) and the Depression Anxiety Stress Scale-21 (DASS-21) were used to assess traumatic stress symptoms. Non parametric tests and correlation analyses were applied, with significance set at p<0.05.

Results: Participants were predominantly male (72.6%) and nurses represented nearly half (48.4%). The majority did not have prior disaster experience (71.7%) or formal training (77.4%). No significant differences in the scale scores were found between gender, pro fession, or years of experience. However, higher traumatic stress scores were significantly associated with reported challenges, including rapid response pressure, physical fatigue, shortages of medical supplies, unsafe accommodation, and unmet basic needs (all p<0.01). Exposure to emotionally distressing circumstances— such as child fatalities, disrupted bodies, and grieving families —also correlated with increased symptom severity. Perceived psychological strain showed strong correlations with both IES-R (r=0.626, p<0.001) and DASS-21 (r=0.454, p<0.001).

Conclusion: The HCP deployed to the 2023 Kahramanmaraş earth quakes experienced psychological stress, driven by environmental and emotional difficulties. The findings underscore the need for psychological evaluation and support, structured training, and organisational strategies to protect the HCP’s mental health during future disasters.

Keywords

Disaster , earthquake , healthcare providers , mental health , traumatic stress

2023 Kahramanmaraş Depremleri Sonrasında Afet Bölgesine Görevlendirilen İstanbul Üniversitesi İstanbul Tıp Fakültesi Sağlık Çalışanlarının Ruhsal Etkilenme Düzeyi

Abstract

Amaç: Çalışmamızın amacı, 2023 Kahramanmaraş depremlerinin ardından İstanbul Üniversitesi İstanbul Tıp Fakültesi sağlık çalışan larının (SÇ) afet bölgelerine görevlendirilmesinin psikolojik etkisini araştırmaktır.

Gereç ve Yöntem: Kurumumuzdan deprem bölgelerine görevlendirilen toplam 104 SÇ’den 62'si (%59,6) katılmıştır. Ver iler, sosyodemografik özellikleri ve görevlendirme deneyimlerini içeren çevrimiçi anket aracılığıyla toplanmıştır. Travmatik stres belirtilerini değerlendirmek için Olayların Etkisi Ölçeği (OEÖ) ve Depresyon Anksiyete Stres Ölçeği-21 (DASÖ-21) kullanılmıştır. SPSS programında non-parametrik testler ve korelasyon analizleri uygu lanmış, anlamlılık düzeyi p<0,05 olarak belirlenmiştir.

Bulgular: Katılımcıların çoğu erkek olup (%72,6) ve hemşireler neredeyse yarısını oluşturmaktadır. (%48,4). Örneklemin çoğunluk daha önce afet bölgesinde çalışmamış (%71,7) veya formal bir arama-kurtarma eğitimi almamıştır (%77,4). Cinsiyet, meslek veya mesleki süre açısından ölçek puanlarında fark bulunmamıştır. Hızlı tıbbi müdahale gerekliliği, fiziksel yorgunluk, tıbbi malzeme eksikliği, güvenli olmayan barınma koşulları ve temel ihtiyaçların karşılanmasında zorluklar belirten SÇ’de daha yüksek travmatik stres puanları saptanmıştır (tümü p<0,01). Yaralı ya da ölülerin çocuk yaş grubunda olması, beden bütünlüğü bozulmuş ya da uygun olmayan koşullarda bekletilen ölü bedenlere maruziyet, yas tepkileri gibi zorlayıcı durumlara maruz kalmak artmış semptom şiddetiyle ilişkili bulunmuştur. Katılımcıların belirttiği psikolojik gerginlik, hem OEÖ (r=0,626, p<0,001) hem de DASÖ-21 puanlarıyla (r=0,454, p<0,001) korelasyon göstermiştir.

Sonuç: 2023 Kahramanmaraş depremlerinde görevlendirilen SÇ, çevresel ve duygusal zorluklar nedeniyle psikolojik stres deneyim lemiştir. Bulgular, gelecekteki acil durum ya da afetlerde SÇ’nin ruh sağlığını korumak için psikolojik değerlendirme ve destek, yapı landırılmış acil durum/ afet eğitimleri ve organizasyonel strateji lerin önemini vurgulamaktadır.

Keywords

Afet , deprem , sağlık çalışanları , ruh sağlığı , trav matik stres

References

• AFAD. Press bulletin-21 about the earthquake in Kahramanmaraş [Internet]. 2023 [cited 2023 Jul 3]. Available from: https://en.afad.gov.tr/press-bulletin-22-about-the-earthquake-in-Kahramanmaras google scholar
• Türk Tabipler Birliği. 6 Şubat 2023 Kahramanmaraş ve 20 Şubat 2023 Hatay depremleri birinci ay raporu [Internet]. 2023 [cited 2023 Jul 3]. Available from: https://www.ttb.org.tr/userfiles/files/1ayraporu.pdf google scholar
• T.C. Sağlık Bakanlığı. Bakan Koca deprem bölgesinde son durumu değerlendirdi [Internet]. 2023 [cited 2023 Jul 3]. Available from: https://www.saglik.gov.tr/TR, 94749/bakan-koca-deprem-bolgesinde-son-durumu-degerlendirdi.html google scholar
• North CS, Pfefferbaum B. Mental health response to community disasters: a systematic review. JAMA 2013;310(5):507-18. google scholar
• Brooks SK, Dunn R, Amlôt R, Rubin GJ, Greenberg N. Social and occupational factors associated with psychological distress and disorder among disaster responders: a systematic review. BMC Psychol 2016;4(1):18. google scholar
• Mao X, Loke AY, Fung OWM, Hu X. What it takes to be resilient: the views of disaster healthcare rescuers. Int J Disaster Risk Reduct 2019;36:101112. google scholar
• Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv 2004;55(9):1055-7. google scholar
• Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3(3):e203976. google scholar
• Sehlikoglu S, Yilmaz Karaman IG, Yastibas Kacar C, Canakci ME. Earthquake and mental health of healthcare workers: a systematic review. Turk J Clin Psychiatry 2023;26:309-18. google scholar
• Yanık D, Ediz Ç. Experiences and psychosocial challenges of volunteer nurses in Turkey devastating earthquake zones: lessons to be learnt for prevention of health system problems in disasters: a qualitative study. Public Health Nurs 2024;41:503-13. google scholar
• Bulut A, Bahadır Yılmaz E, Altınbaş A. Comparison of post-traumatic stress disorder and post-traumatic growth status between healthcare professionals employed in earthquake-affected areas and non-employing employees. Forbes J Med 2023;4(3):327-35. google scholar
• Akçay E, Çöp E, Senses Dinç G, Yılmazer Y, Bilgili Can D, Demirel BD, et al. Emotional exhaustion and psychological distress among health care workers after the 2023 Kahramanmaraş earthquake: prevalence and associated factors. Am J Orthopsychiatry 2025;95(2):212-22. google scholar
• Koca M, Deniz S, İnceoğlu F. The relationship of psychological resilience and stress coping level of health personnel working in hospitals after Kahramanmaraş-based earthquakes with traumatic stress. Healthcare (Basel) 2025;13(3):301. google scholar
• Çifçi S, Kilinç Z. The disaster of the century: effects of the 6 February 2023 Kahramanmaraş earthquakes on the sleep and mental health of healthcare workers. Int J Environ Res Public Health 2024;21(11):1533. google scholar
• Weiss DS, Marmar CR. The Impact of Event Scale-Revised. In: Wilson JP, Keane TM, editors. Assessing psychological trauma and PTSD. New York: Guilford; 1997. p. 399-411. google scholar
• Çorapçıoğlu A, Yargıç İ, Geyran P, Kocabaşoğlu N. Validity and reliability of Turkish version of Impact of Event Scale-Revised (IES-R). New Symposium J 2006;44(1):14-22. google scholar
• Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol 2005;44(2):227-39. google scholar
• Sarıçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. JCBPR 2018;7(1):19-30. google scholar
• IBM Corp. IBM SPSS Statistics for Windows, version 22.0 [computer program]. Armonk (NY): IBM Corp; 2013. google scholar
• Aker AT. 1999 Marmara earthquakes: a review of epidemiologic findings and community mental health policies. Turk Psikiyatri Derg 2006;17(3):204-12. google scholar
• Satilmis D, Yildiz E, Cevik E. Posttraumatic stress disorder in health-care workers after two major earthquakes centered in Kahramanmaras, Turkey. Turk J Emerg Med 2024;24(1):27-32. google scholar
• Sehlikoğlu Ş, Yastibaş Kaçar C, Yilmaz-Karaman IG. Psychological assessment of health care workers in the aftermath of the February 2023 earthquakes in Turkey. J Psychiatr Pract 2024;30(5):333-42. google scholar
• Hagh-Shenas H, Goodarzi MA, Dehbozorgi G, Farashbandi H. Psychological consequences of the Bam earthquake on professional and nonprofessional helpers. J Trauma Stress 2005;18(5):477-83. google scholar
• Mao X, Fung OWM, Hu X, Loke AY. Psychological impacts of disaster on rescue workers: a review of the literature. Int J Disaster Risk Reduct 2018;27:602-17. google scholar
• Harrell M, Selvaraj SA, Edgar M. Danger! Crisis health workers at risk. Int J Environ Res Public Health 2020;17(15):5270. google scholar
• Hugelius K, Murphy J, Blomberg K. Health problems among disaster responders to the 2023 Turkey-Syria earthquake: a cross-sectional study. BMC Emerg Med 2024;24:226. google scholar
• Sprung CL, Devereaux AV, Ghazipura M, Burry LD, Hossain T, Hamele MT, et al; Task Force for Mass Critical Care Writing Group. Critical care staffing in pandemics and disasters: a consensus report from a subcommittee of the Task Force for Mass Critical Care - systems strategies to sustain the health care workforce. Chest 2023;164(1):124-36. google scholar
• Tahernejad S, Ghaffari S, Ariza-Montes A, Wesemann U, Farahmandnia H, Sahebi A. Post-traumatic stress disorder in medical workers involved in earthquake response: a systematic review and meta-analysis. Heliyon 2023;9(1):e12793. google scholar