2023 Kahramanmaraş Depremlerinden Sağ Kalanlarda Deprem Sonrası Travmanın Yeme Davranışları ve Sağlıkla İlişkili Yaşam Kalitesi Üzerindeki Etkisi

Öz

Bu kesitsel çalışma, depremden sağ kalan yetişkinlerde travma semptomlarının yeme davranışları ve sağlıkla ilişkili yaşam kalitesi ile ilişkisini ve beden memnuniyetsizliği ile tıkınırcasına yemenin, travma semptomları ile yaşam kalitesinin fiziksel ve mental bileşenleri arasındaki ilişkide aracı rolünü değerlendirmeyi amaçlamıştır. Çalışma, Ocak–Mayıs 2025 tarihleri arasında Malatya’da yaşayan 849 yetişkinle (442 kadın, 407 erkek) çevrimiçi yürütülmüştür. Veriler Post-Travmatik Stres Semptomları Ölçeği, Yeme Bozukluğu Değerlendirme Anketi-Kısa Formu ve Kısa Form-12 Sağlık Anketi ile değerlendirilmiştir. Kadınların travma semptom puanı erkeklerden anlamlı düzeyde daha yüksekti (53,70±20,60 ve 45,50±21,00; p < .001). Travma semptomları, yaşam kalitesinin fiziksel (r = –.169 ile –.229; p < .001) ve mental bileşeni (r = –.236 ile –.267; p < .001) ile negatif ilişkiliydi. Yeme davranışı alt boyutlarından beden memnuniyetsizliği, travma semptomlarıyla en tutarlı ilişkiyi göstermiştir (r = .262–.383; p < .001); tıkınırcasına yeme ise en güçlü olarak duygusal problemlerle ilişkiliydi (r = .247; p < .001). Regresyon analizinde cinsiyet, gıda güvencesizliği, hekim tanılı sağlık sorunu ve gelirin giderden düşük olması daha yüksek travma semptomlarının anlamlı yordayıcılarıydı (R² = .22; p < .001). Aracılık analizleri, beden memnuniyetsizliği ve tıkınırcasına yemenin travma semptomları ile düşük sağlıkla ilişkili yaşam kalitesi arasındaki ilişkide kısmi aracı rol oynadığını göstermiştir.

Anahtar Kelimeler

• Beden memnuniyetsizliği
• Deprem
• Sağlıkla ilişkili yaşam kalitesi
• Tıkınırcasına yeme
• Travma sonrası stress
• Yeme davranışı

Destekleyen Kurum

Malatya Turgut Özal Üniversitesi

Etik Beyan

Malatya Turgut Özal Üniversitesi Girişimsel Olmayan Araştırmalar Etik Kurulu (E-30785963-020-276473) Helsinki Bildirgesi ilkelerine uygun olarak bu çalışmayı onayladı. Çalışmaya dahil edilen tüm katılımcılardan aydınlatılmış onam alındı.

Teşekkür

gönüllülere katkılarından dolayıteşekkür ederiz

Impact of Post-Earthquake Trauma on Eating Behaviours and Health Related Quality of Life in Survivors of the 2023 Kahramanmaraş Earthquakes

Öz

This cross-sectional study examined associations between trauma symptoms, eating behaviors, and health-related quality of life among adult earthquake survivors and evaluated whether body dissatisfaction and binge eating mediated relationships between trauma symptoms and physical and mental quality of life. The study was conducted online between January and May 2025 among 849 adults (442 women, 407 men) living in Malatya. Data were assessed using the Post-Traumatic Stress Symptoms Scale, Eating Disorder Examination Questionnaire-Short Form, and Short Form-12 Health Survey. Women had significantly higher trauma symptom scores than men (53.70±20.60 vs. 45.50±21.00; p<.001). Trauma symptoms were negatively associated with physical (r=–.169 to –.229; p<.001) and mental (r=–.236 to –.267; p<.001) quality of life. Body dissatisfaction showed the most consistent association with trauma symptoms (r=.262–.383; p<.001), while binge eating was most strongly associated with emotional problems (r=.247; p<.001). Regression analysis identified sex, food insecurity, physician-diagnosed health problems, and income lower than expenses as significant predictors of higher trauma symptoms (R²=.22; p<.001). Mediation analyses showed that body dissatisfaction and binge eating partially mediated the relationship between trauma symptoms and lower health-related quality of life.

Anahtar Kelimeler

• Binge eating
• Body dissatisfaction
• Earthquake
• Eating behavior
• Health-related quality of life
• Post-traumatic stress

Destekleyen Kurum

Malatya Turgut Özal University

Etik Beyan

Non-Interventional Research Ethics Committee of Malatya Turgut Özal University (E-30785963-020-276473) approved this study, adhering to the principles of the Declaration of Helsinki. Informed consent was obtained from all individual participants included in the study.

Teşekkür

We thank all volunteers for their contributions.

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