Travma Sonrası Stres Bozukluğunu Yaralanmış Filistinlilerde Gelecek Kaygısıyla İlişkilendirme: Kuzey Batı Şeria, Kalkilya Valiliği Üzerine Bir Vaka Çalışması

Öz

Bu çalışma, uzun süren siyasi çatışmalar, ekonomik zorluklar ve sınırlı sağlık hizmeti erişimi ile etkilenen Kalkilya Valiliği'ndeki yaralanmış Filistinliler arasında Travma Sonrası Stres Bozukluğu (PTSD) ile gelecek kaygısı arasındaki ilişkiyi incelemektedir. Yaralanmış bireyler, şiddete maruz kalma, kayıp, yerinden edilme ve süregelen belirsizlik nedeniyle birleşik psikolojik zorluklarla karşı karşıyadır. Araştırmada, Şehitler ve Yaralılar Bakım Kurumu’na kayıtlı 312 yaralı kişi üzerinde amaçlı örneklem kullanılarak tanımlayıcı korelasyonel araştırma deseni uygulanmıştır. Veriler, DSM-5 kriterlerine dayalı PTSD Ölçeği ve Gelecek Kaygısı Ölçeği ile toplanmış; tanımlayıcı istatistikler ve Pearson korelasyon katsayıları ile analiz edilmiştir. Bulgular, orta düzeyde PTSD semptomları (M = 3,00, SD = 0,16) ve yüksek düzeyde gelecek kaygısı (M = 3,83, SD = 0,67) olduğunu göstermiştir. Pearson korelasyon analizi, PTSD ve gelecek kaygısı arasında güçlü ve istatistiksel olarak anlamlı pozitif bir ilişki (r = .759, p < .01) ortaya koymuş; PTSD semptomlarının şiddeti arttıkça geleceğe yönelik kaygının da arttığını göstermiştir. Çalışma, hem PTSD hem de gelecek kaygısını eşzamanlı ele alan bütünleşik ruh sağlığı müdahalelerini önermektedir; bunlar arasında travma odaklı bilişsel davranışçı terapi, dayanıklılık geliştirme programları ve topluluk temelli psikososyal destek yer almaktadır. Özel hizmetlerin genişletilmesi, ek ruh sağlığı profesyonellerinin eğitimi ve sosyal destek ağlarının güçlendirilmesi kritik öneme sahiptir; ayrıca psikolojik sıkıntıyı artıran hareket kısıtlamaları, işsizlik ve sağlık hizmeti eksikliği gibi yapısal faktörler de ele alınmalıdır.

Anahtar Kelimeler

• Travma Sonrası Stres Bozukluğu
• Gelecek Kaygısı
• Yaralanmış Filistinliler
• Ruh Sağlığı
• Silahlı Çatışma

Destekleyen Kurum

Lincoln University College

Etik Beyan

Bu çalışma, Helsinki Bildirgesi ilkeleri de dahil olmak üzere kurumsal ve uluslararası etik standartlara uygun olarak yürütülmüştür. Araştırma evreni, 2025 yılında Kalkilya Valiliği'nde Yaralılar ve Şehitler Bakım Kurumu’na kayıtlı Filistinli yaralı kişilerden oluşmaktadır. Cinsiyet, ikamet yeri, yaş, medeni durum, eğitim seviyesi ve engellilik yüzdesine göre katmanlı olarak seçilen 312 katılımcıdan basit rastgele örneklem alınmıştır. Katılım tamamen gönüllü olup yalnızca anket yanıtları ile sınırlıydı. Tüm katılımcılar çalışmanın amacı hakkında bilgilendirilmiş ve katılmadan önce onaylarını vermişlerdir. Tüm katılımcıların gizliliği ve anonimliği veri toplama, analiz ve raporlama süresince titizlikle korunmuştur.

Teşekkür

Yazarlar, meslektaşlarına ve çalışmaya katılan kişilere—Kalkilya Valiliği’ndeki Yaralılar Kurumu’na kayıtlı Filistinli savaş yaralılarına—bu çalışmaya verdikleri değerli işbirliği ve katılımları için içten teşekkürlerini sunar.

Linking Post-Traumatic Stress Disorder to Future Anxiety Among Injured Palestinians: Case Study from Qalqilya Governorate, Northern West Bank

Öz

This study examines the relationship between Post-Traumatic Stress Disorder (PTSD) and future anxiety among injured Palestinians in Qalqilya Governorate, an area affected by prolonged political conflict, economic hardship, and limited healthcare access. Injured individuals face compounded psychological challenges due to exposure to violence, loss, displacement, and ongoing uncertainty. A descriptive correlational design was employed with a purposive sample of 312 registered injured persons from the Martyrs and Injured Care Institution. Data were collected using the PTSD Scale (based on DSM-5 criteria) and the Future Anxiety Scale, with statistical analysis including descriptive measures and Pearson correlation coefficients. Findings revealed a moderate level of PTSD symptoms (M = 3.00, SD = 0.16) and high levels of future anxiety (M = 3.83, SD = 0.67). A strong, statistically significant positive correlation was observed between PTSD and future anxiety (r = .759, p < .01), indicating that greater PTSD severity is associated with increased future-oriented anxiety. The study recommends integrated mental health interventions addressing both PTSD and future anxiety, including trauma-informed cognitive behavioral therapy, resilience-building programs, and community-based psychosocial support. Expanding specialized services, training additional mental health professionals, and enhancing social support networks are crucial, alongside addressing structural factors such as mobility restrictions, unemployment, and lack of medical care that perpetuate psychological distress.

Anahtar Kelimeler

• Post-Traumatic Stress Disorder
• Future Anxiety
• Palestinian Injured
• Mental Health

Destekleyen Kurum

Lincoln University College

Etik Beyan

This study was conducted in accordance with institutional and international ethical standards, including the principles of the Declaration of Helsinki. The research population consisted of Palestinian injured persons registered with the Injured and Martyrs Care Institution in Qalqilya Governorate in 2025. A simple random sample of 312 participants was selected, stratified by gender, place of residence, age, marital status, educational level, and disability percentage. Participation was entirely voluntary and limited to questionnaire responses. All participants were informed about the purpose of the study and provided their consent prior to participation. Confidentiality and anonymity of all respondents were strictly maintained throughout data collection, analysis, and reporting.

Teşekkür

The authors extend their sincere thanks to their colleagues and to the study participants—Palestinian war-injured individuals registered with the Injured Persons Institution in Qalqilya Governorate—for their valuable cooperation and participation in this study.

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