Post-Traumatic Stress Disorder, Sleep Problems and Nutritional Status after the 7.8 and 7.5 Magnitude Earthquakes in Kahramanmaraş, Türkiye: A Cross-Sectional Study

Abstract

Objective: This study aimed to evaluate post-traumatic stress disorder (PTSD), depression, stress, anxiety levels, sleep problems, and nutritional status among earthquake survivors. Materials and Methods: This cross-sectional study was conducted nine months after the 2023 Kahramanmaraş earthquakes with 201 adult earthquake survivors, including 87 men and 114 women, with a mean age of 29.46 ± 12.19 years. An online questionnaire including demographic characteristics, the Impact of Event Scale (IES-R), Depression Anxiety Stress Scale, the PTSD Symptom-Self Report Scale (PSS-SR), Insomnia Severity Index (ISI), and food frequency questionnaire was performed. Participants self-reported their height and body weight before and after the earthquake. The scales were correlated and compared with gender. Results: According to the PSS-SR classification, 58.3% of participants had severe and 11.9% had extremely severe PTSD symptoms. Additionally, 51.2% experienced extremely severe anxiety, and 75.6% had insomnia. There was a moderate positive correlation between IES-R and stress (r: 0.634, p<0.001), anxiety (r: 0.589, p<0.001), depression (r: 0.610, p<0.001), ISI (r: 0.492, p<0.001), and PSS-SR (r: 0.696, p<0.001). Nutrient intake was adequate according to the RDA, but there were significant differences in body weight and body mass index before and after the earthquake (p<0.001). Conclusion: The earthquakes significantly affected survivors, leading to a high burden of psychiatric disorders. It is essential to strengthen public health services in this area.

Keywords

• Earthquakes
• insomnia
• nutritional status
• post-traumatic
• stress disorders

Kahramanmaraş, Türkiye'de 7.8 ve 7.5 Büyüklüğündeki Depremler Sonrası Travma Sonrası Stres Bozukluğu, Uyku Sorunları ve Beslenme Durumu: Kesitsel Bir Çalışma

Öz

Amaç: Bu çalışmada depremzedelerde travma sonrası stres bozukluğu (TSSB), depresyon, stres, anksiyete düzeyleri, uyku sorunları ve beslenme durumunun değerlendirilmesi amaçlanmıştır. Materyal ve Metot: Bu kesitsel çalışma, 2023 Kahramanmaraş depremlerinden dokuz ay sonra, yaş ortalaması 29,46 ± 12,19 yıl olan 87 erkek ve 114 kadın olmak üzere 201 yetişkin depremzede ile gerçekleştirilmiştir. Demografik özellikler, Olay Etkisi Ölçeği (IES-R), Depresyon Anksiyete Stres Ölçeği, TSSB Belirtileri Ölçeği-Kendini Değerlendirme (TSSBÖ-KD), Uykusuzluk Şiddeti İndeksi (UŞİ) ve besin tüketim sıklığını içeren online bir anket uygulanmıştır. Katılımcıların beyanı ile depremden önce ve sonra boy ve vücut ağırlıkları alındı. Ölçekler ilişkilendirildi ve cinsiyetler arası karşılaştırıldı. Sonuçlar: TSSBÖ-KD sınıflandırmasına göre, katılımcıların %58.3'ü şiddetli ve %11,9'u çok şiddetli TSSB semptomlarına sahiptir. Ayrıca, %51,2'si çok şiddetli anksiyete ve %75,6'sı uykusuzluk yaşamaktadır. IES-R ile stres (r: 0,634, p<0,001), anksiyete (r: 0,589, p<0,001), depresyon (r: 0,610, p<0,001), UŞİ (r: 0,492, p<0,001) ve TSSBÖ-KD (r: 0,696, p<0,001) arasında orta düzeyde pozitif bir korelasyon bulunmuştur. Besin alımı RDA'ya göre yeterlidir, ancak deprem öncesi ve sonrasında vücut ağırlığı ve beden kütle indeksinde anlamlı farklılıklar vardır (p<0.001). Sonuç: Depremler hayatta kalanları önemli ölçüde etkilemiş ve yüksek psikiyatrik bozukluk yüküne yol açmıştır. Bu alanda halk sağlığı hizmetlerinin güçlendirilmesi elzemdir.

Anahtar Kelimeler

• Beslenme durumu
• depremler
• stres bozuklukları
• travma sonrası
• uykusuzluk

Kaynakça

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