Earthquake Related Post-Traumatic Stress Disorder from a Family Medicine Perspective

Yıl 2024, Cilt: 18 Sayı: 4, 503 - 509

Z. Yelda Özer , Sevgi Özcan

https://doi.org/10.21763/tjfmpc.1494673

Öz

Our country is located in the earthquake zone. Throughout history, earthquakes ranging from mild to severe have occurred. As much as the physical damage caused by earthquakes, psychological damage also negatively affects the health of individuals and society.
Post-Traumatic Stress Disorder (PTSD) is one of the psychiatric diseases with the highest prevalence after earthquakes. Differentiating acute stress disorder and other psychiatric diseases observed after the earthquake and providing early diagnosis and treatment is important to protect the health of individuals. The most common psychiatric disorder accompanying PTSD observed after the earthquake is major depression and is associated with an increased risk of suicide. Research shows that the effects of PTSD continue even years after the earthquake.
Family physicians constitute the first point of contact with the healthcare system in accordance with the principles of the discipline. They offer open and unlimited health services to those who want to receive service. They are of critical importance in effectively managing PTSD observed after earthquake trauma. The purpose of this review is to draw attention to the PTSD observed after the earthquake and the critical importance of primary care-focused family physicians in the management of PTSD.

Anahtar Kelimeler

Earthquake, Post-traumatic stres disorder, Family Practice

Aile Hekimliği Bakışıyla Depreme Bağlı Travma Sonrası Stres Bozukluğu

Öz

Ülkemiz deprem kuşağında yer almaktadır. Tarih boyunca etkisi hafiften şiddetliye kadar değişen birçok deprem meydana gelmiştir. Depremlerin yarattığı fiziksel hasarlar kadar psikolojik hasarlar da bireylerin ve toplumun sağlığını olumsuz etkilemektedir. Travma Sonrası Stres Bozukluğu (TSSB), yaşanan depremler sonrası prevalansı en yüksek olan psikiyatrik hastalıklardandır. Deprem sonrası gözlenen akut stres bozukluğu ve diğer psikiyatrik hastalıklardan ayırt edilerek erken teşhis ve tedavinin sağlanması, bireylerin sağlığını korumak için önemlidir. Deprem sonrası gözlenen TSSB’ye en sık eşlik eden psikiyatrik hastalık majör depresyondur ve artmış intihar riski ile ilişkilendirilmektedir. Yapılan araştırmalarda TSSB’nin etkilerinin depremden yıllar sonra dahi devam ettiği gözlenmektedir.
Aile hekimleri disiplinin ilkeleri gereği sağlık sistemi ile ilk temas noktasını oluştururlar. Hizmet almak isteyenlere açık ve sınırsız sağlık hizmeti sunarlar. Deprem travması sonrası gözlenen TSSB’nin etkili yönetilebilmesi konusunda kritik öneme sahiptir. Bu derlemenin amacı deprem sonrası gözlenen TSSB’ye ve birinci basamak odaklı çalışan aile hekimlerinin TSSB’nin yönetimindeki kritik önemine dikkat çekmektir.

Anahtar Kelimeler

Depremler, Travma sonrası stres bozukluğu, Aile Hekimliği

Kaynakça

• 1. Diamond PR, Airdrie JN, Hiller R, Fraser A, Hiscox LV, Hamilton-Giachritsis C, et al. Change in prevalence of post-traumatic stress disorder in the two years following trauma: a meta-analyticstudy. European Journal of Psychotraumatology. 2022;13(1):1-13. https://doi.org/10.1080/20008198.2022.2066456 Erişim Tarihi: 02.06.2024
• 2. Bisson JI , Cosgrove S, Lewis C, Robert NP. Post-traumatic stress disorder. BMJ. 201526;351:h6161. doi: 10.1136/bmj.h6161. Erişim Tarihi: 02.06.2024
• 3. Kandilli Rasathanesi ve Deprem Araştırma Enstitüsü. Deprem Nedir? http://www.koeri.boun.edu.tr/sismo/bilgi/depremnedir/index.htm Erişim Tarihi: 12.04.2024
• 4. T.C. İçişleri Bakanlığı Afet ve Acil Durum Yönetimi Başkanlığı. Deprem. https://deprem.afad.gov.tr/home-page Erişim Tarihi: 12.04.2024
• 5. Natural Disasters. Our World in Data. November 2021. https://ourworldindata.org/natural-disasters#natural-disasters-kill-tens-of-thousands-each-year Erişim Tarihi: 12.04.2024
• 6. T.C. İçişleri Bakanlığı Afet ve Acil Durum Yönetimi Başkanlığı. Deprem. https://deprem.afad.gov.tr/press-release-detail/216 Erişim Tarihi: 12.04.2024
• 7. Earthquake U.S. Geological Survey. https://earthquake.usgs.gov/earthquakes/eventpage/us6000jllz/map Erişim Tarihi: 12.04.2024
• 8. Akdur R. Afetler ve Afetlerde Sağlık Hizmetleri. Türkiye Sorunlarına Çözüm Konferansı-3. 21. Yüzyılda Türkiye. 25-27 Ocak 2000, Ankara Basımevi. https://www.recepakdur.com/media/1782/afetler-ve-afetlerde-saglik-hizmetleri.pdf Erişim Tarihi: 02.06.2024
• 9. Newnham EA, Mergelsberg ELP, Chen Y, Kim Y, Gibbs L, Dzidic PL, et al. Long term mental health trajectories after disasters and pandemics: A multilingual systematic review of prevalence, risk and protective factors. Clin Psychol Rev. 2022;97:102203.
• 10. Kuman Tunçel Ö. Deprem, Kitlesel Travma ve Sonrası. Arch Neuropsychiatry. 2023;60:97−98.
• 11. Acharya PR, Chalise P, Khadka S, Chaulagain B, Maharjan B, Pandey J, Nepal J, Pandey C. Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal. BMC Psychiatry. 2023;23(1):340. doi: 10.1186/s12888-023-04836-3. Erişim Tarihi: 02.06.2024
• 12. World Health Organization. Disasters. https://www.who.int/home/search-results?indexCatalogue=genericsearchindex1&searchQuery=natural%20disaster&wordsMode=AnyWord
• 13. Aker A. 1999 Marmara depremleri: epidemiyolojik bulgular ve toplum ruh sağlığı uygulamaları üzerine bir gözden geçirme. Türk Psikiyatri Dergisi. 2006;17(3):204-212.
• 14. İlhan B, Berikol GB, Eroğlu O, Deniz T. Prevalence and associated risk factors of post-traumatic stress disorder among survivors of the 2023 Turkey earthquake. Am J Emerg Med. 2023;72:39-43. doi:10.1016/j.ajem.2023.07.026. Erişim Tarihi: 02.06.2024
• 15. Beaglehole B, Mulder RT, Frampton CM, Boden JM, Newton-Howes G, Bell CJ. Psychological distress and psychiatric disorder after natural disasters: systematic review and meta-analysis. The British Journal of Psychiatry. 2018;213(6):716-722. doi:10.1192/bjp.2018.210 Erişim Tarihi: 02.06.2024
• 16. Özdemir O, Boysan M, Özdemir PG, Yılmaz E. Relationships between posttraumatic stress disorder (PTSD), dissociation, quality of life, hopelessness, and suicidal ideation among earthquake survivors. Psychiatry Research. 2015;228(3):598-605. doi: 10.1016/j.psychres.2015.05.045. Erişim Tarihi: 02.06.2024
• 17. Veith I. Four Thousand Years of Hysteria. In: Horowitz MJ, editor. 1977.p.7-93.
• 18. Norman M. These Good Men: Friendships Forged From War. Crown New York, 1989. p.139- 141.
• 19. Özen Y. Psikolojik Travmanın İnsanlık Kadar Eski Tarihi. The Journal of Social Science. 2017;1(2):104-117. doi: 10.30520/tjsosci.350160 Erişim tarihi: 02.06.2024
• 20. American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders: DSM-III, USA, 1980.
• 21. American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders: DSM-V (5th edition). Arlington editör. American Psychiatric Association 2013.
• 22. Sandro G, Arijit N, David V. The Epidemiology of Post-Traumatic Stress Disorder after Disasters. Epidemiologic Reviews. 2005;27(1):78–91. https://doi.org/10.1093/epirev/mxi003 Erişim Tarihi: 02.06.2024
• 23. www.UpToDate.com. Posttraumatic stress disorder in children and adolescents: Epidemiology, clinical features, assessment, and diagnosis. https://www.uptodate.com/contents/posttraumatic-stress-disorder-in-children-and-adolescents-epidemiology-clinical-features-assessment-and-diagnosis?search=Post%20traumatic%20stress%20disorder%20children&source=search_result&selectedTitle=2%7E150&usage_type=default&display_rank=2 Erişim Tarihi: 13.04.2024
• 24. Cohen JA, Bukstein O, Walter H, Scott RB, Chrisman A, Tiffany RF, et al. Practice parameter for the assessment and treatment of children and adolescents with posttraumatic stress disorder. J Am Acad Child Adolesc Psychiatry. 2010;49(4):414-430.
• 25. Rezayat AA, Sahebdel S, Jafari S, Kabirian A, Amir MR, Ramin HF, et al. Evaluating the Prevalence of PTSD among Children and Adolescents after Earthquakes and Floods: a Systematic Review and Meta-Analysis. Psychiatr Q. 2020;91(4):1265-1290. doi:10.1007/s11126-020-09840-4. Erişim Tarihi: 02.06.2024
• 26. Bulut S. Depremi Direk Olarak Yaşayan ve Okulları Yıkılan Çocuklarda Görülen Travma Sonrası Stres Tepkilerinin ve Alt Boyutlarının Üç Yıllık Boylamsal İncelenmesi. Türk Psikoloji Dergisi. 2010;25 (66):87-98.
• 27. Terr LC. Childhood traumas: an outline and overview. Am J Psychiatry. 1991;148(1):10-20. doi:10.1176/ajp.148.1.10 Erişim Tarihi: 02.06.2024
• 28. Yıldız İM, Başterzi AD, Yıldırım EA, Yüksel Ş, Aker AT, Semerci B, ve ark. Deprem Sonrası Erken Dönemde Koruyucu ve Tedavi Edici Ruh Sağlığı Hizmeti-Türkiye Psikiyatri Derneği Uzman Görüşü. Türk Psikiyatri Dergisi. 2023;34(1):39−49. https://doi.org/10.5080/u27305 Erişim Tarihi: 14.04.2024.
• 29. www.UpToDate.com. Posttraumatic stress disorder in children and adolescents: Treatment overview. https://www.uptodate.com/contents/posttraumatic-stress-disorder-in-children-and-adolescents-treatment-overview?search=Posttraumatic%20stress%20disorder%20treatment&source=search_result&selectedTitle=2%7E150&usage_type=default&display_rank=2 Erişim Tarihi:28.04.2024
• 30. Piccinelli M, Wilkinson G. Gender differences in depression. Critical review. Br J Psychiatry. 2000;177:486-492. doi:10.1192/bjp.177.6.486. Erişim Tarihi: 02.06.2024
• 31. De Jesus Silva MM, Peres RCLE, Alves ND, Clapis MJ. Depression in pregnancy. Prevalence and associated factors. Invest Educ Enferm. 2016;34(2):342-350. doi:10.17533/udea.iee.v34n2a14. Erişim Tarihi: 02.06.2024
• 32. Laplante DP, Brunet A, Schmitz N, Ciampi A, King S. Project Ice Storm: Prenatal Maternal Stress Affects Cognitive and Linguistic Functioning in 5 1/2-Year-Old Children. Journal of the American Academy of Child and Adolescent Psychiatry. 2008;47(9):1063-72.
• 33. Van de Loo KF, Van Gelder MM, Roukema J, Roeleveld N, Merkus PJ, Verhaak CM. Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis. Eur Respir J. 2016;47(1):133-146. doi:10.1183/13993003.00299-2015 Erişim Tarihi: 02.06.2024
• 34. Weinstock M. Intrauterine factors as determinants of depressive disorder. Isr J Psychiatry Relat Sci. 2010;47(1):36-45.
• 35. Handelzalts JE, Hairston IS, Muzik M, Matatyahu Tahar A, Levy S. A paradoxical role of childbirth-related posttraumatic stress disorder (PTSD) symptoms in the association between personality factors and mother-infant bonding: A cross-sectional study. Psychol Trauma. 2022;14(6):1066-1072. doi:10.1037/tra0000521 Erişim Tarihi. 02.06.2024
• 36. www.UpToDate.com. Posttraumatic stress disorder in adults: Treatment overview. https://www.uptodate.com/contents/posttraumatic-stress-disorder-in-adults-treatment-overview?search=Posttraumatic%20stress%20disorder%20treatment&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1 Erişim Tarihi: 28.04.2024
• 37. TAHUD. Aile Hekimliği Avrupa Tanımı, 2011. https://www.tahud.org.tr/file/96f3dfc7-3961-4272-b5b7-e6cbbd7580ef/AH_AVRUPA_TANIMI-2.pdf Erişim Tarihi: 02.06.2024
• 38. Cooper J. PTSD – an update for general practitioners. Australian Family Physician Vol. 43, No.11, page 754-757, November 2014.
• 39. www.UpToDate.com. Posttraumatic stress disorder in adults: Epidemiology, pathophysiology, clinical features, assessment, and diagnosis. https://www.uptodate.com/contents/search?search=Posttraumatic%20stress%20disorder%20in%20adults%3A%20Epidemiology%2C%20pathophysiology%2C%20clinical%20features%2C%20assessment%2C%20and%20diagnosis Erişim Tarihi: 28.04.2024
• 40. Tedeschi RG, CalhounLG.The posttraumatic growth inventory: Measuring the positive legacy of trauma. J. Traum. Stress. 1996;9:455-471. https://doi.org/10.1002/jts.2490090305 Erişim Tarihi: 02.06.2024
• 41. Yu XN, Lau JT, Zhang J, Mak WW, Choi KC, Lui WW, et al. Posttraumatic growth and reduced suicidal ideation among adolescents at month 1 after the Sichuan Earthquake. Journal of Affective Disorders. 2010;123(1):327-331.
• 42. Guo J, Liu C, Kong D, Solomon P, Fu M. The relationship between PTSD and suicidality among Wenchuan earthquake survivors: The role of PTG and social support. J Affect Disord. 2018;235:90-95. doi:10.1016/j.jad.2018.04.030. Erişim Tarihi: 02.06.2024
• 43. Liang Y, Cheng J, Ruzek JI, Liu Z. Posttraumatic stress disorder following the 2008 Wenchuan earthquake: A 10-year systematic review among highly exposed populations in China. J Affect Disord. 2019;243:327-339. doi:10.1016/j.jad.2018.09.047