Journals / Hemşirelik Bilimi Dergisi / 2026 / Cilt: 9 Sayı: 2

Eco-Anxiety and Post-Traumatic Stress Disorder Among Nursing Students After an Earthquake: A Cross-Sectional Study

Deprem Sonrası Hemşirelik Öğrencilerinde Eko-Anksiyete ve Travma Sonrası Stres Bozukluğu: Kesitsel Bir Çalışma

Ayla Güllü(HATAY MUSTAFA KEMAL ÜNİVERSİTESİ, HATAY SAĞLIK YÜKSEKOKULU, HEMŞİRELİK BÖLÜMÜ)0000-0003-1241-9370
Nihal Aloğlu(KAHRAMANMARAŞ SÜTÇÜ İMAM ÜNİVERSİTESİ, KAHRAMANMARAŞ SAĞLIK YÜKSEKOKULU)0000-0003-4162-2845
Süheyla Aslan(Hatay Mustafa Kemal University)0000-0001-8121-2336
Pages
158–168
Publication Date
2026-08-21
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: It was found that the participants' post-earthquake PTSD levels were above the moderate level and the prevalence of PTSD was 37%.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to determine the level of post-traumatic stress disorder (PTSD) and eco-anxiety in nursing students after the February 6 earthquake, and to determine the relationship between eco-anxiety and PTSD.
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Key Findings & Data:Methods: The data for this cross-sectional study were collected between December 10, 2023, and January 10, 2024.
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Conclusion & Impact:Results: It was found that the participants' post-earthquake PTSD levels were above the moderate level and the prevalence of PTSD was 37%.
🔬Design:Araştırma Makalesi
📍Scope:2023 Verileri
⚙️Variables:Afet Sonrası Ruh Sağlığı · Deprem · Eko-anksiyete

Abstract

Objective: The aim of this study was to determine the level of post-traumatic stress disorder (PTSD) and eco-anxiety in nursing students after the February 6 earthquake, and to determine the relationship between eco-anxiety and PTSD. Methods: The data for this cross-sectional study were collected between December 10, 2023, and January 10, 2024. A total of 235 students enrolled in the nursing program at a state university located in the earthquake-affected region constituted the study sample. The population consisted of 304 students registered in the program, and the sample was determined using a known-population sampling method. Data collection instruments included the Brief Post-Traumatic Stress Disorder (PTSD) Scale and the Eco-Anxiety Scale. Results: It was found that the participants' post-earthquake PTSD levels were above the moderate level and the prevalence of PTSD was 37%. The eco-anxiety levels of the participants were found to be moderate. It was determined that eco-anxiety had a positive and significant effect on PTSD and 50.1% of PTSD variance was explained by eco-anxiety (R=0.708, R2=0.501, p=0.000). Conclusion: It is recommended that experts provide individual and gender-specific psychological support and coping strategies for students who experience eco-anxiety and post-traumatic stress symptoms as a result of a natural disaster such as an earthquake.

Özet

Amaç: Bu çalışmada hemşirelik öğrencilerinde 6 Şubat depremlerinin ardından travma sonrası stres bozukluğu (TSSB) ve eko-anksiyete düzeyinin belirlenmesi, ayrıca eko-anksiyete ile TSSB arasındaki ilişkinin belirlenmesi amaçlandı. Yöntem: Kesitsel tipte planlanan bu çalışmanın verileri 10 Aralık 2023–10 Ocak 2024 tarihleri arasında toplandı. Deprem bölgesinde bulunan bir devlet üniversitesinin hemşirelik bölümünde öğrenim gören 235 katılımcı çalışmanın örneklemini oluşturdu. Çalışmanın evreni bölümde kayıtlı 304 öğrenciden oluştu ve örneklem, evreni bilinen örnekleme yöntemi ile belirlendi. Veri toplama araçları olarak ‘Travma Sonrası Stres Bozukluğu (TSSB) Kısa Ölçeği’ ve ‘Eko Anksiyete Ölçeği’ kullanıldı. Bulgular: Katılımcıların deprem sonrası TSSB düzeylerinin orta düzeyin üzerinde olduğu ve öğrenciler arasında TSSB yaygınlığının %37 olduğu saptandı. Katılımcıların eko-anksiyete düzeylerinin ise orta seviyede olduğu bulundu. Eko-anksiyetenin TSSB üzerinde pozitif yönde ve anlamlı bir etkisinin olduğu, TSSB varyansının %50,1’inin eko-anksiyete tarafından açıklandığı belirlendi (R=0,708; R2=0,501; p<0,001). Sonuç: Deprem gibi doğal bir afet sonucunda eko-anksiyete ve travma sonrası stres belirtileri yaşayan öğrencilere yönelik uzmanlar tarafından kişiye ve cinsiyete özel psikolojik destek ve başa çıkma stratejilerinin sağlanması önerilmektedir.

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Cite This Article

Güllü, A., Aloğlu, N., Aslan, S. (2026). Eco-Anxiety and Post-Traumatic Stress Disorder Among Nursing Students After an Earthquake: A Cross-Sectional Study. Hemşirelik Bilimi Dergisi, Cilt: 9 Sayı: 2, 158–168. https://doi.org/10.54189/hbd.1705769

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References (37)

  1. Adhikari Baral I, Bhagawati KC. (2019). Post traumatic stress disorder and coping strategies among adult survivors of earthquake, Nepal. BMC Psychiatry, 19(1),118. doi:10.1186/s12888-019-2090-y
  2. Afet ve Acil Durum Yönetimi Başkanlığı (AFAD). (2023). 06 Şubat 2023 Pazarcık-Elbistan Kahramanmaraş (Mw:7.7-Mw: 7.6) depremleri raporu. (Erişim tarihi: 15.03.2025) https://deprem.afad.gov.tr/content/143
  3. Aslan B, Önal Ö. (2024). Prevalence of probable post-traumatic stress disorder among survivors of the 2023 earthquakes in Türkiye. Eastern Mediterranean Health Journal, 30(9),622-631. doi:10.26719/2024.30.9.622
  4. Aylaz R, Balkaya F, Uncu F. (2025). Üniversite öğrencilerinde deprem sonrası travma düzeyleri ile uyku kaliteleri arasındaki ilişki: Kesitsel bir çalışma. Turk Psikiyatri Dergisi, 36,29. doi:10.5080/u27374
  5. Aytaç S, Ovayolu Ö, Serçe S. (2025). The level of trauma and hopelessness of survivor nursing students of the February 6, 2023, Kahramanmaraş earthquakes: The case of Türkiye. Disaster Medicine and Public Health Preparedness, 19, e4. doi:10.1017/dmp.2024.345
  6. Bahar A, Çuhadar D. (2023). Trauma level, coping with stress and post-traumatic change in university students experiencing Kahramanmaraş centered earthquake: A cross-sectional study. Disaster Medicine and Public Health Preparedness, 17, e549. doi:10.1017/dmp.2023.208
  7. Baudon P, Jachens LA. (2021). Scoping review of ınterventions for the treatment of eco-anxiety. International Journal of Environmental Research and Public Health, 18(18), 9636. doi:10.3390/ijerph18189636
  8. Baykara Mat ST, Yilmaz BN. (2024). Is awareness of climate change a predictor of eco-anxiety? Research within the scope of nursing students. Nurse Education Today, 140,106274. doi:10.1016/j.nedt.2024.106274
  9. Bdier D, Veronese G, Mahamid F. (2024). Environmental degradation, eco-anxiety and post-traumatic stress symptoms among Palestinian adults: The mediating role of coping strategies. Global Mental Health (Camb), 11, e105. doi:10.1017/gmh.2024.40
  10. Butler CD. (2025). Eco-anxiety, climate change and the 'bottom billion': A plea for better understanding. BMJ Mental Health, 28(1), e301380. doi:10.1136/bmjment-2024-301380
  11. Carmassi C, Dell'Oste V, Barberi FM, Pedrinelli V, Cordone A, Cappelli A, et al. (2021). Do somatic symptoms relate to PTSD and gender after earthquake exposure? A cross-sectional study on young adult survivors in Italy. CNS Spectrums, 26, 268-274. doi:10.1017/S1092852920000097
  12. Clayton S. (2021) Climate change and mental health. Current Environmental Health Reports, 8(1), 1-6. doi:10.1007/s40572-020-00303-3
  13. Clayton S, Manning CM, Krygsman K, Speiser M. (2017). Mental health and our changing climate: Impacts, implications, and guidance. American Psychological Association and ecoAmerica. (Erişim tarihi: 10.04.2025), https://www.apa.org/news/press/releases/mental-health-climate-change.pdf
  14. Cosh SM, Ryan R, Fallander K, Robinson K, Tognela J, Tully PJ, et al. (2024). The relationship between climate change and mental health: A systematic review of the association between eco-anxiety, psychological distress, and symptoms of major affective disorders. BMC Psychiatry, 24(1), 833. doi:10.1186/s12888-024-06274-1
  15. Çolak M, Dogan R, Dogan S. (2025). Effect of climate change and health course on global warming knowledge and attitudes, environmental literacy, and eco-anxiety level of nursing students: A quasi-experimental study. Public Health Nursing, 42(3), 1315-1324. doi:10.1111/phn.13536
  16. Er S, Murat M, Ata EE, Köse S, Buzlu S. (2024). Nursing students' mental health: How does eco-anxiety effect? International Journal of Mental Health Nursing, 33(5), 1315-1326. doi:10.1111/inm.13320
  17. Evren C, Dalbudak E, Aydemir O, Köroğlu E, Evren B, Özen S, vd. (2016). Psychometric properties of the Turkish PTSD-Short Scale in a sample of undergraduate students. Bulletin of Clinical Psychopharmacology, 26(3), 294-302. doi:10.5455/bcp.20151205113132
  18. Fu Y, Chen Y, Wang J, Tang X, He J, Jiao M, et al. (2013). Analysis of prevalence of PTSD and its influencing factors among college students after the Wenchuan earthquake. Child and Adolescent Psychiatry and Mental Health, 7(1), 1. doi:10.1186/1753-2000-7-1
  19. Heeren A, Mouguiama-Daouda C, Contreras A. (2022). On climate anxiety and the threat it may pose to daily life functioning and adaptation: A study among European and African French-speaking participants. Climatic Change, 173(1–2). doi:10.1007/s10584-022-03402-2
  20. Hogg TL, Stanley SK, O’Brien LV, Wilson MS, Watsford CR. (2021). The Hogg Eco-Anxiety Scale: Development and validation of a multidimensional scale. Global Environmental Change, 71(102391), 1-10. doi:10.1016/j.gloenvcha.2021.102391
  21. Işık K, Yıldırım H. (2025). The effect of earthquake on nursing students’ attitude towards death, academic success, and future anxiety: Descriptive and cross-sectional study. Turkiye Klinikleri Journal of Nursing Sciences, 17(3), 726-33.
  22. İlhan B, Berikol GB, Eroğlu O, Deniz T. (2023). Prevalence and associated risk factors of post-traumatic stress disorder among survivors of the 2023 Turkey earthquake. The American Journal of Emergency Medicine, 72, 39-43. doi:10.1016/j.ajem.2023.07.026
  23. Kameg BN. (2020) Climate change and mental health: implications for nurses. Journal of Psychosocial Nursing and Mental Health Services, 58(9), 25-30. doi:10.3928/02793695-20200624-05
  24. LeBeau R, Mischel E, Resnick H, Kilpatrick D, Friedman M, Craske M. (2014). Dimensional assessment of posttraumatic stress disorder in DSM-5. Psychiatry Research, 218(1-2), 143-147. doi:10.1016/j.psychres.2014.03.032
  25. Parkinson B, Johnston M. (2024). Association between eco-anxiety and mental health difficulties among student nurses has implications for nurse education during a climate emergency. Evidence Based Nursing, ebnurs-2024-104096. doi:10.1136/ebnurs-2024-104096
  26. Patrick R, Snell T, Gunasiri H, Garad R, Meadows G, Enticott J. (2023). Prevalence and determinants of mental health related to climate change in Australia. The Australian & New Zealand Journal of Psychiatry, 57(5), 710-724. doi:10.1177/00048674221107872
  27. Pihkala P. (2020). Anxiety and the ecological crisis: An analysis of eco-anxiety and climate anxiety. Sustainability, 12(19), 7836. doi:10.3390/su12197836
  28. Reyes MES, Carmen BPB, Luminarias MEP, Mangulabnan SANB, Ogunbode CA. (2023). An investigation into the relationship between climate change anxiety and mental health among Gen Z Filipinos. Current Psychology, 42(9), 7448-7456. doi:10.1007/s12144-021-02099-3
  29. São Pedro VA, Trierveiler-Pereira L, Baltazar JM. (2022). Adapt conservation biology teaching to address eco-anxiety in students. PLoS Biology, 20(9), e3001774. doi:10.1371/journal.pbio.3001774
  30. Stevenson K, Peterson N. (2015) Motivating action through fostering climate change hope and concern and avoiding despair among adolescents. Sustainability, 8(1), 6. doi:10.3390/su8010006
  31. Tabachnick BG, Fidell LS. (2013). Using multivariate statistics (Sixth edition). United States: Pearson Education
  32. Thakur A, Choudhary D, Kumar B, Chaudhary A. (2022). A Review on post-traumatic stress disorder (PTSD): Symptoms, therapies and recent case studies. Current Molecular Pharmacology, 15(3), 502-516. doi:10.2174/1874467214666210525160944
  33. Türkiye Cumhuriyeti Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı. (2023). Kahramanmaraş ve Hatay Depremleri Raporu. (Erişim tarihi: 11.04.2025), https://www.sbb.gov.tr/wp-content/uploads/2023/03/2023-Kahramanmaras-ve-Hatay-Depremleri-Raporu.pdf
  34. Udomratn P. (2008). Mental health and the psychosocial consequences of natural disasters in Asia. International Review of Psychiatry, 20(5), 441-444. doi:10.1080/09540260802397487
  35. Uzun K, Öztürk AF, Karaman M, Cebeci F, Altin MO, Arici A, vd. (2022). Adaptation of the Eco-anxiety Scale to Turkish: A validity and reliability study. Archives of Health Science and Research, 9(2), 110-115. doi:10.54614/ArcHealthSciRes.2022.21151
  36. Vera-Villarroel P, Zych I, Celis-Atenas K, Córdova-Rubio N, Buela-Casal G. (2011). Chilean validation of the Posttraumatic Stress Disorder Checklist-Civilian version (PCL-C) after the earthquake on February 27, 2010. Psychol Reports, 109, 47-58. doi:10.2466/02.13.15.17.PR0.109.4.47-58
  37. Yıldırım E, Güdücü N. (2025). The investigation of quality of life and post-traumatic stress disorder levels of midwifery students experiencing an earthquake. Disaster Medicine and Public Health Preparedness, 18, e328. doi:10.1017/dmp.2024.330”