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Journals / Psikiyatride Güncel Yaklaşımlar / 2026 / Cilt: 18 Sayı: Supplement 1 Özel Sayı

Posttraumatic Stress Symptoms and Related Factors Among Healthcare Workers in the Third Year After Kahramanmaraş Earthquakes

Kahramanmaraş Depremlerinin Üçüncü Yılında Sağlık Çalışanlarında Görülen Travma Sonrası Stres Belirtileri ve İlgili Faktörler

Ali Meriç Kurt(Nizip Devlet Hastanesi)0000-0002-6989-0975
Zeynep Namlı(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI)0000-0001-8954-5901
Lut Tamam(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI)0000-0002-9750-7531
Mehmet Emin Demirkol(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI)0000-0003-3965-7360
Mahmut Onur Karaytuğ(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI)0000-0002-6338-2195
Caner Yeşiloğlu(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI)0000-0002-9997-351X
Sinem Çetin Demirtaş(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI)0000-0001-9536-2335
İrem Sanem Sabahi(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI ANABİLİM DALI)0000-0001-7809-1174
Pages
505–517
Publication Date
2026-10-18
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AI Summary & Key Takeaways

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

Conclusion: Approximately three years after the Kahramanmaraş-centered earthquakes, posttraumatic stress symptoms among healthcare workers were associated with anxiety levels, perceived social support, and secondary stressors arising in the aftermath of the disaster.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study aimed to evaluate posttraumatic stress symptoms among healthcare workers in the third year following the Kahramanmaraş-centered earthquakes and to examine the relationships of these symptoms with perceived social support, personality traits, anxiety, and depression levels.
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Key Findings & Data:Method: A total of 174 healthcare workers who were employed at the same hospital during the February 6, 2023 earthquakes were included in the study.
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Conclusion & Impact:Conclusion: Approximately three years after the Kahramanmaraş-centered earthquakes, posttraumatic stress symptoms among healthcare workers were associated with anxiety levels, perceived social support, and secondary stressors arising in the aftermath of the disaster.
🔬Design:Survey & Empirical Study
📍Scope:2023 Verileri
⚙️Variables:sağlık çalışanları · travma sonrası stres belirtileri · algılanan sosyal destek

Abstract

Objective: This study aimed to evaluate posttraumatic stress symptoms among healthcare workers in the third year following the Kahramanmaraş-centered earthquakes and to examine the relationships of these symptoms with perceived social support, personality traits, anxiety, and depression levels. Method: A total of 174 healthcare workers who were employed at the same hospital during the February 6, 2023 earthquakes were included in the study. Participants were evaluated using the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), the Multidimensional Scale of Perceived Social Support (MSPSS), the Revised Abbreviated Eysenck Personality Questionnaire (EPQR-A), the Beck Anxiety Inventory (BAI), and the Beck Depression Inventory (BDI). Results: The mean age of the participants was 35.94±9.40 years, and 65.5% were female. Posttraumatic stress symptom severity was positively correlated with depressive, and anxiety symptoms, and neuroticism, and negatively correlated with perceived social support. PCL-5 scores were significantly higher among participants who worked in the disaster area during the first month after the earthquakes, experienced housing damage, were displaced from their homes for at least one week, relocated their residence, experienced housing problems, or had a physically injured relative. In the multiple linear regression analysis, anxiety symptoms and perceived social support were independently associated with posttraumatic stress symptom severity (R²=0.496). Conclusion: Approximately three years after the Kahramanmaraş-centered earthquakes, posttraumatic stress symptoms among healthcare workers were associated with anxiety levels, perceived social support, and secondary stressors arising in the aftermath of the disaster.

Özet

Amaç: Bu çalışmada, Kahramanmaraş merkezli depremlerin üçüncü yılında sağlık çalışanlarında travma sonrası stres belirtilerinin değerlendirilmesi ve bu belirtilerin algılanan sosyal destek, kişilik özellikleri, anksiyete ve depresyon düzeyleri ile ilişkisinin incelenmesi amaçlandı. Yöntem: Çalışmaya, 6 Şubat 2023 depremleri sırasında aynı hastanede görev yapan 174 sağlık çalışanı dahil edildi. Katılımcılar DSM-5 için Travma Sonrası Stres Bozukluğu Kontrol Listesi (PCL-5), Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ), Eysenck Kişilik Anketi Gözden Geçirilmiş Kısa Formu (EKA-GGKF), Beck Anksiyete Envanteri (BAE) ve Beck Depresyon Envanteri (BDE) ile değerlendirildi. Bulgular: Katılımcıların yaş ortalaması 35,94±9,40 yıl olup %65,5'i kadındı. Travma sonrası stres belirti düzeyi depresif belirtiler, anksiyete belirtileri ve nörotisizm ile aynı yönlü, algılanan sosyal destek ile zıt yönlü ilişkiliydi. Depremden sonraki ilk bir ay içerisinde saha görevi yapanlarda, konut hasarı bulunanlarda, en az bir hafta evden ayrılanlarda, ikamet değişikliği yapanlarda, barınma sorunu yaşayanlarda ve yakını fiziksel olarak yaralananlarda PCL-5 puanları anlamlı olarak daha yüksekti. Çoklu doğrusal regresyon analizinde anksiyete belirtileri ve algılanan sosyal destek travma sonrası stres belirti düzeyi ile bağımsız olarak ilişkiliydi (R²=0,496). Sonuç: Depremden yaklaşık üç yıl sonra sağlık çalışanlarında travma sonrası stres belirtileri anksiyete düzeyi, algılanan sosyal destek ve afet sonrasında ortaya çıkan ikincil stresörlerle ilişkili bulunmuştur.

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Cite This Article

Kurt, A. M., Namlı, Z., Tamam, L., Demirkol, M. E., Karaytuğ, M. O., Yeşiloğlu, C., Demirtaş, S. Ç., Sabahi, İ. S. (2026). Posttraumatic Stress Symptoms and Related Factors Among Healthcare Workers in the Third Year After Kahramanmaraş Earthquakes. Psikiyatride Güncel Yaklaşımlar, Cilt: 18 Sayı: Supplement 1 Özel Sayı, 505–517. https://doi.org/10.18863/pgy.2017674

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References (35)

  1. Alipour F, Ahmadi S (2020) Social support and posttraumatic stress disorder (PTSD) in earthquake survivors: a systematic review. Soc Work Ment Health, 18:501-514.
  2. APA (2022) Diagnostic and Statistical Manual of Mental Disorders, 5th ed, text rev. Washington, DC, American Psychiatric Association.
  3. Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol, 56:893-897.
  4. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry, 4:561-571.
  5. Borja SE, Callahan JL, Rambo PL (2009) Understanding negative outcomes following traumatic exposure: the roles of neuroticism and social support. Psychol Trauma, 1:118-129.
  6. Boysan M, Guzel Ozdemir P, Ozdemir O, Selvi Y, Yilmaz E, Kaya N (2017) Psychometric properties of the Turkish version of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders (PCL-5). Psychiatry Clin Psychopharmacol, 27:300-310.
  7. Breslau N, Schultz L (2013) Neuroticism and post-traumatic stress disorder: a prospective investigation. Psychol Med, 43:1697-1702.
  8. Brooks SK, Dunn R, Amlôt R, Rubin GJ, Greenberg N (2018) A systematic, thematic review of social and occupational factors associated with psychological outcomes in healthcare employees during an infectious disease outbreak. J Occup Environ Med, 60:248-257.
  9. Brown N, Wojtalik JA, Turkel M, Vuper T, Strasshofer D, Sheline YI et al. (2020) Neuroticism and its associated brain activation in women with PTSD. J Interpers Violence, 35:341-363.
  10. Bryant RA, Friedman MJ, Spiegel D, Ursano R, Strain J (2011) A review of acute stress disorder in DSM-5. Depress Anxiety, 28:802-817.
  11. Calhoun CD, Stone KJ, Cobb AR, Patterson MW, Danielson CK, Bendezú JJ (2022) The role of social support in coping with psychological trauma: an integrated biopsychosocial model for posttraumatic stress recovery. Psychiatr Q, 93:949-970.
  12. Çınaroğlu M, Yılmazer E, Noyan Ahlatcıoğlu E, Varol Ülker S, Hızlı Sayar G (2025) Psychological impact of the 2023 Kahramanmaraş earthquakes: a systematic review and meta-analysis of PTSD, depression, and anxiety among Turkish adults. Front Public Health, 13:1664212.
  13. Eker D, Arkar H (1995) Perceived social support: psychometric properties of the MSPSS in normal and pathological groups in a developing country. Soc Psychiatry Psychiatr Epidemiol, 30:121-126.
  14. Francis LJ, Brown LB, Philipchalk R (1992) The development of an abbreviated form of the Revised Eysenck Personality Questionnaire (EPQR-A): its use among students in England, Canada, the USA and Australia. Pers Individ Dif, 13:443-449.
  15. Gökkaya E, Kuday AD, Çelebi I (2025) Mental health impact of the 2023 Kahramanmaraş earthquakes: prevalence of PTSD, depression, anxiety, and stress among survivors. J Health Psychol, 30:3284-3296.
  16. Gürü M, Şahmelikoğlu Onur Ö (2025) The psychological toll on healthcare workers following Türkiye’s earthquake disasters. Online Turkish Journal of Health Sciences, 10:52-59.
  17. Hisli N (1989) Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Türk Psikoloji Dergisi, 7(23):3-13.
  18. Karancı AN, Dirik G, Yorulmaz O (2007) Eysenck Kişilik Anketi-Gözden Geçirilmiş Kısaltılmış Formu’nun (EKA-GGK) Türkiye’de geçerlik ve güvenilirlik çalışması. Turk Psikiyatri Derg, 18:254-261.
  19. Kiymis I, Fakioglu M (2025) The psychological consequences of 6 February 2023 Kahramanmaraş earthquakes. Nat Hazards, 121:2919-2940.
  20. Koca M, Deniz S, İnceoğlu F (2025) The relationship of the psychological resilience and stress coping level of health personnel working in hospitals after Kahramanmaraş-based earthquakes with traumatic stress. Healthcare (Basel), 13:301.
  21. Lock S, Rubin GJ, Murray V, Rogers MB, Amlôt R, Williams R (2012) Secondary stressors and extreme events and disasters: a systematic review of primary research from 2010-2011. PLoS Curr, 4:e4f74bfe9fb5aa.
  22. Polat H, Uğur K, Sun T (2025) Assessing psychological resilience and stress symptoms in health care workers following the 2023 Kahramanmaraş earthquake. Disaster Med Public Health Prep, 19:e243.
  23. Raabe FJ, Spengler D (2013) Epigenetic risk factors in PTSD and depression. Front Psychiatry, 4:80.
  24. Satilmis D, Yildiz E, Cevik E (2024) Posttraumatic stress disorder in health-care workers after two major earthquakes centered in Kahramanmaras, Turkey. Turk J Emerg Med, 24:27-32.
  25. Sehlikoğlu Ş, Yılmaz Karaman IG, Yastıbaş Kaçar C, Canakci ME (2023) Earthquake and mental health of healthcare workers: a systematic review. Klinik Psikiyatri Dergisi, 26:309-318.
  26. Sirotich AC, Camisasca E (2024) PTSD risk factors in earthquake survivors and their families: a systematic review. Eur J Psychotraumatol, 15:2365477.
  27. Tang B, Deng Q, Glik D, Dong J, Zhang L (2017) A meta-analysis of risk factors for post-traumatic stress disorder (PTSD) in adults and children after earthquakes. Int J Environ Res Public Health, 14:1537.
  28. Uddin H, Hasan MK, Cuartas-Alvarez T, Castro-Delgado R (2024) Effects of mass casualty incidents on anxiety, depression, and post-traumatic stress disorder among doctors and nurses: a systematic review. Public Health, 234:132-142.
  29. Ulusoy M, Sahin NH, Erkmen H (1998) Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother, 12:163-172.
  30. Wang SK, Feng M, Fang Y, Lv L, Sun GL, Yang SL et al. (2023) Psychological trauma, posttraumatic stress disorder and trauma-related depression: a mini-review. World J Psychiatry, 13:331-339.
  31. Wang Y, Chung MC, Wang N, Yu X, Kenardy J (2021) Social support and posttraumatic stress disorder: a meta-analysis of longitudinal studies. Clin Psychol Rev, 85:101998.
  32. Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, Schnurr PP (2013) The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD. https://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp (Accessed 21.09.2026)
  33. Xi Y, Yu H, Yao Y, Peng K, Wang Y, Chen R (2020) Post-traumatic stress disorder and the role of resilience, social support, anxiety and depression after the Jiuzhaigou earthquake: a structural equation model. Asian J Psychiatr, 49:101958.
  34. Yin Q, Wu L, Yu X, Liu W (2019) Neuroticism predicts a long-term PTSD after earthquake trauma: the moderating effects of personality. Front Psychiatry, 10:657.
  35. Zimet GD, Dahlem NW, Zimet SG, Farley GK (1988) The Multidimensional Scale of Perceived Social Support. J Pers Assess, 52:30-41.