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Dergiler / Research on Education and Psychology / 2026 / Volume: 10

Prevalence of Posttraumatic Stress Disorder, Depression, and Anxiety Following Earthquakes: A Systematic Review and Meta-Analysis

Coşkun Arslan(NECMETTİN ERBAKAN ÜNİVERSİTESİ)0000-0003-0247-9847
Şahin Kesici(NECMETTİN ERBAKAN ÜNİVERSİTESİ)0000-0003-3823-5385
Batuhan Çakırbilgiç(TC MİLLİ EĞİTİM BAKANLIĞI KONYA)0000-0002-3533-0734
Burak Akyıldız(TC MİLLİ EĞİTİM BAKANLIĞI KONYA)0000-0001-9647-3272
Sayfa
—
Yayın Tarihi
2026-10-01
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Substantial between-study heterogeneity and wide prediction intervals indicate that these estimates should be interpreted as context-dependent averages rather than universal prevalence rates.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:This systematic review and meta-analysis examined the prevalence of posttraumatic stress disorder (PTSD), depression, and anxiety among earthquake-affected populations using studies published between 2018 and 2024.
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Temel Bulgular & Veri:Sixty-one independent samples comprising 69,748 participants contributed 90 prevalence estimates.
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Sonuç & Katkı:Substantial between-study heterogeneity and wide prediction intervals indicate that these estimates should be interpreted as context-dependent averages rather than universal prevalence rates.
🔬Tür:Laboratuvar & Saha Deneyi
📍Kapsam:2018 Verileri
⚙️Değişkenler:Anxiety · Depression · Earthquake

Abstract

This systematic review and meta-analysis examined the prevalence of posttraumatic stress disorder (PTSD), depression, and anxiety among earthquake-affected populations using studies published between 2018 and 2024. Searches were conducted in PubMed/MEDLINE, Scopus, Web of Science Core Collection, Google Scholar, ScienceDirect, and Springer Nature. Binomial-normal random-effects models with a logit link were used, with analyses stratified by assessment method and population group. Sixty-one independent samples comprising 69,748 participants contributed 90 prevalence estimates. Screening-based probable PTSD prevalence ranged from 20.4% among students and adolescents to 40.2% in other selected groups; estimates were 25.5% in community samples, 28.5% in camp or displaced populations, and 33.2% in clinical or hospital samples. Probable depression prevalence was 27.9% in community samples and 36.7% among students and adolescents, while probable anxiety prevalence was 41.3% and 34.2%, respectively. Secondary analyses combining population groups yielded pooled estimates of 25.9% for probable PTSD (95% CI, 19.9%–33.1%), 33.4% for probable depression (95% CI, 22.2%–46.7%), and 41.0% for probable anxiety (95% CI, 30.7%–52.2%). Substantial between-study heterogeneity and wide prediction intervals indicate that these estimates should be interpreted as context-dependent averages rather than universal prevalence rates.

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Bu Makaleye Atıf Yap

Arslan, C., Kesici, Ş., Çakırbilgiç, B., Akyıldız, B. (2026). Prevalence of Posttraumatic Stress Disorder, Depression, and Anxiety Following Earthquakes: A Systematic Review and Meta-Analysis. Research on Education and Psychology, Volume: 10. https://doi.org/10.54535/rep.1903017

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Kaynakça (120)

  1. Abolhadi, E., Divsalar, P., Mosleh-Shirazi, M. A., & Dehesh, T. (2022). Latent classes of posttraumatic stress disorder among survivors of the Bam Earthquake after 17 years. BMC Psychiatry, 22(1), 603. https://doi.org/10.1186/s12888-022-04216-3
  2. Acharya, S., Bhatta, D. N., & Assannangkornchai, S. (2018). Post-traumatic stress disorder symptoms among children of Kathmandu 1 year after the 2015 earthquake in Nepal. Disaster Medicine and Public Health Preparedness, 12(4), 486-492. https://doi.org/10.1017/dmp.2017.100
  3. Acharya Pandey, R., Chalise, P., Khadka, S., Chaulagain, B., Maharjan, B., Pandey, J., Nepal, J., & Pandey, C. (2023). Post-traumatic stress disorder and its associated factors among survivors of 2015 earthquake in Nepal. BMC Psychiatry, 23(1), 340. https://doi.org/10.1186/s12888-023-04836-3
  4. Achbani, A., Rida, J., Kharbach, A., Bouchriti, Y., Boukrim, M., & Sine, H. (2024). Anxiety and depression among nursing students affected by the 2023 Alhaouz earthquake in Morocco: A comprehensive evaluation. Clinical Epidemiology and Global Health, 30, 101818. https://doi.org/10.1016/j.cegh.2024.101818
  5. Adhikari Baral, I., & Bhagawati, K. C. (2019). Post traumatic stress disorder and coping strategies among adult survivors of earthquake, Nepal. BMC Psychiatry, 19, 118. https://doi.org/10.1186/s12888-019-2090-y
  6. Afzali, M. H., Sunderland, M., Teesson, M., Carragher, N., Mills, K., & Slade, T. (2017). A network approach to the comorbidity between posttraumatic stress disorder and major depressive disorder: The role of overlapping symptoms. Journal of Affective Disorders, 208, 490-496. https://doi.org/10.1016/j.jad.2016.10.037
  7. Ao, Y., Zhang, H., Yang, L., Wang, Y., Martek, I., & Wang, G. (2021). Impacts of earthquake knowledge and risk perception on earthquake preparedness of rural residents. Natural Hazards, 107(2), 1287-1310. https://doi.org/10.1007/s11069-021-04632-w
  8. Armaş, I., Cretu, R. Z., & Ionescu, R. (2017). Self-efficacy, stress, and locus of control: The psychology of earthquake risk perception in Bucharest, Romania. International Journal of Disaster Risk Reduction, 22, 71-76. https://doi.org/10.1016/j.ijdrr.2017.02.018
  9. Asif, S., Kamal, A., Gani, N., & Minhas, F. A. (2020). Prevalence of depression in areas of Muzaffarabad City (Azad Kashmir) affected by the 2005 earthquake. Journal of Bacha Khan Medical College, 1(1), 5-8. https://doi.org/10.69830/jbkmc.v1i01.72
  10. 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. https://doi.org/10.26719/2024.30.9.622
  11. Bavafa, A., Khazaie, H., Khaledi-Paveh, B., & Rezaie, L. (2019). The relationship of severity of symptoms of depression, anxiety, and stress with sleep quality in earthquake survivors in Kermanshah. Journal of Injury and Violence Research, 11(2), 225-232. https://doi.org/10.5249/jivr.v11i2.1203
  12. Bilge, Y., Emiral, E., & Demirci, H. (2024). Early aftermath of February 6 earthquakes in Turkey: PTSD, PTG, and resilience. Journal of Loss and Trauma, 29(2), 221-242. https://doi.org/10.1080/15325024.2023.2254216
  13. Boztaş, M. H., Aker, A. T., Münir, K., Çelik, F., Aydın, A., Karasu, U., & Mutlu, E. A. (2019). Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. Klinik Psikiyatri Dergisi-Turkish Journal Of Clinical Psychiatry, 22(4), 380-388. https://doi.org/10.5505/kpd.2019.62534
  14. Brady, K. T., Killeen, T. K., Brewerton, T., & Lucerini, S. (2000). Comorbidity of psychiatric disorders and posttraumatic stress disorder. Journal of Clinical Psychiatry, 61, 22-32. https://www.psychiatrist.com/jcp/comorbidity-psychiatric-disorders-posttraumatic-stress-2/
  15. Briere, J., & Elliott, D. (2000). Prevalence, characteristics, and long-term sequelae of natural disaster exposure in the general population. Journal of Traumatic Stress, 13(4), 661-679. https://doi.org/10.1023/a:1007814301369
  16. Campbell, D. G., Felker, B. L., Liu, C. F., Yano, E. M., Kirchner, J. E., Chan, D., Rubenstein, L. V., & Chaney, E. F. (2007). Prevalence of depression–PTSD comorbidity: Implications for clinical practice guidelines and primary care-based interventions. Journal of General Internal Medicine, 22(6), 711-718. https://doi.org/10.1007/s11606-006-0101-4
  17. Can Gür, G. (2024). Shattered ground, resilient souls: Examining coping strategies, social support, and earthquake exposure’s effects on post-traumatic stress disorder symptoms among adolescent and young adults survivors of the 2023 earthquake in Türkiye. Current Psychology, 43(25), 21745-21755. https://doi.org/10.1007/s12144-024-05995-6
  18. Cénat, J. M., McIntee, S. E., & Blais-Rochette, C. (2020). Symptoms of posttraumatic stress disorder, depression, anxiety and other mental health problems following the 2010 earthquake in Haiti: A systematic review and meta-analysis. Journal of Affective Disorders, 273, 55-85. https://doi.org/10.1016/j.jad.2020.04.046
  19. Claxton, J., Alberici, A., Meiser-Stedman, R., & Chiu, H. T. S. (2025). Cognitive appraisals, cognitive avoidance and rumination as shared vulnerabilities for PTSD and depression in trauma-exposed adolescents. European Journal of Psychotraumatology, 16(1), 2527550. https://doi.org/10.1080/20008066.2025.2527550
  20. Çınaroğlu, M., Yılmazer, E., Noyan Ahlatcıoğlu, E., Ülker, S. V., & 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. Frontiers in Public Health, 13, 1664212. https://doi.org/10.3389/fpubh.2025.1664212
  21. Çıtak, Ş. (2023). Psychological experiences and risk factors in earthquakes. Journal of Family Counseling and Education, 8(2), 116-134. https://doi.org/10.32568/jfce.1345554
  22. Dahal, H. R., Kumar, S., & Thapa, D. K. (2018). Prevalence and risk factors of post-traumatic stress disorders among the survivors of 2015 Nepal earthquake, in Dhading, Nepal. Sleep and Hypnosis (Online), 20(2), 128-139. https://doi.org/10.5350/sleep.hypn.2017.19.0145
  23. Demirchyan, A., Khachadourian, V., Armenian, H. K., & Goenjian, A. K. (2022). The course, trajectories and predictors of depression 23 years after the 1988 Spitak earthquake in Armenia: A prospective cohort study. Psychiatry Research, 313, 114640. https://doi.org/10.1016/j.psychres.2022.114640
  24. Divsalar, P., & Dehesh, T. (2020). Prevalence and predictors of post-traumatic stress disorder and depression among survivors over 12 years after the bam earthquake. Neuropsychiatric Disease and Treatment, 16, 1207-1216. https://doi.org/10.2147/ndt.s252730
  25. Du, B., Ma, X., Ou, X., Jin, Y., Ren, P., & Li, J. (2018). The prevalence of posttraumatic stress in adolescents eight years after the Wenchuan earthquake. Psychiatry Research, 262, 262-269. https://doi.org/10.1016/j.psychres.2018.02.019
  26. Egger, M., Davey Smith, G., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629-634. https://doi.org/10.1136/bmj.315.7109.629
  27. Eisma, M. C., Lenferink, L. I., Chow, A. Y., Chan, C. L., & Li, J. (2019). Complicated grief and post-traumatic stress symptom profiles in bereaved earthquake survivors: A latent class analysis. European Journal of Psychotraumatology, 10(1), 1558707. https://doi.org/10.1080/20008198.2018.1558707
  28. Evgenidis, A., Hamano, M., & Vermeulen, W. N. (2021). Economic consequences of follow-up disasters: Lessons from the 2011 Great East Japan Earthquake. Energy Economics, 104, 105559. https://doi.org/10.1016/j.eneco.2021.105559
  29. Fan, F., Zhang, Y., Yang, Y., Mo, L., & Liu, X. (2011). Symptoms of posttraumatic stress disorder, depression, and anxiety among adolescents following the 2008 Wenchuan earthquake in China. Journal of Traumatic Stress, 24(1), 44-53. https://doi.org/10.1002/jts.20599
  30. Fergusson, D. M., Horwood, L. J., Boden, J. M., & Mulder, R. T. (2014). Impact of a major disaster on the mental health of a well-studied cohort. JAMA Psychiatry, 71(9), 1025-1031. https://doi.org/10.1001/jamapsychiatry.2014.652
  31. Fong, K. N., Law, Y. M., Luo, L., Zhao, Z. E., Chen, H., Ganesan, B., Lai, A., Lee, B., Leung, A., Liu, K., Wong, C., Li, C., Wong, M. S., & Shum, D. H. (2022). Post-traumatic stress disorder (PTSD) after an earthquake experience: A cross-sectional survey of Wenchuan earthquake victims with physical disabilities 10 years later. International Journal of Disaster Risk Reduction, 80, 103225. https://doi.org/10.1016/j.ijdrr.2022.103225
  32. Forresi, B., Soncini, F., Bottosso, E., Di Pietro, E., Scarpini, G., Scaini, S., Aggazzotti, G., Caffo, E., & Righi, E. (2020). Post-traumatic stress disorder, emotional and behavioral difficulties in children and adolescents 2 years after the 2012 earthquake in Italy: An epidemiological cross-sectional study. European Child & Adolescent Psychiatry, 29(2), 227-238. https://doi.org/10.1007/s00787-019-01370-0
  33. Fung, H. W., Yuan, G. F., Liu, C., Liu, J., Shi, W., & Lam, S. K. K. (2024). Which PTSD symptom would mediate the relationship between trauma exposure and depressive symptoms? Preliminary findings from two samples of trauma-exposed middle school students. Psychiatry Research Communications, 4(3), 100180. https://doi.org/10.1016/j.psycom.2024.100180
  34. Gao, R., Chan, S. K. W., Zhang, B. Z., Lin, J. X., Peng, S. R., Yang, C. G., Tian, G. J., Bai, J. Z., Xu, L. X., Li, Y. H., Zheng, Z. J., Pu, D. S., Chan, C. L., & Ran, M. S. (2021). An epidemiological survey of mental disorders 5 years after the Lushan earthquake in Ya’an, China. Social Psychiatry and Psychiatric Epidemiology, 56(7), 1263-1272. https://doi.org/10.1007/s00127-020-01974-x
  35. Gao, X., Leng, Y., Guo, Y., Yang, J., Cui, Q., Geng, B., Hu, H., & Zhou, Y. (2019). Association between earthquake experience and depression 37 years after the Tangshan earthquake: A cross-sectional study. BMJ Open, 9(8), e026110. https://doi.org/10.1136/bmjopen-2018-026110
  36. Gautam, L., Mishra, D. K., Pant, G. P., Khadka, R., Chataut, P. D., Shrestha, T., & Thapa, S. (2021). Long term post-traumatic stress disorders among the earthquake affected people of Sindhupalchwok, Nepal. International Journal of Community Medicine and Public Health, 8(12), 5643-5648. https://doi.org/10.18203/2394-6040.ijcmph20214550
  37. Geng, F., Liang, Y., Shi, X., & Fan, F. (2018). A prospective study of psychiatric symptoms among adolescents after the Wenchuan earthquake. Journal of Traumatic Stress, 31(4), 499-508. https://doi.org/10.1002/jts.22307
  38. Gerstner, R. M. F., Lara-Lara, F., Vasconez, E., Viscor, G., Jarrin, J. D., & Ortiz-Prado, E. (2020). Earthquake-related stressors associated with suicidality, depression, anxiety and post-traumatic stress in adolescents from Muisne after the earthquake 2016 in Ecuador. BMC Psychiatry, 20(1), 347. https://doi.org/10.1186/s12888-020-02759-x
  39. Ginzburg, K., Ein-Dor, T., & Solomon, Z. (2010). Comorbidity of posttraumatic stress disorder, anxiety and depression: A 20-year longitudinal study of war veterans. Journal of Affective Disorders, 123(1-3), 249-257. https://doi.org/10.1016/j.jad.2009.08.006
  40. Goenjian, A. K., Khachadourian, V., Armenian, H., Demirchyan, A., & Steinberg, A. M. (2018). Posttraumatic stress disorder 23 years after the 1988 Spitak earthquake in Armenia. Journal of Traumatic Stress, 31(1), 47-56. https://doi.org/10.1002/jts.22260
  41. Gökkaya, E., Kuday, A. D., & Çelebi, I. (2025). Mental health impact of the 2023 Kahramanmaraş earthquakes: Prevalence of PTSD, depression, anxiety, and stress among survivors. Journal of Health Psychology, 30(12), 3284-3296. https://doi.org/10.1177/13591053251324277
  42. Grant, D. M., Beck, J. G., Marques, L., Palyo, S. A., & Clapp, J. D. (2008). The structure of distress following trauma: Posttraumatic stress disorder, major depressive disorder, and generalized anxiety disorder. Journal of Abnormal Psychology, 117(3), 662-672. https://doi.org/10.1037/a0012591
  43. Guo, J., He, H., Qu, Z., Wang, X., & Liu, C. (2017). Post-traumatic stress disorder and depression among adult survivors 8 years after the 2008 Wenchuan earthquake in China. Journal of Affective Disorders, 210, 27-34. https://doi.org/10.1016/j.jad.2016.12.009
  44. Han Alpay, E., Redican, E., Hyland, P., Karatzias, T., & Shevlin, M. (2024). Correlates of posttraumatic stress disorder in the aftermath of the February 2023 Earthquake in Turkey. Journal of Loss and Trauma, 29(6), 605-622. https://doi.org/10.1080/15325024.2024.2314306
  45. Hatori, T., & Bhandary, N. P. (2022). Posttraumatic stress disorder and its predictors in Kathmandu Valley residents after the 2015 Nepal Earthquake. International Journal of Disaster Risk Reduction, 69, 102733. https://doi.org/10.1016/j.ijdrr.2021.102733
  46. Higgins, J. P. T., & Thompson, S. G. (2002). Quantifying heterogeneity in a meta-analysis. Statistics in Medicine, 21(11), 1539-1558. https://doi.org/10.1002/sim.1186
  47. Hobfoll, S. E. (2001). The influence of culture, community, and the nested‐self in the stress process: Advancing conservation of resources theory. Applied Psychology, 50(3), 337-421. https://doi.org/10.1111/1464-0597.00062
  48. IntHout, J., Ioannidis, J. P. A., Rovers, M. M., & Goeman, J. J. (2016). Plea for routinely presenting prediction intervals in meta-analysis. BMJ Open, 6(7), e010247. https://doi.org/10.1136/bmjopen-2015-010247
  49. İbici Akça, E., Gökbulut, N., & Şenoğlu, A. (2024). Pregnant women’s depression and posttraumatic stress levels after the large-scale Turkey earthquakes: A cross-sectional study. Women & Health, 64(9), 736-744. https://doi.org/10.1080/03630242.2024.2402789
  50. İlhan, B., Berikol, G. B., 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. https://doi.org/10.1016/j.ajem.2023.07.026
  51. Jin, Y., Sun, C., Wang, F., An, J., & Xu, J. (2018). The relationship between PTSD, depression and negative life events: Ya'an earthquake three years later. Psychiatry Research, 259, 358-363. https://doi.org/10.1016/j.psychres.2017.09.017
  52. Karasu, F., Polat, F., Ayar, D., Bakır, E., & Arpacı, R. (2024). Correlation between post-traumatic stress disorder and sleep hygiene in adults surviving the 2023 Kahramanmaraş Earthquakes. Psychiatric Quarterly, 95(4), 697-710. https://doi.org/10.1007/s11126-024-10100-y
  53. Kaya, E., Onal, E. I., Fatih, S., & Güler, O. (2024). Prevalence and predictors of post-traumatic stress disorder among survivors of the 2023 earthquakes in Türkiye: The case of a temporary camp. International Journal of Disaster Risk Reduction, 114, 104976. https://doi.org/10.1016/j.ijdrr.2024.104976
  54. Khosravi, B., Xosravi, T., Ziapour, A., Fattahi, E., Chaboksavar, F., & Yoosefi Lebni, J. (2021). Challenges and problems facing 2017 kermanshah earthquake survivors: A qualitative study. Community Mental Health Journal, 57(2), 340-348. https://doi.org/10.1007/s10597-020-00652-1
  55. Kiyak, S., & Batı, S. (2024). The relationship between menstrual cycle pattern and post‐traumatic stress in women following the 2023 earthquake in Turkey. Brain and Behavior, 14(9), e70034. https://doi.org/10.1002/brb3.70034
  56. Klomp, J., & Sseruyange, J. (2021). Earthquakes and economic outcomes: Does central bank independence matter? Open Economies Review, 32(2), 335-359. https://doi.org/10.1007/s11079-020-09593-4
  57. Knapp, G., & Hartung, J. (2003). Improved tests for a random effects meta-regression with a single covariate. Statistics in Medicine, 22(17), 2693-2710. https://doi.org/10.1002/sim.1482
  58. Li, J., Chow, A. Y., Shi, Z., & Chan, C. L. (2015). Prevalence and risk factors of complicated grief among Sichuan earthquake survivors. Journal of Affective Disorders, 175, 218-223. https://doi.org/10.1016/j.jad.2015.01.003
  59. Li, L., Reinhardt, J. D., Pennycott, A., Li, Y., & Chen, Q. (2020). Prevalence of and risk factors for depression among older persons 6 months after the Lushan earthquake in China: A cross-sectional survey. Frontiers in Psychiatry, 11, 853. https://doi.org/10.3389/fpsyt.2020.00853
  60. Li, L., Reinhardt, J. D., Van Dyke, C., Wang, H., Liu, M., Yamamoto, A., Chen, Q., & Hu, X. (2020). Prevalence and risk factors of post-traumatic stress disorder among elderly survivors six months after the 2008 Wenchuan earthquake in China. BMC Psychiatry, 20, 78. https://doi.org/10.1186/s12888-020-2474-z
  61. Liang, Y., Zeng, H., Liu, Y. G., Xu, A. M., & Liu, W. H. (2021). Prevalence of post-traumatic stress disorder after earthquakes among the elderly in China: A meta-analysis. World Journal of Emergency Medicine, 12(2), 137-142. https://doi.org/10.5847/wjem.j.1920-8642.2021.02.009
  62. Liu, Q., Jiang, M., Yang, Y., Zhou, H., Zhou, Y., Yang, M., Xu, H., & Ji, Y. (2019). Prevalence of posttraumatic stress disorder (PTSD) and its correlates among junior high school students at 53 months after experiencing an earthquake. Disaster Medicine and Public Health Preparedness, 13(3), 414-418. https://doi.org/10.1017/dmp.2018.76
  63. Liu, S., Lu, L., Bai, Z.-Z., Su, M., Qi, Z.-Q., Zhang, S.-Y., Chen, Y., Ao, B.-Y., Cui, F.-Z., Lagarde, E., & Lii, K. (2019). Post-traumatic stress and school adaptation in adolescent survivors five years after the 2010 Yushu Earthquake in China. International Journal of Environmental Research and Public Health, 16(21), 4167. https://doi.org/10.3390/ijerph16214167
  64. Loney, P. L., Chambers, L. W., Bennett, K. J., Roberts, J. G., & Stratford, P. W. (1998). Critical appraisal of the health research literature: Prevalence or incidence of a health problem. Chronic Diseases in Canada, 19(4), 170-176. https://publications.gc.ca/site/eng/9.505086/publication.html
  65. Löw, A., Lotar Rihtarić, M., & Vrselja, I. (2023). Resource loss, coping strategies and post-traumatic stress disorder symptoms in survivors of the 2020 Croatia earthquake. BMC Psychology, 11(1), 128. https://doi.org/10.1186/s40359-023-01176-5
  66. Lu, B., Zeng, W., Li, Z., & Wen, J. (2020). Prevalence and influencing factors of post-traumatic stress disorder among survivors in the hard-hit areas ten years after the Wenchuan earthquake: A cross-sectional study. Neuropsychiatric Disease and Treatment, 16, 933-941. https://doi.org/10.2147/ndt.s247527
  67. Ma, I. C., Chang, W. H., Wu, C. L., & Lin, C. H. (2020). Risks of post-traumatic stress disorder among emergency medical technicians who responded to the 2016 Taiwan earthquake. Journal of the Formosan Medical Association, 119(9), 1360-1371. https://doi.org/10.1016/j.jfma.2019.11.021
  68. Ma, Z., Chen, X. Y., Tao, Y., Huang, S., Yang, Z., Chen, J., Bu, L., Wang, C., & Fan, F. (2022). How to improve the long-term quality of life, insomnia, and depression of survivors 10 years after the Wenchuan earthquake? A network analysis. Asian Journal of Psychiatry, 73, 103137. https://doi.org/10.1016/j.ajp.2022.103137
  69. Marthoenis, M., Ilyas, A., Sofyan, H., & Schouler-Ocak, M. (2019). Prevalence, comorbidity and predictors of post-traumatic stress disorder, depression, and anxiety in adolescents following an earthquake. Asian Journal of Psychiatry, 43, 154-159. https://doi.org/10.1016/j.ajp.2019.05.030
  70. Maya-Mondragón, J., Sánchez-Román, F. R., Palma-Zarco, A., Aguilar-Soto, M., & Borja-Aburto, V. H. (2019). Prevalence of post-traumatic stress disorder and depression after the September 19th, 2017 earthquake in Mexico. Archives of Medical Research, 50(8), 502-508. https://doi.org/10.1016/j.arcmed.2019.11.008
  71. Ni, T., Zhang, Y., Xue, S., Xu, W., & Tang, W. (2022). PTSD and depressive symptoms in Chinese adolescents exposed to multiple stressors from natural disasters, stressful life events, and maltreatment: A dose-response effect. Frontiers in Psychology, 13, 1050260. https://doi.org/10.3389/fpsyg.2022.1050260
  72. Osaki, Y., Otsuki, H., Imamoto, A., Kinjo, A., Fujii, M., Kuwabara, Y., Kondo, Y., & Suyama, Y. (2021). Suicide rates during social crises: Changes in the suicide rate in Japan after the Great East Japan earthquake and during the COVID-19 pandemic. Journal of Psychiatric Research, 140, 39-44. https://doi.org/10.1016/j.jpsychires.2021.05.035
  73. Öz, E., Küçükkelepçe, O., Kurt, O., & Kapıcı, Y. (2024). The relationship between earthquake-induced post-traumatic stress disorder and breastfeeding attitude and behavior. BMC Psychiatry, 24(1), 343. https://doi.org/10.1186/s12888-024-05803-2
  74. Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
  75. Peng, Y., Chen, Q., Xu, H., Shi, M., Li, L., & Wu, X. V. (2025). The prevalence and risk factors for post-traumatic stress disorder, depression and anxiety among older survivors post-earthquake: A systematic review and meta-analysis. Journal of Affective Disorders, 370, 168–180. https://doi.org/10.1016/j.jad.2024.10.113
  76. Peng, Y., Lu, B., & Wen, J. (2023). Assessment of post-traumatic stress disorder (PTSD) in elderly survivors of the Wenchuan earthquake: A cross-sectional study. Journal of Evidence-Based Medicine, 16(4), 455–464. https://doi.org/10.1111/jebm.12557
  77. Pino, O., Pelosi, A., Artoni, V., & Mari, M. (2021). Post-traumatic outcomes among survivors of the earthquake in central Italy of August 24, 2016. A study on PTSD risk and vulnerability factors. Psychiatric Quarterly, 92(4), 1489-1511. https://doi.org/10.1007/s11126-021-09908-9
  78. Price, M., Legrand, A. C., Brier, Z. M., & Hébert-Dufresne, L. (2019). The symptoms at the center: Examining the comorbidity of posttraumatic stress disorder, generalized anxiety disorder, and depression with network analysis. Journal of Psychiatric Research, 109, 52-58. https://doi.org/10.1016/j.jpsychires.2018.11.016
  79. Qi, J., Yang, X., Tan, R., Wu, X., & Zhou, X. (2020). Prevalence and predictors of posttraumatic stress disorder and depression among adolescents over 1 year after the Jiuzhaigou earthquake. Journal of Affective Disorders, 261, 1-8. https://doi.org/10.1016/j.jad.2019.09.071
  80. Sakuma, A., Takahashi, Y., Ueda, I., Sato, H., Katsura, M., Abe, M., Nagao, A., Suzuki, Y., Kakizaki, M., Tsuji, I., Matsuoka, H., & Matsumoto, K. (2015). Post-traumatic stress disorder and depression prevalence and associated risk factors among local disaster relief and reconstruction workers fourteen months after the Great East Japan Earthquake: A cross-sectional study. BMC Psychiatry, 15, 58. https://doi.org/10.1186/s12888-015-0440-y
  81. Salcioglu, E., Ozden, S., & Ari, F. (2018). The role of relocation patterns and psychosocial stressors in posttraumatic stress disorder and depression among earthquake survivors. The Journal of Nervous and Mental Disease, 206(1), 19-26. https://doi.org/10.1097/nmd.0000000000000627
  82. Sattler, D. N., Claramita, M., & Muskavage, B. (2018). Natural disasters in Indonesia: Relationships among posttraumatic stress, resource loss, depression, social support, and posttraumatic growth. Journal of Loss and Trauma, 23(5), 351-365. https://doi.org/10.1080/15325024.2017.1415740
  83. Setou, N., Fukumori, T., Nakao, K., & Maeda, M. (2018). Factors related to the fatigue of relief workers in areas affected by the Great East Japan Earthquake: Survey results 2.5 years after the disaster. Biopsychosocial Medicine, 12, 14. https://doi.org/10.1186/s13030-018-0133-0
  84. Sharma, A., & Kar, N. (2019). Posttraumatic stress, depression, and coping following the 2015 Nepal earthquake: A study on adolescents. Disaster Medicine and Public Health Preparedness, 13(2), 236-242. https://doi.org/10.1017/dmp.2018.37
  85. Sharma, V., Levin, B. L., Rahill, G. J., Baldwin, J. A., Luitel, A., & Marhefka, S. L. (2021). Post-earthquake self-reported depressive symptoms and post-traumatic stress disorder and their correlates among college-youths in Kathmandu, Nepal. Psychiatric Quarterly, 92(4), 1595-1609. https://doi.org/10.1007/s11126-021-09928-5
  86. Shidiqi, K. A., Di Paolo, A., & Choi, Á. (2023). Earthquake exposure and schooling: Impacts and mechanisms. Economics of Education Review, 94, 102397. https://doi.org/10.1016/j.econedurev.2023.102397
  87. Silwal, S., Dybdahl, R., Chudal, R., Sourander, A., & Lien, L. (2018). Psychiatric symptoms experienced by adolescents in Nepal following the 2015 earthquakes. Journal of Affective Disorders, 234, 239-246. https://doi.org/10.1016/j.jad.2018.03.002
  88. Snyder, J. D., Boan, D., Aten, J. D., Davis, E. B., Van Grinsven, L., Liu, T., & Worthington, E. L. Jr. (2020). Resource loss and stress outcomes in a setting of chronic conflict: The conservation of resources theory in the eastern Congo. Journal of Traumatic Stress, 33(3), 227-237. https://doi.org/10.1002/jts.22448
  89. Soqia, J., Ghareeb, A., Hadakie, R., Alsamara, K., Forbes, D., Jawich, K., Al-Homsi, A., & Kakaje, A. (2024). The mental health impact of the 2023 earthquakes on the Syrian population: Cross-sectional study. BJPsych Open, 10(1), e1. https://doi.org/10.1192/bjo.2023.598
  90. Stijnen, T., Hamza, T. H., & Özdemir, P. (2010). Random effects meta-analysis of event outcome in the framework of the generalized linear mixed model with applications in sparse data. Statistics in Medicine, 29(29), 3046-3067. https://doi.org/10.1002/sim.4040
  91. Tang, B., Liu, X., Liu, Y., Xue, C., & Zhang, L. (2014). A meta-analysis of risk factors for depression in adults and children after natural disasters. BMC Public Health, 14, 623. https://doi.org/10.1186/1471-2458-14-623
  92. Tang, W., Lu, Y., & Xu, J. (2018). Post-traumatic stress disorder, anxiety and depression symptoms among adolescent earthquake victims: Comorbidity and associated sleep-disturbing factors. Social Psychiatry and Psychiatric Epidemiology, 53(11), 1241-1251. https://doi.org/10.1007/s00127-018-1576-0
  93. Tang, W., Lu, Y., Yang, Y., & Xu, J. (2018). An epidemiologic study of self-reported sleep problems in a large sample of adolescent earthquake survivors: The effects of age, gender, exposure, and psychopathology. Journal of Psychosomatic Research, 113, 22-29. https://doi.org/10.1016/j.jpsychores.2018.07.006
  94. Tang, W., Wang, Y., Lu, L., Lu, Y., & Xu, J. (2021). Post-traumatic growth among 5195 adolescents at 8.5 years after exposure to the Wenchuan earthquake: Roles of post-traumatic stress disorder and self-esteem. Journal of Health Psychology, 26(13), 2450–2459. https://doi.org/10.1177/1359105320913947
  95. Tang, W., Xu, D., & Xu, J. (2020). Impact of earthquake exposure, family adversity and peer problems on anxiety-related emotional disorders in adolescent survivors three years after the Ya'an earthquake. Journal of Affective Disorders, 273, 215-222. https://doi.org/10.1016/j.jad.2020.04.044
  96. Tang, W., Zhao, J., Lu, Y., Zha, Y., Liu, H., Sun, Y., Zhang, J., Yang, Y., & Xu, J. (2018). Suicidality, posttraumatic stress, and depressive reactions after earthquake and maltreatment: A cross-sectional survey of a random sample of 6132 Chinese children and adolescents. Journal of Affective Disorders, 232, 363-369. https://doi.org/10.1016/j.jad.2018.02.081
  97. Tanrikulu, A. B., & Kayaoglu, K. (2024). Prevalence and determinants of probable posttraumatic stress disorder among university students eight months after the 2023 Kahramanmaras earthquake doublet. Dusunen Adam: Journal of Psychiatry & Neurological Sciences, 37(2), 102-110. https://doi.org/10.14744/dajpns.2024.00245
  98. Thapa, P., Acharya, L., Bhatta, B. D., Paneru, S. B., Khattri, J. B., Chakraborty, P. K., & Sharma, R. (2018). Anxiety, depression and post-traumatic stress disorder after earthquake. Journal of Nepal Health Research Council, 16(1), 53-57. https://doi.org/10.3126/jnhrc.v16i1.19366
  99. Tian, Y., Xi, W., Jiang, X., Cao, J., & Li, M. (2022). Relationship of earthquake exposure, locus of control, coping strategy, and posttraumatic stress disorder among adolescent survivors. Journal of Psychosocial Nursing and Mental Health Services, 60(11), 41-47. https://doi.org/10.3928/02793695-20220520-01
  100. Ulusoy, S., Celik, Z., Guleryuz, A., Esgibag, H. C., & Yavuz, K. F. (2024). Prevalence and risk factors of PTSD, depression, and grief among survivors of 2023 Türkiye earthquake. The Journal of Nervous and Mental Disease, 212(10), 541-548. https://doi.org/10.1097/nmd.0000000000001803
  101. Valladares-Garrido, M. J., Zapata-Castro, L. E., Peralta, C. I., García-Vicente, A., Astudillo-Rueda, D., León-Figueroa, D. A., & Díaz-Vélez, C. (2022). Post-traumatic stress disorder after the 6.1 magnitude earthquake in Piura, Peru: A cross-sectional study. International Journal of Environmental Research and Public Health, 19(17), 11035. https://doi.org/10.3390/ijerph191711035
  102. Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1-48. https://doi.org/10.18637/jss.v036.i03
  103. Wahab, S., Yong, L. L., Chieng, W. K., Yamil, M., Sawal, N. A., Abdullah, N. Q., Noor, C. R. M., Wirederma, S. D., Ismail, R., Othman, A. H., & Damanhuri, H. A. (2021). Post-traumatic stress symptoms in adolescents exposed to the earthquake in Lombok, Indonesia: Prevalence and association with maladaptive trauma-related cognition and resilience. Frontiers in Psychiatry, 12, 680393. https://doi.org/10.3389/fpsyt.2021.680393
  104. Wang, L., Fang, R., Chen, C., & Cao, C. (2023). A comparison of ICD-11 and DSM-5 criteria of PTSD among Chinese trauma-exposed adolescent samples. Frontiers in Psychiatry, 14, 1186138. https://doi.org/10.3389/fpsyt.2023.1186138
  105. Wang, Y., Ge, F., Wan, M., & Zhang, J. (2021). Patterns of depression and resilience in children and adolescents exposed to an earthquake: A latent profile analysis. Psychiatry Investigation, 18(6), 580-588. https://doi.org/10.30773/pi.2020.0330
  106. Wang, Y., Xu, J., & Lu, Y. (2020). Associations among trauma exposure, post-traumatic stress disorder, and depression symptoms in adolescent survivors of the 2013 Lushan earthquake. Journal of Affective Disorders, 264, 407–413. https://doi.org/10.1016/j.jad.2019.11.067
  107. Wilson, E. B. (1927). Probable inference, the law of succession, and statistical inference. Journal of the American Statistical Association, 22(158), 209-212. https://doi.org/10.1080/01621459.1927.10502953
  108. Wu, Z., Xu, J., & He, L. (2014). Psychological consequences and associated risk factors among adult survivors of the 2008 Wenchuan earthquake. BMC Psychiatry, 14, 126. https://doi.org/10.1186/1471-244x-14-126
  109. 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 Journal of Psychiatry, 49, 101958. https://doi.org/10.1016/j.ajp.2020.101958
  110. Xie, Y., Wu, J., & Shen, G. (2020). Posttraumatic growth in Tibetan adolescent survivors 6 years after the 2010 Yushu earthquake: Depression and PTSD as predictors. Child Psychiatry & Human Development, 51(1), 94-103. https://doi.org/10.1007/s10578-019-00913-5
  111. Xu, J., Wang, Y., Zhao, J., Tang, W., & Lu, Y. (2019). Influence of earthquake exposure and left-behind status on severity of post-traumatic stress disorder and depression in Chinese adolescents. Psychiatry Research, 275, 253-260. https://doi.org/10.1016/j.psychres.2019.01.109
  112. Yaghmaei, N. (2020). Human cost of disasters: An overview of the last 20 years, 2000–2019. United Nations Office for Disaster Risk Reduction. https://www.undrr.org/publication/documents-and-publications/human-cost-disasters-overview-last-20-years-2000-2019
  113. Yakşi, N., & Eroğlu, M. (2024). Determinants of posttraumatic stress disorder (PTSD) among children and adolescents in the subacute stage of Kahramanmaras earthquake, Turkey. Archives of Public Health, 82(1), 199. https://doi.org/10.1186/s13690-024-01434-x
  114. Yang, W., Cui, K., Sim, T., Zhang, J., Yang, Y., & Ma, X. (2020). Health-related quality of life and post-traumatic stress disorder in inpatients injured in the Ludian earthquake: A longitudinal study. Health and Quality of Life Outcomes, 18(1), 229. https://doi.org/10.1186/s12955-020-01470-5
  115. Zhang, L., Wang, Y., Huang, X., Lan, M., & Ji, H. (2021). Influence of post-traumatic status on health-related quality of life among survivors 10 years after the Wenchuan earthquake in China. Annals of Palliative Medicine, 10(3), 3059-3066. https://doi.org/10.21037/apm-21-309
  116. Zhang, Z., Shi, Z., Wang, L., & Liu, M. (2012). Post-traumatic stress disorder, anxiety and depression among the elderly: A survey of the hard-hit areas a year after the Wenchuan earthquake. Stress and Health, 28(1), 61-68. https://doi.org/10.1002/smi.1403
  117. Zhen, R., Zhou, X., & Wu, X. (2019). Patterns of posttraumatic stress disorder and depression among adolescents following an earthquake: A latent profile analysis. Child Indicators Research, 12(6), 2173-2187. https://doi.org/10.1007/s12187-019-09634-6
  118. Zhou, X., Kang, L., Sun, X., Song, H., Mao, W., Huang, X., Zhang, Y., & Li, J. (2013). Risk factors of mental illness among adult survivors after the Wenchuan earthquake. Social Psychiatry and Psychiatric Epidemiology, 48(6), 907-915. https://doi.org/10.1007/s00127-012-0596-4
  119. Zhou, Y., Liang, Y., Tong, H., & Liu, Z. (2020). Patterns of posttraumatic stress disorder and posttraumatic growth among women after an earthquake: A latent profile analysis. Asian Journal of Psychiatry, 51, 101834. https://doi.org/10.1016/j.ajp.2019.10.014
  120. Zuñiga, R. A. A., Reyes, G. G., Murrieta, J. I. S., & Villoria, R. A. M. G. (2019). Posttraumatic stress symptoms in people exposed to the 2017 earthquakes in Mexico. Psychiatry Research, 275, 326-331. https://doi.org/10.1016/j.psychres.2019.04.003