Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey

Boztas, Mehmet Hamid; Aker, Ahmet Tamer; Munir, Kerim; Karasu, Umut; Çelik, Feyza; AYDIN, ADEM; Mutlu, Elif Aktan

doi:10.5505/kpd.2019.62534

Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey

Mehmet Hamid BOZTAŞ, (Abant İzzet Baysal Üniversitesi, Psikiyatri Bölümü, Bolu, Türkiye)

Ahmet Tamer AKER, (Bilgi Üniversitesi, Psikiyatri Bölümü, İstanbul, Türkiye)

Kerim MUNİR, (Harvard University, Children’s Hospital, Department of Child and Adolescent Psychiatry, USA)

Feyza ÇELİK, (Dumlupınar Üniversitesi, Araştırma ve Eğitim Hastanesi, Kütahya, Türkiye)

Adem AYDIN, (Necmettin Erbakan Üniversitesi, Psikiyatri Anabilim Dalı, Konya, Türkiye)

Umut KARASU, (Toplum Ruh Sağlığı Merkezi, Balıkesir, Türkiye)

Elif AKTAN MUTLU (Bursa Devlet Hastanesi, Bursa, Türkiye)

Klinik Psikiyatri Dergisi

40 9

Yıl: 2019 Cilt: 22 Sayı: 4 Sayfa Aralığı: 380 - 388 Metin Dili: İngilizce DOI: 10.5505/kpd.2019.62534 İndeks Tarihi: 09-12-2020

Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey

Öz:

Objective: The aims of the study were to: (i) screen forPTSD among subjects older than 15 years old living inthe Ercis-Van region nine months after the earthquake;and (ii) examine the socio-demographic, clinical andtrauma-related factors of PTSD diagnosis. Method: Atthe time of the earthquakes, the population of Ercis-Vanregion was 1,050,000. We selected 1498 participants inthese areas: 996 from Van and 502 from Ercis, centersusing a stratified sampling frame (Kish design).Demographic information, trauma related experiencesand past psychiatric history was obtained via sociodemographic survey. The PTSD module of the CompositeInternational Diagnostic Interview (CIDI), along withdepression, dysthymia, social anxiety disorder, obsessivecompulsive disorder, generalized anxiety disorder structured interview modules were used to directly elicit clinical information. Results: We found that PTSD wasprevalent 35.5% among Van earthquake survivors.Analysis of binary Logistic regression showed risk factors, which included some trauma related losses, pre andpost traumatic experiences. These risk factors are beingfemale, having depression, loosing any family membersor relatives, being unemployed, having serious familialconflicts, severe financial loss, and temporary relocation.Discussion: Our results indicate that in addition to beingwomen, having depression, trauma related losses, likeprevious traumatic experiences, some pre and post traumatic risk factors are important for development ofPTSD. Therefore, after the traumatic event, communitybased interventions should be structured based on thesepre and post disaster risk factors.

Anahtar Kelime:

2011 yılı Van-Erciş depremi sonrası yetişkinlerde travma sonrası stres bozukluğu

Öz:

Amaç: Bu çalışmanın amaçları; (i) Van Depreminden dokuz ay sonra Van-Erciş bölgesinde yaşayan 15 yaş üstüı bireylerde Travma Sonrası Stres Bozukluğunu taramak ve (ii) Travma Sonrası Stres Bozukluğu tanısını yordayabilecek sosyodemografik, klinik ve travmayla ilişkili etmenleri gözden geçirmektir. Yöntem: Deprem sırasında Van ve Erciş bölgelerinde 1,050,000 kişi yaşamakta idi. Araştırmaya tabakalandırılmış örneklemle (Kish Metodu) Van’dan 996, Erciş’ten 502 kişi alınmıştır. Sosyodemografik veri formu aracılığıyla demografik bilgiler, travmayla ilişkili deneyimler ve geçmiş psikiyatrik öykü elde edilmiştir. Klinik bilgiler için Uluslararası Bileşik Tanı Görüşmesi/ Composite International Diagnostic Interview (CIDI)’nin TSSB, depresyon, distimi, sosyal anksiyete bozukluğu, obsesif kompulsif bozukluk ve yaygın anksiyete bozukluğu modülleri kullanılmıştır. Bulgular: Van depremi sonrasında deprem mağdurlarında TSSB oranını %35.5 olarak bulduk. Binary Lojistik regresyon analizi travmayla ilişkili , travma öncesi ve sonrası kimi etmenleri TSSB için risk faktörü olarak göstermiştir. Bu faktörler kadın olmak, depresyonda olmak, aile üyelerini veya bir yakınını kaybetmek, ciddi sağlık ve barınma sorunları yaşamak, işsiz,olmak, aile içi ciddi çatışmaların varlığı, ciddi finansal zorluk, geçici yer değiştirmedir. Sonuç: Araştırmamızın sonuçları depresyon, kadın cinsiyet, travmayla ilişkili kayıplar yaşamaya ek olarak geçmiş travmatik deneyimler gibi travma öncesi ve sonrası kişide oluşan risk faktörlerinin TSSB gelişimde önemli olduğunu göstermiştir. Bu nedenle travma sonrası topluma dayalı çalışmalar afet öncesi ve sonrası risk faktörlerine dayandırılarak yapılandırılmalıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Erdik M, Kamer Y, Demircioğlu M, Şeşetyan K. 23 October 2011 Van (Turkey) earthquake. Natural Hazards. 2012;64:651- 65.
2. Turkish Medical Association.Van Earthquake 2.nd Month Evaluation Report. http://www.ttb.org.tr/kutuphane/2ayrpr.pdf/turkish. Access Date February 25.02.2019
3. TESEV.Permanent solution to internal displacement? An assessment of the Van action plan for idp: Deniz Yükseker, Dilek Kurban / 26 May 2009 : http://tesev.org.tr/en/yayin/a-permanent-solution-to-internal-displacement-an-assessment-ofthe-van-action-plan-for-idps/ Access Date 27 April 2019
4. Xu J, Song X. A cross-sectional study among survivors of the 2008 Sichuan earthquake: prevalence and risk factors of posttraumatic stress disorder. Gen Hosp Psychiatry. 2011;33:386-92.
5. Xu J, Song X. Posttraumatic stress disorder among survivors of the Wenchuan earthquake 1 year after: prevalence and risk factors. Compr Psychiatry. 2011;52:431-7.
6. Livanou M, Başoğlu M, Salcioğlu E, Kalender D. Traumatic Stress Responses in Treatment-Seeking Earthquake Survivors in Turkey. The Journal of Nervous and Mental Disease. 2002;190 :816-23.
7. Salcioglu E, Basoglu M, Livanou M. Post-traumatic stress disorder and comorbid depression among survivors of the 1999 earthquake in Turkey. Disaster. 2007;31:115-29
8. Salcioglu E, Basoglu M, Livanou M. Long-term psychological outcome for non-treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis. 2003;191:154-60.
9. Tural U, Coskun B, Onder E, Corapcioglu A, Yildiz M, Kesepara C, Karakaya I, Aydin M, Erol A, torun F, Aybar G.. Psychological consequences of the 1999 earthquake in Turkey. J Trauma Stress. 2004;17:451-9.
10. Onder E, Tural U, Aker T, Kilic C, Erdogan S. Prevalence of psychiatric disorders three years after the 1999 earthquake in Turkey: Marmara Earthquake Survey (MES). Soc Psychiatry Psychiatr Epidemiol. 2006;41:868-74.
11. Kilic C, Ulusoy M. Psychological effects of the November 1999 earthquake in Turkey: an epidemiological study. Acta Psychiatr Scand. 2003;108:232-8.
12. Armenian HK, Morikawa M, Melkonian AK, Hovanesian AP, Haroutunian N, Saigh PA, Akiskal K, Akiskal HS. Loss as a determinant of PTSD in a cohort of adult survivors of the 1988 earthquake in Armenia: implications for policy. Acta Psychiatr Scand. 2000;102:58-64.
13. Cao H, McFarlane AC, Klimidis S. Prevalence of psychiatric disorder following the 1988 Yun Nan (China) earthquake--the first 5-month period. Soc Psychiatry Psychiatr Epidemiol. 2003;38:204-12.
14. Goenjian AK, Walling D, Steinberg AM, Roussos A, Goenjian HA, Pynoos RS. Depression and PTSD symptoms among bereaved adolescents 6(1/2) years after the 1988 Spitak earthquake. J Affect Disord. 2009;112:81-4.
15. Kun P, Tong X, Liu Y, Pei X, Luo H. What are the determinants of post-traumatic stress disorder: age, gender, ethnicity or other? Evidence from 2008 Wenchuan earthquake. Public Health. 2013;127:644-52.
16. Thienkrua W, Cardozo BL, Chakkraband ML, Guadamuz TE, Pengjuntr W, Tantipiwatanaskul P, Sakornsatian S, Ekassawin S, Panyayong B, Varangrat A, Tappero JW, Schreiber M, van Griensven F. Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. JAMA. 2006;296:549-59.
17. Onder E, Tural U, Aker T, Kilic C, Erdogan S. Prevalence of psychiatric disorders three years after the 1999 earthquake in Turkey: Marmara Earthquake Survey (MES). Soc Psychiatry Psychiatr Epidemiol. 2006;41:868-74.
18. Salcioglu E, Basoglu M, Livanou M. Post-traumatic stress disorder and comorbid depression among survivors of the 1999 earthquake in Turkey. Disaster. 2007.
19. Fan F, Zhang Y, Yang Y, Mo L, Liu X. Symptoms of posttraumatic stress disorder, depression, and anxiety among adolescents following the 2008 Wenchuan earthquake in China. J Trauma Stress. 2011;24:44-53.
20. Sezgin U, Punamaki RL. Earthquake trauma and causal explanation associating with PTSD and other psychiatric disorders among South East Anatolian women. J Affect Disord. 2012;141:432-40.
21. Lock S, Rubin GJ, Murray V, Rogers MB, Amlot R, Williams R. Secondary stressors and extreme events and disasters: a systematic review of primary research from 2010-2011. PLoS Curr. 2012;4.
22. Zhou X, Kang L, Sun X, Song H, Mao W, Huang X, Zhang Y, Li J. Risk factors of mental illness among adult survivors after the Wenchuan earthquake. Soc Psychiatry Psychiatr Epidemiol. 2013;48:907-15.
23. Kienzler H, Pedersen D. Strange but common bedfellows: the relationship between humanitarians and the military in developing psychosocial interventions for civilian populations affected by armed conflict. Transcult Psychiatry. 2012;49:492- 518.
24. Cerda M, Paczkowski M, Galea S, Nemethy K, Pean C, Desvarieux M. Psychopathology in the aftermath of the Haiti earthquake: a population-based study of posttraumatic stress disorder and major depression. Depress Anxiety. 2013;30:413- 24.
25. Kilic C, Kilic EZ, Aydin IO. Effect of relocation and parental psychopathology on earthquake survivor-children's mental health. J Nerv Ment Dis. 2011;199:335-41.
26. Kadak MT, Nasiroglu S, Boysan M, Aydin A. Risk factors predicting posttraumatic stress reactions in adolescents after 2011 Van earthquake. Compr Psychiatry. 2013;54:982-90.
27. Ozdemir O, Boysan M, Guzel Ozdemir P, Yilmaz E. Relationships between posttraumatic stress disorder (PTSD), dissociation, quality of life, hopelessness, and suicidal ideation among earthquake survivors. Psychiatry Res. 2015;228:598-605.
28. Noorbala AA, Bagheri Yazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. Br J Psychiatry. 2004;184:70-3.
29. Salcioglu E, Ozden S, Ari F. The Role of Relocation Patterns and Psychosocial Stressors in Posttraumatic Stress Disorder and Depression Among Earthquake Survivors. J Nerv Ment Dis. 2018;206:19-26.
30. Chan CL, Wang CW, Ho AH, Qu ZY, Wang XY, Ran MS, Mao WJ, Lu BQ, Zhang BQ, Zhang XL. Symptoms of posttraumatic stress disorder and depression among bereaved and nonbereaved survivors following the 2008 Sichuan earthquake. J Anxiety Disord. 2012;26:673-9.
31. Kılıç C. Turkey Mental Health Profile Report. In: Erol N, Kılıç C, Ulusoy M, Keçeci M, Şimşek Z, editors. Ankara: Ministry of Health of Turkey; 1998.pp,23
32. Maeng LY and Milad MR.Sex Differences in Anxiety Disorders: Interactions between Fear, Stress, and Gonadal Hormones. Horm Behav. 2015 November ; 76: 106–17.
33. Priebe S, Grappasonni I, Mari M, Dewey M, Petrelli F, Costa A. Posttraumatic stress disorder six months after an earthquake. Soc Psychiatry Psychiatr Epidemiol. 2008;44:393-7.
34. Norris FH, Friedman MJ, Watson PJ. 60,000 disaster victims speak: Part II. Summary and implications of the disaster mental health research. Psychiatry. 2002;65:240-60.
35. Basoglu M, Salcioglu E, Livanou M. Traumatic stress responses in earthquake survivors in Turkey. J Trauma Stress. 2002;15:269-76.
36. Shultz JM, Marcelin LH, Madanes SB, Espinel Z, Neria Y. The "Trauma Signature:" understanding the psychological consequences of the 2010 Haiti earthquake. Prehosp Disaster Med. 2011;26:353-66.
37. Livanou M, Basoglu M, Salcioglu E, Kalendar D. Traumatic stress responses in treatment-seeking earthquake survivors in Turkey. J Nerv Ment Dis. 2002;190:816-23.
38. Johannesson KB, Lundin T, Hultman CM, Lindam A, Dyster-Aas J, Arnberg F, Michel PO. The effect of traumatic bereavement on tsunami-exposed survivors. J Trauma Stress. 2009;22:497-504.
39. Kilic C, Ulusoy M. Psychological effects of the November 1999 earthquake in Turkey: an epidemiological study. Acta Psychiatr Scand. 2003;108:232-8.
40. Egan M, Tannahill C, Petticrew M, Thomas S. Psychosocial risk factors in home and community settings and their associations with population health and health inequalities: a systematic meta-review. BMC Public Health. 2008;8:239.
41. Roy MJ, Donaldson C, Baker R, Kerr S. The potential of social enterprise to enhance health and well-being: a model and systematic review. Soc Sci Med. 2014;123:182-93. Epub 2014/07/20.
42. Munir K, Ergene T, Tunaligil V, Erol N. A window of opportunity for the transformation of national mental health policy in Turkey following two major earthquakes. Harv Rev Psychiatry. 2004;12:238-51.

APA	Boztas M, Aker A, Munir K, Çelik F, AYDIN A, Karasu U, Mutlu E (2019). Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. , 380 - 388. 10.5505/kpd.2019.62534
Chicago	Boztas Mehmet Hamid,Aker Ahmet Tamer,Munir Kerim,Çelik Feyza,AYDIN ADEM,Karasu Umut,Mutlu Elif Aktan Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. (2019): 380 - 388. 10.5505/kpd.2019.62534
MLA	Boztas Mehmet Hamid,Aker Ahmet Tamer,Munir Kerim,Çelik Feyza,AYDIN ADEM,Karasu Umut,Mutlu Elif Aktan Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. , 2019, ss.380 - 388. 10.5505/kpd.2019.62534
AMA	Boztas M,Aker A,Munir K,Çelik F,AYDIN A,Karasu U,Mutlu E Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. . 2019; 380 - 388. 10.5505/kpd.2019.62534
Vancouver	Boztas M,Aker A,Munir K,Çelik F,AYDIN A,Karasu U,Mutlu E Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. . 2019; 380 - 388. 10.5505/kpd.2019.62534
IEEE	Boztas M,Aker A,Munir K,Çelik F,AYDIN A,Karasu U,Mutlu E "Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey." , ss.380 - 388, 2019. 10.5505/kpd.2019.62534
ISNAD	Boztas, Mehmet Hamid vd. "Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey". (2019), 380-388. https://doi.org/10.5505/kpd.2019.62534

APA	Boztas M, Aker A, Munir K, Çelik F, AYDIN A, Karasu U, Mutlu E (2019). Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. Klinik Psikiyatri Dergisi, 22(4), 380 - 388. 10.5505/kpd.2019.62534
Chicago	Boztas Mehmet Hamid,Aker Ahmet Tamer,Munir Kerim,Çelik Feyza,AYDIN ADEM,Karasu Umut,Mutlu Elif Aktan Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. Klinik Psikiyatri Dergisi 22, no.4 (2019): 380 - 388. 10.5505/kpd.2019.62534
MLA	Boztas Mehmet Hamid,Aker Ahmet Tamer,Munir Kerim,Çelik Feyza,AYDIN ADEM,Karasu Umut,Mutlu Elif Aktan Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. Klinik Psikiyatri Dergisi, vol.22, no.4, 2019, ss.380 - 388. 10.5505/kpd.2019.62534
AMA	Boztas M,Aker A,Munir K,Çelik F,AYDIN A,Karasu U,Mutlu E Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. Klinik Psikiyatri Dergisi. 2019; 22(4): 380 - 388. 10.5505/kpd.2019.62534
Vancouver	Boztas M,Aker A,Munir K,Çelik F,AYDIN A,Karasu U,Mutlu E Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey. Klinik Psikiyatri Dergisi. 2019; 22(4): 380 - 388. 10.5505/kpd.2019.62534
IEEE	Boztas M,Aker A,Munir K,Çelik F,AYDIN A,Karasu U,Mutlu E "Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey." Klinik Psikiyatri Dergisi, 22, ss.380 - 388, 2019. 10.5505/kpd.2019.62534
ISNAD	Boztas, Mehmet Hamid vd. "Post traumatic stress disorder among adults in the aftermath of 2011 Van-Ercis earthquake in Turkey". Klinik Psikiyatri Dergisi 22/4 (2019), 380-388. https://doi.org/10.5505/kpd.2019.62534