Psychiatric Morbidity and Treatment Following an Earthquake (Epidemiology, Medication, Protective and Risk Factors)
Eda Yılmazer
Beykoz University Faculty of Social Sciences, Department of Psychology, İstanbul, Türkiye
Yılmazer E. Psychiatric Morbidity And Treatment Following An Earthquake (Epidemiology, Medication, Protective And Risk Factors). Hızlı Sayar G., Çınaroğlu M ed. Psychopathology and Treatment After Earthquakes. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.15-28.
ABSTRACT
Earthquakes are traumatic events that not only cause physical destruction but also lead to significant psychiatric morbidity among affected populations. This chapter examines the psychological aftermath of earthquakes, focusing on the prevalence and nature of psychiatric disorders such as Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), and various anxiety disorders that frequently arise. Drawing on global case studies and statistical data, chapter explores the demographic variations in mental health outcomes and the efficacy of pharmacological and therapeutic interventions. Additionally, the chapter discusses the role of protective and risk factors in influencing psychiatric outcomes, highlighting the importance of community support and pre-disaster mental health status. We emphasize the need for integrated, culturally sensitive approaches that combine medication, cognitive-behavioral therapies, and strong community networks to effectively manage and mitigate the psychological impacts of earthquakes. The insights provided aim to guide future preparedness and response strategies, ensuring that mental health considerations are prioritized in disaster response efforts to enhance resilience and recovery among survivors.
Keywords: Earthquakes; Psychiatric morbidity; PTSD (Post-traumatic stress disorder); MDD (Major depressive disorder); Anxiety disorders; Pharmacological treatments
Citation
Referanslar
- Lazaratou H, Paparrigopoulos T, Galanos G, Psarros C, Dikeos D, Soldatos C. The psychological impact of a catastrophic earthquake: a retrospective study 50 years after the event. J Nerv Ment Dis 2018;196(4): 340-344. [Crossref] [PubMed]
- Gordon-Hollingsworth A T, Yao N, Chen H, Qian M, Chen S. Understanding the impact of natural disasters on psychological outcomes in youth from mainland China: A meta-analysis of risk and protective factors for post-traumatic stress disorder symptoms. J Child Adolesc Trauma 2018;11:205-226. [Crossref] [PubMed] [PMC]
- Ozturk E, Akis A D, Derin G, Erdogan B. Social trauma and disaster psychology: The impact of earthquakes on children's mental health from the perspective of dissoanalysis theory and modern psychotraumatology. NOFOR, 2023;2(3):57-70. [Crossref]
- Hong C, Efferth T. Systematic review on post-traumatic stress disorder among survivors of the Wenchuan earthquake. Trauma, Violence, & Abuse 2016;17(5):542-561. [Crossref] [PubMed]
- Çınaroğlu M. Trauma, Addiction, And The Path To Recovery After The Kahramanmaraş Earthquakes. Nişantaşı Üniversitesi Sosyal Bilimler Dergisi 2024;12(1):37-59. [Crossref]
- Shultz J M, Marcelin L H, Madanes S B, Espinel Z, Neria Y. The "Trauma Signature:" understanding the psychological consequences of the 2010 Haiti earthquake. Prehosp Disaster Med 2011;26(5):353-366. [Crossref] [PubMed]
- Başoğlu M, Şalcioğlu E, Livanou M. A randomized controlled study of single-session behavioural treatment of earthquake-related post-traumatic stress disorder using an earthquake simulator. Psychol Med 2007;37(2):203-213. [Crossref] [PubMed]
- Wang Y, Hu Y P, Wang W C, Pang R Z, Zhang A R. Clinical studies on treatment of earthquake‐caused posttraumatic stress disorder using electroacupuncture. J Evid Based Complementary Altern Med 2012;(1):431279. [Crossref] [PubMed] [PMC]
- Alipour F, Ahmadi S. Social support and posttraumatic stress disorder (PTSD) in earthquake survivors: A systematic review. Soc Work Ment Health 2020;18(5):501-514. [Crossref]
- Welton-Mitchell C, James L E, Khanal S N, James A S. An integrated approach to mental health and disaster preparedness: a cluster comparison with earthquake affected communities in Nepal. BMC psychiatry 2018;18:1-14. [Crossref] [PubMed] [PMC]
- Fergusson D M, Horwood L J, Boden J M, Mulder R T. Impact of a major disaster on the mental health of a well-studied cohort. JAMA psychiatry 2014;71(9):1025-1031. [Crossref] [PubMed]
- Hussain A, Weisaeth L, Heir T. Psychiatric disorders and functional impairment among disaster victims after exposure to a natural disaster: a population based study. J Affect Disord 2011;128(1-2):135-141. [Crossref] [PubMed]
- Dai W, Chen L, Lai Z, Li Y, Wang J, Liu A. The incidence of post-traumatic stress disorder among survivors after earthquakes: a systematic review and meta-analysis. BMC psychiatry 2016;16:1-11. [Crossref] [PubMed] [PMC]
- Harada N, Shigemura J, Tanichi M, Kawaida K, Takahashi S, Yasukata F. Mental health and psychological impacts from the 2011 Great East Japan Earthquake Disaster: a systematic literature review. Disaster Mil Med 2015;1:1-12. [Crossref] [PubMed] [PMC]
- Jung H O, Han S W. Post-traumatic growth of people who have experienced earthquakes: Qualitative research systematic literature review. Front Psychiatry 2023;13:1070681. [Crossref] [PubMed] [PMC]
- AkerAT, Önen P, Karakiliç H. Psychological trauma: Research and practice in Turkey. Int J Ment Health 2007;36(3):38-57. [Crossref]
- Lewin T J, Webster R A, Hazell P L, Kenardy J A, Carter G L. Psychosocial sequelae of the 1989 Newcastle earthquake: I. Community disaster experiences and psychological morbidity 6 months post-disaster. Psychol Med 1995;25(3):539-555. [Crossref] [PubMed]
- Pynoos R S, Goenjian A, Tashjian M, Karakashian M, Manjikian R, Manoukian G et al. Post-traumatic stress reactions in children after the 1988 Armenian earthquake. Br J Psychiatry 1993;163(2):239-247. [Crossref] [PubMed]
- Lai T J, Chang C M, Connor K M, Lee L C, Davidson J R. Full and partial PTSD among earthquake survivors in rural Taiwan. J Psychiatry Res 2004;38(3):313-322. [Crossref] [PubMed]
- Velden P G V D, Grievink L, Kleber R J, Drogendijk A N, Roskam A J R, Marcelissen F G et al. Post-disaster mental health problems and the utilization of mental health services: A four-year longitudinal comparative study. Adm Policy Ment Health 2006;33:279-288. [Crossref] [PubMed]
- Önder E, Tural Ü, Aker T, Kılıç C, Erdoğan S. Prevalence of psychiatric disorders three years after the 1999 earthquake in Turkey: Marmara Earthquake Survey (MES). Soc Psychiatry Psychiatr Epidemiol 2006;41:868-874. [Crossref] [PubMed]
- Aksu G G, İmrek Y. The earthquake disaster in Türkiye: a review from child and adolescent psychiatry perspective. Duzce Medical Journal 2023;25(1):6-14. [Crossref]
- Geng F, Zhou Y, Liang Y, Zheng X, Li Y, Chen X, Fan F. Posttraumatic stress disorder and psychiatric comorbidity among adolescent earthquake survivors: a longitudinal cohort study. J Abnorm Child Psychol 2019;47(4):671-681. [Crossref] [PubMed]
- Yokoyama Y, Otsuka K, Kawakami N, Kobayashi S, Ogawa A, Tannno K et al. Mental health and related factors after the Great East Japan earthquake and tsunami. PloS one 2014;9(7):e102497. [Crossref] [PubMed] [PMC]
- Zhang Z, Shi Z, Wang L, Liu M. 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 2012;28(1):61-68. [Crossref] [PubMed]
- Marthoenis M, Ilyas A, Sofyan H, Schouler-Ocak M. Prevalence, comorbidity and predictors of post-traumatic stress disorder, depression, and anxiety in adolescents following an earthquake. Asian J Psychiatr 2019;43:154-159. [Crossref] [PubMed]
- Saeed S A, Gargano S P. Natural disasters and mental health. Int Rev Psychiatry 2022;34(1):16-25. [Crossref] [PubMed]
- Liu X, Bao M, Wang X, Zhou G. A longitudinal investigation of mental health outcomes after the Henan floods in China: Examining predictors of resilience trajectories. PsyCh Journal 2024 [Crossref] [PubMed] [PMC]
- Başoğlu M, Kiliç C, Şalcioğlu E, Livanou M. Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: an epidemiological study. J Trauma Stress 2004;17(2):133-141. [Crossref] [PubMed]
- Ando S, Kuwabara H, Araki T, Kanehara A, Tanaka S, Mor- ishima R et al. Mental health problems in a community after the Great East Japan Earthquake in 2011: a systematic review. Harv Rev Psychiatry 2017;25(1):15-28. [Crossref] [PubMed]
- Bandelow B, Sher L, Bunevicius R, Hollander E, Kasper S, Zohar J, Möller H J. " Guidelines for the pharmacological treatment of anxiety disorders, obsessive-compulsive disorder and posttraumatic stress disorder in primary care": Erratum 2013. [Crossref]
- Davidson J. Vintage treatments for PTSD: a reconsideration of tricyclic drugs. J Psychopharmacol 2015;29(3):264-269. [Crossref] [PubMed]
- Nemeroff C B, Bremner J D, Foa E B, Mayberg H S, North C S, Stein M B. Posttraumatic stress disorder: a state-of-the- science review. J Psychiatry Res 2006;40(1):1-21. [Crossref] [PubMed]
- Başoğlu M, Livanou M, Şalcioğlu E, Kalender D. A brief behavioural treatment of chronic post-traumatic stress disorder in earthquake survivors: results from an open clin- ical trial. Psychol Med 2003;33(4):647-654. [Crossref] [PubMed]
- Takeda Y. A report from Japan: disaster relief efforts of pharmacists in response to the Great East Japan Earthquake. S Afr Pharm J 2011;78(9):42-46. [Crossref]
- Noguchi N, Inoue S, Shimanoe C, Shibayama K, Shinchi K. Factors associated with nursing activities in humanitarian aid and disaster relief. PloS one 2016;11(3):e0151170. [Crossref] [PubMed] [PMC]
- Brown M T, Bussell J, Dutta S, Davis K, Strong S, Mathew S. Medication adherence: truth and consequences. Am J Med Sci 2016;351(4):387-399. [Crossref] [PubMed]
- Çınaroğlu M. Islamic Coping, Post Traumatic Stress Disorder (PTSD) and Islam Oriented Trauma Focused Cognitive Behavioral Therapy (IO-TF-CBT) in Post-Kahramanmaraş Earthquake Period. Eskiyeni 2024;(52):351-376. [Crossref]
- Sippel L M, Pietrzak R H, Charney D S, Mayes L C, Southwick S M. How does social support enhance resilience in the trauma-exposed individual?. Ecol Soc 2015;20(4). [Crossref]
- Pietrzak R H, Tracy M, Galea S, Kilpatrick D G, Ruggiero K J, Hamblen J L et al. Resilience in the face of disaster: prevalence and longitudinal course of mental disorders following hurricane Ike. PLoS One 2012;7(6):e38964. [Crossref] [PubMed] [PMC]
- Townshend I, Awosoga O, Kulig J, Fan H. Social cohesion and resilience across communities that have experienced a disaster. Nat Hazards 2015;76:913-938. [Crossref]
- Ho R T, Lai A H, Lo P H, Nan J K, Pon A K. A strength- based arts and play support program for young survivors in post-quake China: Effects on self-efficacy, peer support, and anxiety. J Early Adolesc 2017;37(6):805-824. [Crossref]
- Walsh F. Traumatic loss and major disasters: Strengthening family and community resilience. Fam Process 2007;46(2):207-227. [Crossref] [PubMed]
- Ikizer G, Karanci A N, Doğulu C. Exploring factors associated with psychological resilience among earthquake survivors from Turkey. J Loss Trauma 2016;21(5):384-398. [Crossref]
- Brooks S, Amlot R, Rubin G J, Greenberg N. Psychological resilience and post-traumatic growth in disaster-exposed organisations: overview of the literature. BMJ Mil Health 2020;166(1):52-56. [Crossref] [PubMed]
- Makwana N. Disaster and its impact on mental health: A narrative review. J Family Med Prim Care 2019;8(10):3090- 3095. [Crossref] [PubMed] [PMC]
- Kino S, Aida J, Kondo K, Kawachi I. Long- term trends in mental health disorders after the 2011 Great East Japan earthquake and tsunami. JAMA Netw Open 2020;3(8):e2013437-e2013437. [Crossref] [PubMed] [PMC]
- Cénat J M, McIntee S E, Blais-Rochette C. Symptoms of posttraumatic stress disorder, depression, anxiety and other mental health problems following the 2010 earthquake in Haiti: A systematic review and meta-analysis. J Affect Disord 2020;273:55-85. [Crossref] [PubMed]
- Ekşi A, Braun K L, Ertem-Vehid H, Peykerli G, Saydam R, Toparlak D, Alyanak B. Risk factors for the develop- ment of PTSD and depression among child and adolescent victims following a 7.4 magnitude earthquake. Int J Psychiatry Clin Pract 2007;11(3):190-199. [Crossref] [PubMed]
- Goenjian A K, Steinberg A M, Najarian L M, Fairbanks L A, Tashjian M, Pynoos R S. Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. Am J Psychiatry 2000;157(6):911- 916. [Crossref] [PubMed]
- Xu J, Song X. Posttraumatic stress disorder among survivors of the Wenchuan earthquake 1 year after: prevalence and risk factors. Compr Psychiatry 2011;52(4):431-437. [Crossref] [PubMed]
- Tural Ü, Coşkun B, Önder E, Çorapçioğlu A, Yildiz M, Kesepara C et al. Psychological consequences of the 1999 earthquake in Turkey. J Trauma Stress 2004;17(6):451-459. [Crossref] [PubMed]
- Carr V J, Lewin T J, Webster R A, Kenardy J A, Hazell P L, Carter G L. Psychosocial sequelae of the 1989 Newcastle earthquake: II. Exposure and morbidity profiles during the first 2 years post-disaster. Psychol Med 1997;27(1):167-178. [Crossref] [PubMed]
- Armenian H K, Morikawa M, Melkonian A K, Hovanesian A, Akiskal K, Akiskal H S. Risk factors for depression in the survivors of the 1988 earthquake in Armenia. J Urban Health 2002;79:373-382. [Crossref]