Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-06-08T12:27:22.823Z Has data issue: false hasContentIssue false

Trauma Level, Coping with Stress and Post-Traumatic Change in University Students Experiencing Kahramanmaraş Centered Earthquake: A Cross-Sectional Study

Published online by Cambridge University Press:  01 December 2023

Aynur Bahar
Affiliation:
Psychiatric Nursing Department, Health Science Faculty, Gaziantep University, Gaziantep, Turkey
Döndü Çuhadar*
Affiliation:
Psychiatric Nursing Department, Health Science Faculty, Gaziantep University, Gaziantep, Turkey
*
Corresponding author: Döndü Çuhadar; Email: donducuhadar@hotmail.com.

Abstract

Objective:

The aim of this research is to examine the levels of post-traumatic stress, coping with stress, and post-traumatic change in university students after the Kahramanmaraş-centered earthquakes in February 2023.

Method:

The research is descriptive and relational. The sample of the study consists of 221 university students. Personal Information Form, Post-earthquake Trauma Level Determination Scale, Strategies for Coping with Earthquake Stress Scale, and Post-Traumatic Change Scale were used as data collection tools. Descriptive analyses (percentage, arithmetic mean), correlation analysis, and regression analysis were used in the analysis of the data.

Results:

It was determined that the students were highly traumatized after the earthquake, and post-traumatic stress symptoms were observed in a significant majority of the students. It was determined that the students used the post-earthquake coping strategies effectively. Post-traumatic change is positive. Inter-scale correlations are significant (P < 0.05). According to regression analysis, the level of post-earthquake trauma and the level of coping with earthquake stress are significant predictors of post-traumatic change. In addition, the damage to houses during the earthquake significantly affects the post-traumatic change.

Conclusions:

We think that pre-planning the psychological support services, increasing social supports, and teaching methods of coping with stress that can be applied after disasters such as earthquakes will be effective in preventing post-traumatic problems in university students at risk after trauma. It is hoped that the findings of this study will assist researchers, practitioners, and policymakers in implementing effective strategies for post-disaster.

Type
Original Research
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kurt, E, Gülbahçe, A. Van Depremini Yaşayan Öğrencilerin TravmaSonrası Stres Bozukluğu Düzeylerinin İncelenmesi. Atatürk ÜniversitesiSosyal Bilimler Enstitüsü Dergisi. 2019;23(3):957-972.Google Scholar
Udomratn, P. Mental health and the psychosocial consequences of natural disasters in Asia. Int Rev Psychiatry. 2008;20(5):441-444. doi: 10.1080/09540260802397487 CrossRefGoogle ScholarPubMed
Buran, NP. İzmir Depremini Yaşayanların Travma Sonrası Stres Bozukluğu, Kaygı ve Psikolojik Büyüme Düzeylerinin İncelenmesi. Yakın Doğu Üniversitesi Lisansüstü Eğitim Enstitüsü Klinik Psikoloji Anabilim Dalı. Yüksek Lisans Tezi.Lefkoşa; 2022.Google Scholar
Amerikan Psikiyatri Birliği. Mental Bozuklukların Tanısal ve Sayımsal El Kitabı (DSM-5). (Çev: Köroğlu E). Ankara, Hekimler Yayın Birliği; 2013.Google Scholar
Amerikan Psikiyatri Birliği. Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı (DSM-5). (Çev: Köroğlu E) Ankara: Hekimler Yayın Birliği; 2014.Google Scholar
Dai, W, Chen, L, Lai, Z, et al. The incidence of post-traumatic stress disorder among survivors after earthquakes: a systematic review and meta-analysis. BMC Psychiatry. 2016;7(16):188. doi: 10.1186/s12888-016-0891-9 CrossRefGoogle Scholar
Liang, Y, Cheng, J, Ruzek, JI, Liu, Z. Posttraumatic stress disorder following the 2008 Wenchuan earthquake: a 10-year systematic review among highly exposed populations in China. J Affect Disord. 2019;15(243):327-339. doi: 10.1016/j.jad.2018.09.047 CrossRefGoogle Scholar
Zhang, Z, Shi, Z, Wang, L, Liu, M. Post-traumatic stress disorder, anxiety and depression among the elderly: a survey of the hard-hit areasa year after the Wenchuan earthquake. J Stress Health. 2012;28(1):61-68.CrossRefGoogle Scholar
Sakarya, D, Güneş, C. Van depremi sonrasında travma sonrası stres bozukluğu belirtilerinin psikolojik dayanıklılık ile ilişkisi. Kriz Dergisi. 2013;21(1):25-32.Google Scholar
Fu, Y, Chen, Y, Wang, J, et al. Analysis of prevalence of PTSD and its influencing factors among college students after the Wenchuan earthquake. Child Adolesc Psychiatry Ment Health. 2013;7(1):1.CrossRefGoogle ScholarPubMed
Tanhan, F, Kayri, M. Deprem Sonrası Travma Düzeyini Belirleme Ölçeğinin geçerlik ve güvenirlik çalışması. Kuram ve Uygulamada Eğitim Bilimleri. 2013;13(2):1013-1025.Google Scholar
Yöndem, ZD, Eren, A. Deprem Stresi İle Baş Etme Stratejileri Ölçeğinin geçerlik ve güvenirlik çalışmaları. Türk Psikolojik Danışma ve Rehberlik Dergisi. 2008;3(30):60-75.Google Scholar
Nordstrand, AE, Hjemdal, O, Holen, A, et al. Measuring psychological change after trauma: psychometric properties of a new bi-directional scale. Psychol Trauma. 2017;9(6):696-706. doi: 10.1037/tra0000270 CrossRefGoogle ScholarPubMed
Yazıcı, H, Özdemir, M, Ardıç, E. Travma Sonrası Değişim Ölçeği: Türkçe Uyarlama, Geçerlik-Güvenirlik Çalışması. Nesne Dergisi. 2022;10(23):32-44. doi: 10.7816/nesne-10-23-03 Google Scholar
Erdoğan, CN, Aksoy, ÖN. Deprem Stresi İle Baş Etme Stratejileri Balıkesir Örneği. Sosyal Bilimler Akademi Dergisi. 2020;3(2):88-103. doi: 10.38004/sobad.704072 CrossRefGoogle Scholar
Platte, S, Wiesmann, U, Tedeschi, RG, Kehl, D. Coping and rumination as predictors of posttraumatic growth and depreciation. Chin J Traumatol. 2022;25(5):264-271. doi: 10.1016/j.cjtee.2022.02.001 CrossRefGoogle ScholarPubMed
Kim, I, Oh, WO. Predictors of posttraumatic growth among university students who experienced a recent earthquake. Issues Ment Health Nurs. 2019;40(2):176-184. doi: 10.1080/01612840.2018.1471759 CrossRefGoogle Scholar
Bala, MB. Deprem Yaşayan Bireylerde Dini Başa Çıkma (2011 Van Depremi Örneği). Bursa Uludağ Üniversitesi Sosyal Bilimler Enstitüsü Felsefe ve Din Bilimleri Anabilim Dalı Din Psikolojisi Bilim Dalı. Yüksek Lisans Tezi. Bursa; 2021.Google Scholar
Lindstrom, CM, Cann, A, Calhoun, LG, Tedeschi, RG. The relationship of core belief challenge, rumination, disclosure, and socio cultural elements to posttraumatic growth. Psychol Trauma. 2013;5(1):50-55.CrossRefGoogle Scholar
Temizel, EA, Dağ, İ. Stres Veren Yaşam Olayları, Bilişsel Duygu Düzenleme Stratejileri, Depresif Belirtiler ve Kaygı Düzeyi Arasındaki İlişkiler. Klinik Psikiyatri. 2014;17:7-17.Google Scholar
Tedeschi, RG, Calhoun, LG. Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inq. 2004;15(1):1-18.CrossRefGoogle Scholar
Malhotra, M, Chebiyan, S. Posttraumatic growth: positive changes following adversity—an overview. Int J Psychol Behav Sci. 2016;6(3):109-118. doi: 10.5923/j.ijpbs.20160603.03 Google Scholar
Lykins, EL, Segerstrom, SC, Averill, AJ, et al. Goal shifts following reminders of mortality: reconciling posttraumatic growth and terror management theory. Pers Soc Psychol Bull. 2007;33(8):1088-1099.CrossRefGoogle Scholar
Magid, K, El-Gabalawy, R, Maran, A, Serber, ER. An examination of the association between post-traumatic growth and stress symptomatology in cardiac outpatients. J Clin Psychol Med Setting. 2019;26(3):271-281. doi: 10.1007/s10880-018-9585-4 CrossRefGoogle Scholar
Kardaş, F, Tanhan, F. Van depremini yaşayan üniversite öğrencilerinin travma sonrası stres, travma sonrası büyüme ve umutsuzluk düzeylerinin incelenmesi. Yüzüncü Yıl Üniversitesi Eğitim Fakültesi Dergisi. 2018;15(1):1-36.Google Scholar
Linley, PA, Joseph, S. Positive change following trauma and adversity: a review. J Trauma Stress. 2004;17(1):11-21.CrossRefGoogle Scholar
Barrington, A, Shakespeare-Finch, J. Posttraumatic growth and posttraumatic depreciation as predictors of psychological adjustment. J Loss Trauma. 2013;18(5):429-443. doi: 10.1080/15325024.2012.714210 CrossRefGoogle Scholar
Cann, A, Calhoun, LG, Tedeschi, RG, Solomon, DT. Posttraumatic growth and depreciation as independent experiences and predictors of well-being. J Loss Trauma. 2010;15(3):151-166. doi: 10.1080/15325020903375826 CrossRefGoogle Scholar
Nordstrand, AE, Bøe, HJ, Holen, A, et al. Danger-and non-danger-based stressors and their relations to posttraumatic depreciation or growth in Norwegian veterans deployed to Afghanistan. Eur J Psychotraumatol. 2019;10(1):1601989. doi: 10.1080/20008198.2019.1601989 CrossRefGoogle ScholarPubMed