Hostname: page-component-848d4c4894-2pzkn Total loading time: 0 Render date: 2024-06-01T16:11:20.040Z Has data issue: false hasContentIssue false

Evaluation of the Situations of Coping With Mental Trauma and Trauma in Emergency Service Personnel Who Medically Intervened to Earthquake Affected People in the 2020 Izmir Earthquake

Published online by Cambridge University Press:  02 February 2024

Gülseren Keskin
Affiliation:
Atatürk Medical Vocational Training School, İzmir, Turkey
Esra Yurt*
Affiliation:
Ege University Pre-Hospital Emergency Health Services and Disaster Management Program
*
Corresponding author: Esra Yurt; Email: esrayalcin2017@gmail.com.

Abstract

Objective:

This study aimed to evaluate the mental trauma and coping status of emergency health care workers who responded to the earthquake affected people in the October 2020 Izmir earthquake.

Methods:

This was a descriptive and cross-sectional study. State-Trait Anxiety Inventory (STAI), Posttraumatic Cognition Inventory, Strategies for Coping with Earthquake Stress Scale (SCESS), and Post-earthquake Trauma Level Determination Scale (PETLDS) were used. Independent t-test, analysis of variance, Tukey’s test, and Pearson’s correlation analysis were used for statistical analysis. Statistical significance was accepted as P ≤ 0.05.

Results:

A total of 113 health-care professionals participated in the study. There is a positive and high degree of correlation between the religious coping sub-dimension of the SCESS and the PETLDS (P < 0.001). There was a moderate positive correlation between the religious coping sub-dimension of the SCESS and the state anxiety (P < 0.001) and trait anxiety (P < 0.001) subscales of the STAI.

Conclusions:

In our study, mental trauma and post-traumatic coping levels of health-care workers who were exposed to earthquakes differed according to age, gender, and educational status. We found that post-earthquake trauma levels were directly related to state and trait anxiety levels and religious coping levels. We found that, after the earthquake, social support seeking behavior, state and trait anxiety levels increased; negative cognitions about self, negative cognitions about the world, and self-blame increased.

Practice implications: This study draws attention to the evaluation of emergency health workers who work at the forefront of disasters in terms of subsyndromal post-traumatic stress disorder (PTSD). It is recommended to make plans for psychologically protective and preventive interventions for health-care workers especially after disasters.

Type
Original Research
Copyright
© The Author(s), 2024. 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

Bavafa, A, Khazaie, H, Khaledi-Paveh, B, et al. The relationship of severity of symptoms of depression, anxiety, and stress with sleep quality in earthquake survivors in Kermanshah. J Inj Violence Res. 2019;11(2):225-232. doi: 10.5249/jivr.v11i2.1203 Google ScholarPubMed
Farooqui, M, Quadri, SA, Suriya, SS, et al. Posttraumatic stress disorder: a serious post-earthquake complication. Trends Psychiatry Psychother. 2017;39(2):135-143. doi: 10.1590/2237-6089-2016-0029 CrossRefGoogle ScholarPubMed
Goyet, S, Rayamajhi, R, Gyawali, BN, et al. Post-earthquake health-service support, Nepal. Bull World Health Organ. 2018;96(4):286-291. doi: 10.2471/BLT.17.205666 CrossRefGoogle ScholarPubMed
Khatri, GK, Tran, TD, Baral, S, et al. Experiences of an earthquake during pregnancy, antenatal mental health and infants’ birthweight in Bhaktapur District, Nepal, 2015: a population-based cohort study. BMC Pregnancy Childbirth. 2020;20(1):414. doi: 10.1186/s12884-020-03086-5 CrossRefGoogle ScholarPubMed
Çalişkan, A, Kaya, G. Sociological view of social solidarity practices in earthquake: the example of Izmir earthquake. J Suleyman Demirel Univ Vis. 2021;12(32):1052-1077. doi: 10.21076/vizyoner.878817 Google Scholar
Karadaş, A, Öner, E. The effects of alluvial geomorphology on the damage of the Sisam Earthquake in the Bornova Plain. J Geog. 2021;(42):139-153. doi: 10.26650/JGEOG2021-872890 Google Scholar
Yang, W, Cui, K, Sim, T, et al. Health-related quality of life and post-traumatic stress disorder in inpatients injured in the Ludian earthquake: a longitudinal study. Health Qual Life Outcomes. 2020;18(1):229. doi: 10.1186/s12955-020-01470-5 CrossRefGoogle ScholarPubMed
Matsumoto, K, Sakuma, A, Ueda, I, et al. Psychological trauma after the Great East Japan Earthquake. Psychiatry Clin Neurosci. 2016;70(8):318-331. doi: 10.1111/pcn.12403 CrossRefGoogle ScholarPubMed
Marthoenis, M, Ilyas, A, Sofyan, H, et al. Prevalence, comorbidity and predictors of post-traumatic stress disorder, depression, and anxiety in adolescents following an earthquake. Asian J Psychiatr. 2019;43:154-159. doi: 10.1016/j.ajp.2019.05.030 CrossRefGoogle ScholarPubMed
Mota, NP, Tsai, J, Sareen, J, et al. High burden of subthreshold DSM-5 post-traumatic stress disorder in U.S. military veterans. World Psychiatry. 2016;15(2):185-186. doi: 10.1002/wps.20313 CrossRefGoogle ScholarPubMed
Highfill-McRoy, RM, Levine, JA, Larson, GE, et al. Predictors of symptom increase in subsyndromal PTSD among previously deployed military personnel. Mil Med. 2022;187(5-6):e711-e717. doi: 10.1093/milmed/usab034 CrossRefGoogle ScholarPubMed
McLaughlin, KA, Koenen, KC, Friedman, MJ, et al. Subthreshold posttraumatic stress disorder in the world health organization world mental health surveys. Biol Psychiatry. 2015;77(4):375-384. doi: 10.1016/j.biopsych.2014.03.028 CrossRefGoogle ScholarPubMed
Wallace, D, Moss, AS, Hodges, S. Sub-syndromal PTSD: what is important to know in military personnel and veterans? Australas Psychiatry. 2020;28(3):254-256. doi: 10.1177/1039856219881965 CrossRefGoogle ScholarPubMed
Demirtürk Selçuk, E, Demirağ, BC. The effect of COVID-19 outbreak on secondary traumatic stress and sleep quality in healthcare workers. Turkiye Klinikleri J Nurs Sci. 2021;13(3):533-543.CrossRefGoogle Scholar
Yiğitoğlu, GT, Keskin, G, Köktaş, NÇ. The traumatic impact of the COVID-19 pandemic: the possible role of rumination and uncertainty [published online ahead of print, 2023 Feb 24]. Curr Psychol. 2023;1-10. doi: 10.1007/s12144-023-04379-6 CrossRefGoogle Scholar
Yöndem, ZD, Eren, A. Validity and reliability studies of earthquake stress and coping scale (ESCS). Turkish Psychol Couns Guide J. 2008;3(30):60-75.Google Scholar
Tanhan, F, Kayri, M. The validity and reliability study of the scale for determining the level of trauma after the earthquake. Educ Sci Theory Pract. 2013;13(2):1021-1025 Google Scholar
Spielberger, CD, Gorsuch, RL, Lushene, RE. Manual for State and Anxiety Inventory. Consulting Psychologists; 1970.Google Scholar
Öner, N, Le Compte, WA. State-Trait Anxiety Inventory Handbook. 20th ed. Boğaziçi University Press; 1985:3-5.Google Scholar
Foa, EB, Ehlers, A, Clark, DM, et al. The posttraumatic cognitions inventory (PTCI): development and validation. Psychol Assess. 1999;11(3):303-314.CrossRefGoogle Scholar
Güleç, M, Kalafat, T, Boysan, M, et al. Psychometric properties of the Turkish version of the Posttraumatic Cognitions Inventory (PTCI) in a nonclinical sample. Arch Neuropsychiatr. 2013;50:147-153.CrossRefGoogle Scholar
Taylor, AM, Cocks, JH, Ashe, MC, et al. Mental health in young adult emergency services personnel: a rapid review of the evidence. Int J Disaster Risk Reduct. 2023;88:103605. doi: 10.1016/j.ijdrr.2023.103605 CrossRefGoogle Scholar
Lu, W, Mueser, KT, Yanos, PT, et al. Post-Traumatic Cognitions Inventory (PTCI): psychometric properties in clients with serious mental illness and co-occurring PTSD. Behav Cogn Psychother. 2023;51(5):459-474. doi: 10.1017/S1352465823000140 CrossRefGoogle ScholarPubMed
McFarlane, AC, Lawrence-Wood, E, Van Hooff, M, et al. The need to take a staging approach to the biological mechanisms of PTSD and its treatment. Curr Psychiatry Rep. 2017;19(2):10.CrossRefGoogle Scholar
Lawrence-Wood, E, Baur, J, Lawrence, A, et al. The role of inhibitory processes in the relationship between subsyndromal PTSD symptoms and aggressive behaviour J Psychiatr Res. 2021;143:357-363. doi: 10.1016/j.jpsychires.2021.09.037 CrossRefGoogle ScholarPubMed
McLaughlin, K, Demyttenaere, K, Koenen, K, et al. Threshold versus Subthreshold Posttraumatic Stress Disorder. In Bromet, E, Karam, E, Koenen, K, et al. eds. Trauma and Posttraumatic Stress Disorder: Global Perspectives from the WHO World Mental Health Surveys. Cambridge University Press; 2018:273-286.CrossRefGoogle Scholar
Mylle, J, Maes, M. Partial posttraumatic stress disorder revisited. J Affect Disord. 2004;78(1):37-48. doi: 10.1016/s0165-0327(02)00218-5 CrossRefGoogle Scholar
Akalın, S, Şakiroğlu, M, Eren, S. Examining some variables that predict earthquake prevention behavior: Aydın province example. Dokuz Eylul Univ J Soc Sci Ins. 2020;22(3):977-993.Google Scholar
Hyland, P, Murphy, J, Shevlin, M, et al. Psychometric properties of the Posttraumatic Cognition Inventory within a Northern Ireland adolescent sample. Br J Clin Psychol. 2015;54(4):435-449. doi: 10.1111/bjc.12089 CrossRefGoogle ScholarPubMed
Mills, KL, Ewer, P, Dore, G, et al. The feasibility and acceptability of a brief intervention for clients of substance use services experiencing symptoms of post traumatic stress disorder. Addict Behav. 2014;39(6):1094-1099. doi: 10.1016/j.addbeh.2014.03.013 CrossRefGoogle ScholarPubMed
van Heemstra, HE, Scholte, WF, Ehring, T, et al. Contextualizing cognitions: the relation between negative post-traumatic cognitions and post-traumatic stress among Palestinian refugees. J Cogn Ther. 2020;13(2):159-172.CrossRefGoogle Scholar
Mesidor, JK, Sly, KF. Religious coping, general coping strategies, perceived social support, PTSD symptoms, resilience, and post-traumatic growth among survivors of the 2010 earthquake in Haiti. Ment Health Relig Cult. 2019;22,2:130-143.CrossRefGoogle Scholar
Park, CL, Sacco, SJ, Mills, MA. Do religious habits and coping help in the immediate aftermath of a crisis? Relations with Hurricane Katrina evacuees’ acute stress symptoms and functional impairment. Psychol Trauma. 2019;11(6):563-570. doi: 10.1037/tra0000426 CrossRefGoogle ScholarPubMed
Pargament, KI, Ano, GG, Wachholtz, AB. The religious dimensions of coping: advances in theory, research, and practice. In Paloutzian, RF, Park, CL, eds. Handbook of the Psychology of Religion and Spirituality. Guilford Press; 2005:479-495 Google Scholar
Samuel, R, Burger, K. Negative life events, self-efficacy, and socialsupport: risk and protective factors for school dropout ıntentions and dropout. J Educ Psychol. 2020;112(5):973-986.CrossRefGoogle Scholar
Erikson, E. The Life Cycle Completed. Norton & Company; 1982.Google Scholar
Folkman, S, Lazarus, RS. An analysis of coping in a middle-aged community sample. J Health Soc Behav. 1980;21(3):219-239.CrossRefGoogle Scholar
Stone, AA, Schwartz, JE, Broderick, JE, et al. A snapshot of the age distribution of psychological well-being in the United States. Proc Natl Acad Sci U S A. 2010;107(22):9985-9990. doi: 10.1073/pnas.1003744107 CrossRefGoogle ScholarPubMed
Sliwinski, MJ, Freed, S, Scott, SB, et al. Does chronic stress moderate age differences in emotional well-being? Testing predictions of strength and vulnerability integration. J Gerontol B Psychol Sci Soc Sci. 2021;76(6):1104-1113. doi: 10.1093/geronb/gbaa174 CrossRefGoogle ScholarPubMed
Singh, S, Mani Pandey, N, Datta, M, et al. Stress, internet use, substance use and coping among adolescents, young-adults and middle-age adults amid the ‘new normal’ pandemic era. Clin Epidemiol Glob Health. 2021;12:100885. doi: 10.1016/j.cegh.2021.100885 CrossRefGoogle ScholarPubMed
Kardaş, F, Tanhan, F. Investigation of post-traumatic stress, post-traumatic growth and hopelessness levels of university students who experienced the Van earthquake. J Yüzüncü Yıl Univ Fac Educ. 2018;15(1):1-36.Google Scholar
Salas-Rodríguez, J, Gómez-Jacinto, L, Hombrados-Mendieta, I. Life history theory: evolutionary mechanisms and gender role on risk-taking behaviors in young adults. Pers Individ Dif. 2021;175:110752.CrossRefGoogle Scholar
Yang, Z, Luo, Y, Zhou, Q, et al. COVID-19-related stressors and depression in Chinese adolescents: the effects of life history strategies and gender. J Affect Disord. 2022;304:122-127. doi: 10.1016/j.jad.2022.02.060 CrossRefGoogle ScholarPubMed
Serrano-Ripoll, MJ, Meneses-Echavez, JF, Ricci-Cabello, I, et al. Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis. J Affect Disord. 2020;277:347-357. doi: 10.1016/j.jad.2020.08.034 CrossRefGoogle ScholarPubMed
Baysak, E, Eroğlu, ZM, Utku, Ç, et al. Evaluation of post-traumatic stress disorder, burnout and coping styles in emergency and ıntensive care unit employees. J Clin Psychiatry. 2019;22(1):36-47.Google Scholar
Erdener, M. Investigation of Psychological Resilience and Secondary Traumatic Stress Levels of Professionals Working in the Field of Disaster [master’s thesis]. Ankara,Turkey: Hacettepe University Institute of Social Sciences, Department of Social Work; 2019.Google Scholar
Trifunovic, N, Jatic, Z, Kulenovic, AD. Identification of causes of the occupational stress for health providers at different levels of health care. Med Arch. 2017;71(3):169-172. doi: 10.5455/medarh.2017.71.169-172 CrossRefGoogle ScholarPubMed
Diekmann, K, Böckelmann, I, Karlsen, HR, et al. Effort-reward imbalance, mental health and burnout in occupational groups that face mental stress. J Occup Environ Med. 2020;62(10):847-852. doi: 10.1097/JOM.0000000000001978 CrossRefGoogle ScholarPubMed
Sakaoğlu, HH, Orbatu, D, Emiroglu, M, et al. Spielberger state and trait anxiety level in healthcare professionals during the Covid-19 outbreak: a case of Tepecik Hospital. Anatol J Med. 2020;30(2):1-9.Google Scholar
Melnyk, BM, Kelly, SA, Stephens, J, et al. Interventions to improve mental health, well-being, physical health, and lifestyle behaviors in physicians and nurses: a systematic review. Am J Health Promot. 2020;34(8):929-941. doi: 10.1177/0890117120920451 CrossRefGoogle ScholarPubMed
Kılıç, C. Health services use for earthquake-related psychological problems: results from the 1999 earthquakes in Turkey. Turk Psikiyatri Derg. 2008;19(2):113-123.Google ScholarPubMed
Uğur, K, Kartal, F, Mete, B, et al. The relationship between peritraumatic dissociation and anxiety level, perceived stress, anxiety sensitivity, and coping with earthquake stress in those with post-earthquake acute stress disorder. Turk Psikiyatri Derg. 2021;32(4):253-260.Google ScholarPubMed