Year 2025,
Volume: 16 Issue: 4, 551 - 559, 01.10.2025
Irmak Polat
,
Mesut Keskin
,
Sevde Nur Karabulut
,
Nesiba Kalyoncu
,
Arzu Aydoğdu
,
Meryem Merve Ören Çelik
,
Selcan Hun Gökçe
,
Mine Özkan
References
-
1. Dedeoğlu N. Afetler ve halk sağlığı; afetlerde temel kavramlar ve
hazırlıklı olmak. 1st ed. Okyay P, Öcek E, editors. Ankara: Hipokrat
Yayınevi; 2023. p. 6.
-
2. AFAD. Press bulletin-21 about the earthquake in Kahramanmaraş
[Internet]. 2023 [cited 2023 Jul 3]. Available from: https://en.afad.
gov.tr/press-bulletin-22-about-the-earthquake-in-Kahramanmaras
-
3. Türk Tabipler Birliği. 6 Şubat 2023 Kahramanmaraş ve 20 Şubat 2023
Hatay depremleri birinci ay raporu [Internet]. 2023 [cited 2023 Jul 3].
Available from: https://www.ttb.org.tr/userfiles/files/1ayraporu.pdf
-
4. Başoğlu M, Şalcioğlu E, Livanou M. Traumatic stress responses in
earthquake survivors in Turkey. J Trauma Stress. 2002;15(4):269–76.
-
5. 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):451–9.
-
6. Salcioglu E, Basoglu M, Livanou M. Post-traumatic stress disorder
and comorbid depression among survivors of the 1999 earthquake
in Turkey. Disasters. 2007;31(2):115–29.
-
7. Boztas MH, Aker AT, Munir K, Çelik F, Aydın A, Karasu U, et al. Post
traumatic stress disorder among adults in the aftermath of 2011
Van-Ercis earthquake. Turk J Clin Psychiatry. 2019;22(4):380–8.
doi:10.5505/kpd.2019.62534
-
8. Carr VJ, Lewin TJ, Webster RA, Kenardy JA. A synthesis of the
findings from the Quake Impact Study: a two-year investigation of
the psychosocial sequelae of the 1989 Newcastle earthquake. Soc
Psychiatry Psychiatr Epidemiol. 1997;32(3):123–36.
-
9. Yücel B, Tükel R, Sezgin U, Özdemir ÖÖ, Polat A, Yüksel Ş. Bedensel
zarar gören kişilerde psikiyatrik yardım amaçlı çalışmalar: bir klinik
deneyim. Klinik Psikiyatri Derg. 2000;3(3):12–5.
-
10. Ursano RJ, Fullerton CS, Norwood AE. Psychiatric dimensions of
disaster: patient care, community consultation, and preventive
medicine. Harv Rev Psychiatry. 1995;3(4):196–209.
-
11. Wiseman T, Foster K, Curtis K. Mental health following
traumatic physical injury: an integrative literature review. Injury.
2013;44(11):1383–90.
-
12. Özkan S. Konsültasyon liyezon psikiyatrisi; kavramlar,
kurumsallaşma, uygulama. Turk Klin J Intern Med Sci.
2006;2(47):1–13.
-
13. Ji J, Ye C. Consultation-liaison psychiatry in China. Shanghai Arch
Psychiatry. 2012;24(3):124–30.
-
14. Pridmore W. ‘I can see clearly now’: clarifying the role of psychiatry
in global disaster. Australas Psychiatry. 2021;29(3):337–9.
-
15. Kalyoncu N, Aydoğdu A, Polat I, Karabulut SN, Keskin M, Özkan
M. Yaralı bedenlerin yaralı zihinleri: 6 Şubat 2023 Kahramanmaraş
depremleri sonrası bir üniversite hastanesindeki konsültasyon
liyezon psikiyatrisi hemşireliği hizmetlerinin değerlendirilmesi.
SABİTED. 2023;3(3):13–22.
-
16. Bartels SA, VanRooyen MJ. Medical complications associated with
earthquakes. Lancet. 2012;379(9817):748–57.
-
17. Bryant RA. Post-traumatic stress disorder: a state-of-the-art review
of evidence and challenges. World Psychiatry. 2019;18(3):259–69.
-
18. Kılıç C, Aydın İ, Taşkıntuna N, Özçürümez G, Kurt G, Eren E, et al.
Predictors of psychological distress in survivors of the 1999
earthquakes in Turkey: effects of relocation after the disaster. Acta
Psychiatr Scand. 2006;114(3):194–202.
-
19. Akçay S, Beydili Gürbüz E, Koca E. Trauma levels after the
2023 Kahramanmaraş earthquakes in Türkiye. J Soc Serv Res.
2024;50(4):519–30.
-
20. 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):133–41.
-
21. Ergün D, Şenyüz S. Prolonged grief disorder among bereaved
survivors after the 2011 Van earthquake in Turkey. Death Stud.
2022;46(6):1364–71.
-
22. Zatzick D, Jurkovich GJ, Rivara FP, Wang J, Fan MY, Joesch J, et al. A
national US study of posttraumatic stress disorder, depression, and
work and functional outcomes after hospitalization for traumatic
injury. Ann Surg. 2008;248(3):429–37.
-
23. Alexander DA. Early mental health intervention after disasters. Adv
Psychiatr Treat. 2005;11(1):12–8.
-
24. Yıldız Mİ, Başterzi AD, Yıldırım EA, Yüksel Ş, Aker AT, Semerci B,
et al. Preventive and therapeutic mental health care after the
earthquake: expert opinion from the Psychiatric Association of
Turkey. Turk J Psychiatry. 2023;34(3):1–12.
The Role of Consultation- Liaison Psychiatry in the Early Aftermath of the 2023 Kahramanmaraş Earthquakes
Year 2025,
Volume: 16 Issue: 4, 551 - 559, 01.10.2025
Irmak Polat
,
Mesut Keskin
,
Sevde Nur Karabulut
,
Nesiba Kalyoncu
,
Arzu Aydoğdu
,
Meryem Merve Ören Çelik
,
Selcan Hun Gökçe
,
Mine Özkan
Abstract
Purpose: The health problems experienced after the 2023 Kahramanmaraş earthquakes had not only physical but also psychological effects. In particular, post-traumatic stress disorder (PTSD) and depression are significant health issues for earthquake victims. In this study, the effectiveness of Consultation-Liaison Psychiatry (CLP) practice after the disaster was evaluated by examining the consultations of patients referred to our institution.
Methods: The medical records of patients aged 18 and over who were referred from earthquake-affected areas to XXX University XXX Faculty of Medicine between April and May 2023 and evaluated by the CLP department were retrospectively reviewed through the electronic system. Data on patients' sociodemographic characteristics, treatment processes, and medical-psychiatric histories were analyzed.
Results: Of the 67 patients referred to our institution, 20 received psychiatric consultation. Eleven patients were female and nine were male; the mean age was 48. The median time of consultation was 13.5 days. Depression, anxiety, sleep problems, and PTSD, which were detected in most patients, were found to be related to the earthquake. Most common diagnoses were Acute Stress Disorder, PTSD, and depression. Being trapped under rubble was associated with Trauma-Related Disorders, and these patients received more psychotherapeutic support.
Conclusion: We found that psychiatric disorders such as PTSD and depression were common in patients who underwent psychiatric evaluation after the 2023 Kahramanmaraş earthquakes. Being trapped under rubble is an important factor in the development of psychiatric problems. Our results emphasize the significance of addressing post-disaster psychiatric disorders in the early stages, from a CLP perspective.
References
-
1. Dedeoğlu N. Afetler ve halk sağlığı; afetlerde temel kavramlar ve
hazırlıklı olmak. 1st ed. Okyay P, Öcek E, editors. Ankara: Hipokrat
Yayınevi; 2023. p. 6.
-
2. AFAD. Press bulletin-21 about the earthquake in Kahramanmaraş
[Internet]. 2023 [cited 2023 Jul 3]. Available from: https://en.afad.
gov.tr/press-bulletin-22-about-the-earthquake-in-Kahramanmaras
-
3. Türk Tabipler Birliği. 6 Şubat 2023 Kahramanmaraş ve 20 Şubat 2023
Hatay depremleri birinci ay raporu [Internet]. 2023 [cited 2023 Jul 3].
Available from: https://www.ttb.org.tr/userfiles/files/1ayraporu.pdf
-
4. Başoğlu M, Şalcioğlu E, Livanou M. Traumatic stress responses in
earthquake survivors in Turkey. J Trauma Stress. 2002;15(4):269–76.
-
5. 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):451–9.
-
6. Salcioglu E, Basoglu M, Livanou M. Post-traumatic stress disorder
and comorbid depression among survivors of the 1999 earthquake
in Turkey. Disasters. 2007;31(2):115–29.
-
7. Boztas MH, Aker AT, Munir K, Çelik F, Aydın A, Karasu U, et al. Post
traumatic stress disorder among adults in the aftermath of 2011
Van-Ercis earthquake. Turk J Clin Psychiatry. 2019;22(4):380–8.
doi:10.5505/kpd.2019.62534
-
8. Carr VJ, Lewin TJ, Webster RA, Kenardy JA. A synthesis of the
findings from the Quake Impact Study: a two-year investigation of
the psychosocial sequelae of the 1989 Newcastle earthquake. Soc
Psychiatry Psychiatr Epidemiol. 1997;32(3):123–36.
-
9. Yücel B, Tükel R, Sezgin U, Özdemir ÖÖ, Polat A, Yüksel Ş. Bedensel
zarar gören kişilerde psikiyatrik yardım amaçlı çalışmalar: bir klinik
deneyim. Klinik Psikiyatri Derg. 2000;3(3):12–5.
-
10. Ursano RJ, Fullerton CS, Norwood AE. Psychiatric dimensions of
disaster: patient care, community consultation, and preventive
medicine. Harv Rev Psychiatry. 1995;3(4):196–209.
-
11. Wiseman T, Foster K, Curtis K. Mental health following
traumatic physical injury: an integrative literature review. Injury.
2013;44(11):1383–90.
-
12. Özkan S. Konsültasyon liyezon psikiyatrisi; kavramlar,
kurumsallaşma, uygulama. Turk Klin J Intern Med Sci.
2006;2(47):1–13.
-
13. Ji J, Ye C. Consultation-liaison psychiatry in China. Shanghai Arch
Psychiatry. 2012;24(3):124–30.
-
14. Pridmore W. ‘I can see clearly now’: clarifying the role of psychiatry
in global disaster. Australas Psychiatry. 2021;29(3):337–9.
-
15. Kalyoncu N, Aydoğdu A, Polat I, Karabulut SN, Keskin M, Özkan
M. Yaralı bedenlerin yaralı zihinleri: 6 Şubat 2023 Kahramanmaraş
depremleri sonrası bir üniversite hastanesindeki konsültasyon
liyezon psikiyatrisi hemşireliği hizmetlerinin değerlendirilmesi.
SABİTED. 2023;3(3):13–22.
-
16. Bartels SA, VanRooyen MJ. Medical complications associated with
earthquakes. Lancet. 2012;379(9817):748–57.
-
17. Bryant RA. Post-traumatic stress disorder: a state-of-the-art review
of evidence and challenges. World Psychiatry. 2019;18(3):259–69.
-
18. Kılıç C, Aydın İ, Taşkıntuna N, Özçürümez G, Kurt G, Eren E, et al.
Predictors of psychological distress in survivors of the 1999
earthquakes in Turkey: effects of relocation after the disaster. Acta
Psychiatr Scand. 2006;114(3):194–202.
-
19. Akçay S, Beydili Gürbüz E, Koca E. Trauma levels after the
2023 Kahramanmaraş earthquakes in Türkiye. J Soc Serv Res.
2024;50(4):519–30.
-
20. 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):133–41.
-
21. Ergün D, Şenyüz S. Prolonged grief disorder among bereaved
survivors after the 2011 Van earthquake in Turkey. Death Stud.
2022;46(6):1364–71.
-
22. Zatzick D, Jurkovich GJ, Rivara FP, Wang J, Fan MY, Joesch J, et al. A
national US study of posttraumatic stress disorder, depression, and
work and functional outcomes after hospitalization for traumatic
injury. Ann Surg. 2008;248(3):429–37.
-
23. Alexander DA. Early mental health intervention after disasters. Adv
Psychiatr Treat. 2005;11(1):12–8.
-
24. Yıldız Mİ, Başterzi AD, Yıldırım EA, Yüksel Ş, Aker AT, Semerci B,
et al. Preventive and therapeutic mental health care after the
earthquake: expert opinion from the Psychiatric Association of
Turkey. Turk J Psychiatry. 2023;34(3):1–12.