TRAUMA, ADDICTION, AND THE PATH TO RECOVERY AFTER THE KAHRAMANMARAŞ EARTHQUAKES

Metin Çınaroğlu
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Abstract

The 2023 Kahramanmaraş earthquakes in Turkey, characterized by their suddenness and severity, have highlighted the acute need to understand and address the psychological aftermath of such natural disasters. This article examines the intersection of trauma and addiction that frequently follows such catastrophic events. It delves into the widespread psychological distress and the documented rise in post-traumatic stress disorder, anxiety, depression, and addictive behaviors among the affected populations. The review synthesizes findings from global earthquake studies, including those from Japan, Nepal, Italy, Iran, Pakistan, Haiti and China, to draw parallels and learn from previous experiences in managing post-disaster mental health challenges. The article proposes a multi-pronged approach to intervention that includes immediate responses such as Psychological First Aid and longer-term strategies like sustained psychological counseling and community-based support. It acknowledges the complexity of integrating cultural nuances into these interventions and highlights the importance of ethical considerations, political coordination, and the need for training mental health professionals in trauma-informed care. Challenges such as resource limitations, infrastructural damage, cultural barriers, and the need for long-term sustainability of mental health programs are discussed. Furthermore, the article stresses the importance of supporting the mental health of professionals and volunteers working in disaster zones, who are at risk of burnout and secondary trauma. Innovative and adaptable interventions, supported by rapid and responsive research, are advocated to improve mental health outcomes. This comprehensive review contributes to the discourse on disaster response, emphasizing that addressing both trauma and addiction is essential for the holistic recovery of affected individuals and communities.
卡赫拉曼马拉什地震后的创伤、成瘾和康复之路
2023 年在土耳其发生的卡赫拉曼马拉什地震以其突发性和严重性为特点,凸显了了解和应对此类自然灾害造成的心理后果的迫切需要。本文探讨了此类灾难性事件发生后经常出现的心理创伤和成瘾问题。文章深入探讨了受影响人群中普遍存在的心理困扰以及创伤后应激障碍、焦虑、抑郁和成瘾行为的增加。文章综述了全球地震研究的结果,包括来自日本、尼泊尔、意大利、伊朗、巴基斯坦、海地和中国的研究结果,从而得出相似之处,并借鉴以往应对灾后心理健康挑战的经验。文章提出了一种多管齐下的干预方法,包括心理急救等即时应对措施,以及持续的心理咨询和社区支持等长期策略。文章承认将文化差异融入这些干预措施的复杂性,并强调了道德考量、政治协调的重要性,以及对心理健康专业人员进行创伤知情护理培训的必要性。文章还讨论了资源限制、基础设施破坏、文化障碍等挑战,以及心理健康项目长期可持续性的必要性。此外,文章还强调了为在灾区工作的专业人员和志愿者提供心理健康支持的重要性,因为他们面临着职业倦怠和二次创伤的风险。文章提倡在快速反应研究的支持下,采取创新和适应性强的干预措施,以改善心理健康成果。这篇全面的综述为有关灾难应对的讨论做出了贡献,强调解决创伤和成瘾问题对于受灾个人和社区的整体恢复至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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