Exploring the association between post-traumatic stress levels of earthquake-affected mothers and children and the parent-child relationship.

IF 2.5 4区医学 Q2 PSYCHIATRY

International Journal of Social Psychiatry Pub Date : 2025-06-25 DOI:10.1177/00207640251347485

Merve Nur Bozkurt Karalı, Yasemin Özkan

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引用次数: 0

Abstract

Background: On February 6, 2023, the Kahramanmaraş earthquakes affected 11 provinces in Turkey, causing catastrophic consequences for 16.4% of the nation's population.

Aims: This study aimed to explore the relationship between post-traumatic stress levels of mothers and children and the parent-child relationship one and a half years following the Kahramanmaraş earthquake.

Methods: The study included 186 mothers and their 284 children, aged 2 to 10 years, all of whom were affected by the Kahramanmaraş earthquakes. The mothers reported their own PTSD symptoms using the PTSD Checklist for DSM-5 (PCL-5), assessed their children's symptoms via the Pediatric Emotional Distress Scale (PEDS), and completed the Parent-Child Relationship Scale (PCRS). To analyze the data, Pearson correlation analysis and multivariate linear regression analysis were employed. Additionally, mediation analyses were conducted using the bootstrapping-based PROCESS macro (Model-4).

Results: Our findings reveal that one and a half years after the earthquake, the mothers and their children remained at risk for post-traumatic stress. The results of our study indicate that maternal PTSD levels contribute to increased PED levels in children, both through the partial mediation effect of the negative parent-child relationship and through direct effects on children's PED levels. Furthermore, the study reveals that maternal PTSD levels also contribute to a negative parent-child relationship through the full mediation effect of children's PED level.

Conclusion: These findings underscore the necessity for post-earthquake psychosocial interventions to adopt a comprehensive approach that addresses not only individual psychological symptoms but also actively engages both mothers and children in the therapeutic process. Specifically, interventions should aim to enhance the quality of the parent-child relationship and foster secure attachment, emotional communication, and co-regulation within the family system.

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探讨受地震影响的母亲和儿童创伤后应激水平与亲子关系之间的关系。

背景：2023年2月6日，kahramanmaraki地震影响了土耳其的11个省，给全国16.4%的人口造成了灾难性的后果。目的：本研究旨在探讨kahrammanmaraki地震后1年半的母子创伤后应激水平与亲子关系的关系。方法：研究对象为受kahramanmaraku地震影响的186名母亲及其284名2至10岁的儿童。母亲使用DSM-5 PTSD检查表（PCL-5）报告自己的PTSD症状，通过儿童情绪困扰量表（PEDS）评估孩子的症状，并完成亲子关系量表（PCRS）。数据分析采用Pearson相关分析和多元线性回归分析。此外，使用基于引导的PROCESS宏（模型4）进行中介分析。结果：我们的研究结果显示，地震发生一年半后，母亲和她们的孩子仍然有创伤后应激障碍的风险。本研究结果表明，母亲PTSD水平通过负性亲子关系的部分中介作用和对儿童PED水平的直接影响，促进了儿童PED水平的升高。此外，本研究还发现，母亲PTSD水平通过儿童PED水平的完全中介作用，对亲子负向关系也有影响。结论：这些发现强调了震后社会心理干预的必要性，不仅要解决个体心理症状，而且要积极地让母亲和儿童参与治疗过程。具体而言，干预措施应旨在提高亲子关系的质量，促进家庭系统内的安全依恋、情感沟通和共同调节。

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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来源期刊

International Journal of Social Psychiatry PSYCHIATRY-

CiteScore

12.30

自引率

1.30%

发文量

120

期刊介绍： The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.