{"title":"灾难恢复力和创伤暴露对kahramanmaraki地震医护人员PTSD、抑郁和睡眠障碍的影响（2023）：一个结构方程模型。","authors":"Ibrahim Kiymis, Damla Nur Yuce","doi":"10.1080/13548506.2025.2463030","DOIUrl":null,"url":null,"abstract":"<p><p>Healthcare workers (HCWs) serve as the cornerstone of health services, which are among the primary needs during disasters. The chaotic environment caused by disasters can lead to mental health disorders in HCWs, similar to those experienced by disaster victims. Experiencing mental health disorders can hinder HCW's professional approach to intervention. HCWs should not be overlooked for the possibility of experiencing mental health disorders while providing healthcare services during disasters. Therefore, this study aims to examine the impact of psychological resilience and trauma exposure on PTSD, depression, and sleep disorders among HCWs involved in the Kahramanmaraş Earthquakes, which were Turkey's most devastating earthquakes. In this quantitative research, a survey technique was employed, reaching 642 hCWs involved in the Kahramanmaraş Earthquakes. Structural Equation Modeling (SEM) was used to test the impact of variables on each other. According to the SEM results, trauma exposure in the HCWs had a significant and positive effect on PTSD (β=+0.899, <i>p</i> = 0.000), depression (β=+0.685, <i>p</i> = 0.000), and sleep disorders (β=+0.603, <i>p</i> = 0.000). Psychological resilience had a significant and negative effect on PTSD (β=-0.278, <i>p</i> = 0.004) and depression (β=-0.322, <i>p</i> = 0.008). Surprisingly, psychological resilience had a significant and positive effect on sleep disorders (β=+0.692, <i>p</i> = 0.000). In conclusion, while trauma exposure led to PTSD, depression, and sleep disorders in the HCWs, psychological resilience mitigated PTSD and depression. Unexpectedly, psychological resilience increased sleep disorders. For this reason, it is recommended that future studies investigate in detail the reasons why HCWs experience sleep disorders and examine them in depth.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1962-1988"},"PeriodicalIF":1.9000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of disaster resilience and trauma exposure on PTSD, depression, and sleep disorder among healthcare workers involved in the Kahramanmaraş Earthquakes (2023): a structural equation model.\",\"authors\":\"Ibrahim Kiymis, Damla Nur Yuce\",\"doi\":\"10.1080/13548506.2025.2463030\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Healthcare workers (HCWs) serve as the cornerstone of health services, which are among the primary needs during disasters. The chaotic environment caused by disasters can lead to mental health disorders in HCWs, similar to those experienced by disaster victims. Experiencing mental health disorders can hinder HCW's professional approach to intervention. HCWs should not be overlooked for the possibility of experiencing mental health disorders while providing healthcare services during disasters. Therefore, this study aims to examine the impact of psychological resilience and trauma exposure on PTSD, depression, and sleep disorders among HCWs involved in the Kahramanmaraş Earthquakes, which were Turkey's most devastating earthquakes. In this quantitative research, a survey technique was employed, reaching 642 hCWs involved in the Kahramanmaraş Earthquakes. Structural Equation Modeling (SEM) was used to test the impact of variables on each other. According to the SEM results, trauma exposure in the HCWs had a significant and positive effect on PTSD (β=+0.899, <i>p</i> = 0.000), depression (β=+0.685, <i>p</i> = 0.000), and sleep disorders (β=+0.603, <i>p</i> = 0.000). Psychological resilience had a significant and negative effect on PTSD (β=-0.278, <i>p</i> = 0.004) and depression (β=-0.322, <i>p</i> = 0.008). Surprisingly, psychological resilience had a significant and positive effect on sleep disorders (β=+0.692, <i>p</i> = 0.000). In conclusion, while trauma exposure led to PTSD, depression, and sleep disorders in the HCWs, psychological resilience mitigated PTSD and depression. Unexpectedly, psychological resilience increased sleep disorders. 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引用次数: 0
摘要
卫生保健工作者是卫生服务的基石，是灾害期间的主要需求之一。灾难造成的混乱环境可能导致卫生保健工作者出现精神健康障碍，类似于灾难受害者所经历的情况。经历精神健康障碍可能会阻碍HCW的专业干预方法。不应忽视卫生保健工作者在灾害期间提供卫生保健服务时出现精神健康障碍的可能性。因此，本研究旨在研究心理弹性和创伤暴露对参与土耳其最具破坏性地震kahramanmaraku地震的医护人员的PTSD、抑郁和睡眠障碍的影响。在定量研究中，采用了调查技术，对kahramanmaraku地震中涉及的642个hCWs进行了调查。使用结构方程模型（SEM）来检验变量之间的相互影响。扫描电镜结果显示，创伤暴露对创伤后应激障碍（PTSD） （β=+0.899, p = 0.000）、抑郁（β=+0.685, p = 0.000）和睡眠障碍（β=+0.603, p = 0.000）有显著正向影响。心理弹性对PTSD （β=-0.278, p = 0.004）和抑郁（β=-0.322, p = 0.008）有显著负向影响。令人惊讶的是，心理弹性对睡眠障碍有显著的积极影响（β=+0.692, p = 0.000）。综上所述，创伤暴露会导致创伤后应激障碍、抑郁和睡眠障碍，而心理弹性则会减轻创伤后应激障碍和抑郁。出乎意料的是，心理弹性增加了睡眠障碍。因此，建议未来的研究详细调查医护人员睡眠障碍的原因，并对其进行深入研究。
The effect of disaster resilience and trauma exposure on PTSD, depression, and sleep disorder among healthcare workers involved in the Kahramanmaraş Earthquakes (2023): a structural equation model.
Healthcare workers (HCWs) serve as the cornerstone of health services, which are among the primary needs during disasters. The chaotic environment caused by disasters can lead to mental health disorders in HCWs, similar to those experienced by disaster victims. Experiencing mental health disorders can hinder HCW's professional approach to intervention. HCWs should not be overlooked for the possibility of experiencing mental health disorders while providing healthcare services during disasters. Therefore, this study aims to examine the impact of psychological resilience and trauma exposure on PTSD, depression, and sleep disorders among HCWs involved in the Kahramanmaraş Earthquakes, which were Turkey's most devastating earthquakes. In this quantitative research, a survey technique was employed, reaching 642 hCWs involved in the Kahramanmaraş Earthquakes. Structural Equation Modeling (SEM) was used to test the impact of variables on each other. According to the SEM results, trauma exposure in the HCWs had a significant and positive effect on PTSD (β=+0.899, p = 0.000), depression (β=+0.685, p = 0.000), and sleep disorders (β=+0.603, p = 0.000). Psychological resilience had a significant and negative effect on PTSD (β=-0.278, p = 0.004) and depression (β=-0.322, p = 0.008). Surprisingly, psychological resilience had a significant and positive effect on sleep disorders (β=+0.692, p = 0.000). In conclusion, while trauma exposure led to PTSD, depression, and sleep disorders in the HCWs, psychological resilience mitigated PTSD and depression. Unexpectedly, psychological resilience increased sleep disorders. For this reason, it is recommended that future studies investigate in detail the reasons why HCWs experience sleep disorders and examine them in depth.
期刊介绍：
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.
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