Ümit Yalçın, Fatih Bağcıer, Pınar Öztop Çiftkaya, Burcu Çınar, Ali Kaan Öztürk, Esra Nur Güçlü, Burak Tayyip Dede, Burcu Hazer, Evrim Coşkun
{"title":"2025年4月伊斯坦布尔地震后脊髓损伤患者的社会心理影响和焦虑决定因素:安全感和早期灾后经历","authors":"Ümit Yalçın, Fatih Bağcıer, Pınar Öztop Çiftkaya, Burcu Çınar, Ali Kaan Öztürk, Esra Nur Güçlü, Burak Tayyip Dede, Burcu Hazer, Evrim Coşkun","doi":"10.1038/s41393-025-01122-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Study design: </strong>A cross sectional study.</p><p><strong>Objective: </strong>This study aimed to assess the earthquake experiences, perceived safety, and psychological impact-specifically anxiety and post-traumatic stress levels-among individuals with SCI following the 6.2-magnitude Istanbul earthquake on April 23, 2025.</p><p><strong>Setting: </strong>A tertiary referral hospital in Istanbul, Turkey, where hospitalized and community-dwelling individuals with spinal cord injury (SCI) were evaluated on the fifth day following the April 2025 earthquake.</p><p><strong>Methods: </strong>A total of 64 participants, including hospitalized SCI patients (n = 19), community-dwelling SCI patients (n = 22), and able-bodied controls (n = 23), were evaluated within five days of the disaster. Demographic data, housing characteristics, and disaster experiences were recorded. Psychological assessment included the Beck Anxiety Inventory (BAI), the Impact of Event Scale-Revised (IES-R), and a 10-item perceived safety scale.</p><p><strong>Results: </strong>SCI participants had significantly higher BAI scores compared to able-bodied individuals (p < 0.05). Hospitalized SCI patients reported lower anxiety levels than their community-dwelling counterparts. No significant differences were found regarding mobility level, location (European vs. Asian side), building age, or number of floors. A strong correlation was observed between anxiety and post-traumatic stress symptoms (r = 0.770, p < 0.001).</p><p><strong>Conclusion: </strong>Given the low participant numbers, our data suggests that SCI individuals may be more psychologically affected by earthquakes than able-bodied peers, regardless of functional independence or physical environment. Hospitalization during disaster may offer protective psychological benefits. These findings highlight the importance of integrating psychosocial support and tailored disaster preparedness strategies for individuals with SCI.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Psychosocial impact and anxiety determinants in individuals with spinal cord injury following the april 2025 istanbul earthquake: perceptions of safety and early post-disaster experience.\",\"authors\":\"Ümit Yalçın, Fatih Bağcıer, Pınar Öztop Çiftkaya, Burcu Çınar, Ali Kaan Öztürk, Esra Nur Güçlü, Burak Tayyip Dede, Burcu Hazer, Evrim Coşkun\",\"doi\":\"10.1038/s41393-025-01122-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Study design: </strong>A cross sectional study.</p><p><strong>Objective: </strong>This study aimed to assess the earthquake experiences, perceived safety, and psychological impact-specifically anxiety and post-traumatic stress levels-among individuals with SCI following the 6.2-magnitude Istanbul earthquake on April 23, 2025.</p><p><strong>Setting: </strong>A tertiary referral hospital in Istanbul, Turkey, where hospitalized and community-dwelling individuals with spinal cord injury (SCI) were evaluated on the fifth day following the April 2025 earthquake.</p><p><strong>Methods: </strong>A total of 64 participants, including hospitalized SCI patients (n = 19), community-dwelling SCI patients (n = 22), and able-bodied controls (n = 23), were evaluated within five days of the disaster. Demographic data, housing characteristics, and disaster experiences were recorded. Psychological assessment included the Beck Anxiety Inventory (BAI), the Impact of Event Scale-Revised (IES-R), and a 10-item perceived safety scale.</p><p><strong>Results: </strong>SCI participants had significantly higher BAI scores compared to able-bodied individuals (p < 0.05). Hospitalized SCI patients reported lower anxiety levels than their community-dwelling counterparts. No significant differences were found regarding mobility level, location (European vs. Asian side), building age, or number of floors. A strong correlation was observed between anxiety and post-traumatic stress symptoms (r = 0.770, p < 0.001).</p><p><strong>Conclusion: </strong>Given the low participant numbers, our data suggests that SCI individuals may be more psychologically affected by earthquakes than able-bodied peers, regardless of functional independence or physical environment. Hospitalization during disaster may offer protective psychological benefits. These findings highlight the importance of integrating psychosocial support and tailored disaster preparedness strategies for individuals with SCI.</p>\",\"PeriodicalId\":21976,\"journal\":{\"name\":\"Spinal cord\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-10-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Spinal cord\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1038/s41393-025-01122-9\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spinal cord","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41393-025-01122-9","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Psychosocial impact and anxiety determinants in individuals with spinal cord injury following the april 2025 istanbul earthquake: perceptions of safety and early post-disaster experience.
Study design: A cross sectional study.
Objective: This study aimed to assess the earthquake experiences, perceived safety, and psychological impact-specifically anxiety and post-traumatic stress levels-among individuals with SCI following the 6.2-magnitude Istanbul earthquake on April 23, 2025.
Setting: A tertiary referral hospital in Istanbul, Turkey, where hospitalized and community-dwelling individuals with spinal cord injury (SCI) were evaluated on the fifth day following the April 2025 earthquake.
Methods: A total of 64 participants, including hospitalized SCI patients (n = 19), community-dwelling SCI patients (n = 22), and able-bodied controls (n = 23), were evaluated within five days of the disaster. Demographic data, housing characteristics, and disaster experiences were recorded. Psychological assessment included the Beck Anxiety Inventory (BAI), the Impact of Event Scale-Revised (IES-R), and a 10-item perceived safety scale.
Results: SCI participants had significantly higher BAI scores compared to able-bodied individuals (p < 0.05). Hospitalized SCI patients reported lower anxiety levels than their community-dwelling counterparts. No significant differences were found regarding mobility level, location (European vs. Asian side), building age, or number of floors. A strong correlation was observed between anxiety and post-traumatic stress symptoms (r = 0.770, p < 0.001).
Conclusion: Given the low participant numbers, our data suggests that SCI individuals may be more psychologically affected by earthquakes than able-bodied peers, regardless of functional independence or physical environment. Hospitalization during disaster may offer protective psychological benefits. These findings highlight the importance of integrating psychosocial support and tailored disaster preparedness strategies for individuals with SCI.
期刊介绍:
Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews.
Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.