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

IF 2.2 4区 医学 Q3 CLINICAL NEUROLOGY
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}
引用次数: 0

摘要

研究设计:横断面研究。目的:本研究旨在评估2025年4月23日伊斯坦布尔6.2级地震后SCI患者的地震体验、感知安全性和心理影响,特别是焦虑和创伤后应激水平。背景:土耳其伊斯坦布尔的一家三级转诊医院,在2025年4月地震发生后的第五天,对住院和社区居住的脊髓损伤(SCI)患者进行了评估。方法:在灾难发生后5天内对64名参与者进行评估,其中包括住院SCI患者(n = 19)、社区SCI患者(n = 22)和健全对照(n = 23)。记录了人口统计数据、住房特征和灾害经历。心理评估包括贝克焦虑量表(BAI)、事件影响量表(IES-R)和10项安全感知量表。结论:考虑到参与者人数较少,我们的数据表明,SCI个体可能比健全的同龄人更容易受到地震的心理影响,而不考虑功能独立性或物理环境。灾难期间住院治疗可能会提供心理上的保护。这些发现强调了对脊髓损伤患者整合社会心理支持和量身定制的备灾策略的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Spinal cord
Spinal cord 医学-临床神经学
CiteScore
4.50
自引率
9.10%
发文量
142
审稿时长
2 months
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信