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Prevalence and determinants of post-traumatic stress disorder in patients with schizophrenia 2 years after an earthquake in Turkey.
- Source :
- International Journal of Psychiatry in Medicine; Jan2024, Vol. 59 Issue 1, p65-82, 18p
- Publication Year :
- 2024
-
Abstract
- Objectives: High rates of post-traumatic stress disorder (PTSD) have been observed in earthquake survivors many years after the event. However, its prevalence among patients with schizophrenia is largely unknown. This study, which was conducted two years after the 2020 Elazığ earthquake, sought to identify risk factors for earthquake-related PTSD among patients with schizophrenia and healthy subjects. Methods: Adult patients with schizophrenia (N = 103) and healthy subjects (N = 103) who had survived the earthquake were recruited from affected areas in the Eastern Anatolian Region of Turkey, Elazığ. A detailed questionnaire of earthquake-related risk factors, the Brief Coping Orientation to Problems Experienced (Brief COPE), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Clinician-Administered PTSD scale for DSM-V (CAPS-5) scale were administered to participants. Results: Twelve percent of the patients with schizophrenia and 25% of the healthy subjects had earthquake-related PTSD diagnoses two years after the 2020 Elazığ earthquake. Healthy subjects had a significantly higher rate of earthquake-related PTSD when compared to patients with schizophrenia. Religious coping, self-blaming, less emotional support seeking, and going to a safer place on the night of the earthquake were found to be associated with PTSD in patients with schizophrenia. History of traumatic events, self-blaming, and less social support from family were found to be associated with a PTSD diagnosis in healthy subjects. Conclusions: The earthquake in Turkey created a situation such that significant symptoms of PTSD remained present at two years following the event in both patients diagnosed with schizophrenia and healthy subjects. Patients with schizophrenia have different risk factors for the development of PTSD when compared with healthy subjects. Clinical interventions should consider risk factors, coping strategies, and perceived social support when seeking to prevent earthquake-related PTSD. [ABSTRACT FROM AUTHOR]
- Subjects :
- SCHIZOPHRENIA
STATISTICS
SOCIAL support
CONFIDENCE intervals
SELF-perception
RESEARCH methodology
CROSS-sectional method
FAMILY support
POST-traumatic stress disorder
MANN Whitney U Test
GOODNESS-of-fit tests
CASE-control method
RISK assessment
T-test (Statistics)
NATURAL disasters
QUESTIONNAIRES
SCALE analysis (Psychology)
CHI-squared test
DISEASE prevalence
DESCRIPTIVE statistics
PSYCHOLOGICAL adaptation
DATA analysis software
LOGISTIC regression analysis
STATISTICAL models
ODDS ratio
STATISTICAL sampling
OUTPATIENT services in hospitals
Subjects
Details
- Language :
- English
- ISSN :
- 00912174
- Volume :
- 59
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal of Psychiatry in Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 174199624
- Full Text :
- https://doi.org/10.1177/00912174231180467