{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:56:38Z","timestamp":1788972998405,"version":"build-2803163510"},"reference-count":57,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Natural disasters disproportionately affect mental health in low\u2010 and middle\u2010income countries (LMICs), where access to specialised trauma\u2010focused treatments is limited. Although cognitive processing therapy (CPT) is wellsupported by evidence, its use in post\u2010disaster settings remains underexplored. This pilot randomised controlled trial evaluated the feasibility, acceptability, and preliminary effectiveness of telehealth\u2010delivered CPT among earthquake\u2010affected adults in T\u00fcrkiye. Thirty\u2010six participants with elevated post\u2010traumatic stress disorder (PTSD) symptoms were randomised to either telehealth\u2010delivered CPT or a treatment\u2010as\u2010usual (TAU) control group. Outcomes included PTSD (PCL\u20105), depression (PHQ\u20109), anxiety (GAD\u20107), psychological distress (K10), and well\u2010being (WHO\u20105), assessed at baseline, post\u2010treatment, and 1\u2010month follow\u2010up. CPT was feasible and acceptable, with high treatment completion rates (88.8%). At 1\u2010month follow\u2010up, the CPT group showed greater reductions in PTSD symptoms relative to TAU (adjusted mean difference\u2009=\u2009\u221221.812, 95% CI \u221229.07, \u221214.54,\n                    <jats:italic>p\u2009&lt;<\/jats:italic>\n                    \u20090.001,\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20091.63). CPT also led to improvements in depression (adjusted mean difference\u2009=\u2009\u22123.15, 95% CI \u22126.19, \u22120.11,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.045,\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.59), anxiety (adjusted mean difference\u2009=\u2009\u22122.54, 95% CI \u22124.98, \u22120.10,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.046,\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.58), distress (adjusted mean difference\u2009=\u2009\u22127.62, 95% CI \u221211.66, \u22123.55,\n                    <jats:italic>p\u2009&lt;<\/jats:italic>\n                    \u20090.001,\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20091.07) and well\u2010being (adjusted mean difference\u2009=\u20094.57, 95% CI 1.62, 7.51,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.014,\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.82). These findings suggest that telehealth\u2010delivered CPT is a feasible, acceptable, and potentially effective intervention for post\u2010disaster mental health care in LMIC settings. To our knowledge, this is the first trial to adapt and evaluate CPT for post\u2010disaster care in an LMIC context.\n                  <\/jats:p>","DOI":"10.1002\/cpp.70176","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T10:01:17Z","timestamp":1763719277000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Telehealth\u2010Delivered Cognitive Processing Therapy for Earthquake Survivors in T\u00fcrkiye: A Pilot Randomised Controlled Trial"],"prefix":"10.1002","volume":"32","author":[{"given":"B\u00fc\u015fra","family":"Acar","sequence":"first","affiliation":[{"name":"Department of Psychology Ko\u00e7 University  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Moring","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Texas Health Science Center  San Antonio 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