{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:01:45Z","timestamp":1785225705389,"version":"3.55.0"},"reference-count":54,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"unspecified","delay-in-days":149,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789325001181_sec1\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>This study aimed to evaluate the effects of relaxation-based exercises on individuals experiencing post-earthquake stress-related symptoms in an earthquake-prone region.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325001181_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>This randomized, waitlist-controlled, parallel group study included 46 participants with moderate post-traumatic stress levels (Posttraumatic Stress Diagnostic Scale, PDS) and anxiety for over 1 month (Beck Anxiety Inventory, BAI score &gt; 8). Participants were randomly assigned to a relaxation-based exercise group (REG, <jats:italic>n<\/jats:italic> = 24) or a waitlist control group (CG, <jats:italic>n<\/jats:italic> = 25). The REG received relaxation-based structured, supervised exercises for 4 weeks, while the CG awaited treatment. Assessments included the PDS, BAI, Beck Depression Inventory, Perceived Stress Scale-10, Pittsburgh Sleep Quality Index, and SF-12 Quality of Life Scale at baseline and 4 weeks post-intervention.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325001181_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Within-group analysis showed significant improvements in anxiety (<jats:italic>P<\/jats:italic> = 0.001), depression (<jats:italic>P<\/jats:italic> = 0.001), perceived stress (<jats:italic>P<\/jats:italic> = 0.001), and sleep quality (<jats:italic>P<\/jats:italic> = 0.001) for the REG. The CG showed decreased depression symptoms (<jats:italic>P<\/jats:italic> = 0.011) and improved sleep quality (<jats:italic>P<\/jats:italic> = 0.012). There were no significant group differences in quality-of-life outcomes (<jats:italic>P<\/jats:italic> &gt; 0.05), though REG showed greater improvement in depression and perceived stress scores (<jats:italic>P<\/jats:italic> &lt; 0.05).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789325001181_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Relaxation-based exercises can improve sleep quality in individuals experiencing post-earthquake stress, and reduce depression, anxiety, and perceived stress. This approach can be used as a novel rehabilitation model in preventive mental health for the community.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2025.118","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T07:42:58Z","timestamp":1748590978000},"source":"Crossref","is-referenced-by-count":1,"title":["Rehabilitation Model for Post-Disaster Post-Traumatic Stress Syndrome: Relaxation-Based Supervised Exercise"],"prefix":"10.1017","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9153-7783","authenticated-orcid":false,"given":"Sabiha","family":"Sancaktar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2851-9774","authenticated-orcid":false,"given":"Gizem","family":"Ergezen 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